Rescue Adoption Application

PLEASE ALLOW AT LEAST ONE HOUR TO COMPLETE THIS APPLICATION

(We love our animals and want to make sure they are placed in the right homes)

Please understand that not all families and dogs are compatible. Every effort is made to match traits exhibited by a dog with characteristics that you desire in a dog. Our goal is to ensure the welfare of the dog only by placement in the best possible home.

To be considered as an adopter you must:

Be 25 years of age unless you are a veteran.
Have a fenced yard or agree to daily exercise and/or walks.
Have current identification showing address and/or phone number.
Have knowledge and consent of all adults living in household.
Agree to provide the pet with an indoor/outdoor home and be willing to consider the companion animal as part of the family.
Be willing and able to invest the time and money required to provide for the training, medical treatment, and proper care for the dog (Estimated minimum cost of a dog is $300-$700 per dog).
Puppies: If you are adopting a puppy, you understand that a ggood amount of time must be invested to insure your puppy has obedience during the first year. Spending the time during the first year will results and having a wonderful pet for years to come. Like babies, puppies go through a teething stage where they want to bite and chew. If you have young children, they are often seen by the puppy as a toy. This behavior can be modified with time and alternative chew toys.
Place personal I.D. on the animal as soon as possible.
Provide an environment that is safe and secure.
Be prepared to pay a non-refundable adoption ddonation payable to Rescue Texas. Adoption donations help to offset the expenses to prepare your new dog for adoption and compliance with Texas laws.
Agree that if for any reason the dog has to be “given up” you will contact Rescue Texas first.

Today’s Date*

MonthDayYear

Which Animal are you interested in?

Owner’s Name*

First NameLast Name

Birthdate (25 min)*

MonthDayYear

Are you a veteran?

Address where pet will live*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

Email *

example@example.com

Phone (mobile)*

Area CodePhone Number

Phone (work)

Area CodePhone Number

Employer*

Spouse/Partner’s Name (if applicable)

First NameLast Name

Spouse/Partner’s birthdate

MonthDayYear

Spouse/Partner’s Email

example@example.com

Spouse/Partner’s Phone (mobile)

Area CodePhone Number

Spouse/Partner’s Phone (work)

Area CodePhone Number

Spouse/Partner’s Employer

Vet’s Name and/or business name

Vet phone #

Area CodePhone Number

Vet Website

Additional vet information. If more than one vet

Number of adults living in household*

Number of children living in household*

Children’s age(s)

Example: 5 & 10

Does anyone have allergies?*

If yes, explain below…

Tell us about allergies.

What type of home do you live in?*

How long have you lived at your current address?*

If less than 2 years, answer next question.

Do you have a fenced yard? What type of fence? *

How tall is the fence

If you’ve lived at your current address less than 2 years, please give prior addresses.

Does the yard have any type of shelter for the dog? Explain

Do you own/rent/etc.*

OwnRentLive with relative(s)

If you move in the future, what will you do with the dog? *

If you have to move to a place that does not allow pets, what will you do with your dog?*

If you rent/lease in an apartment (multi-family) complex or high rise, what is the name of the apartments/high rise? If you have an individual landlord, provide name.

Are dogs allowed?

Yes, any size, any speciesYes, but size restrictions applyNo

What restrictions on size and/ or number of pets apply in your subdivision, apartment, building?

How much is the pet deposit?

Is there a monthly pet rent fee? If yes, how much?

Have you paid the deposit?

YesNoNot applicable

Assuming that you do not have a yard, what will you do for exercise and potty time?

Why did you decide to adopt a dog/puppy?*

How long have you considered this decision?*

If you have not selected a dog/puppy yet, what breed, preferences, and personality traits are you looking for in a dog/puppy? Sex, breed, hair length, activity level, size…

Are you familiar with the breed you have selected?*

Which of the following do you want? Select all that apply*

Do all adults in your home agree to this decision?*

YesNoI’m working on it

Who will be responsible for the care of this dog/puppy?*

Where will the dog spend most of its time?*

InsideOutside50/50 in/outSupervised when outside

Where will the dog be kept during the day?*

Where will the dog be kept at night?*

Where will the dog be kept during vacations?*

Where will the dog be kept during business trips?

How many hours a day will the dog/puppy be alone?*

How will you keep the dog confined? Mark all that apply.*

If crated or kenneled, how many hours per day?

Digging?*

Not getting along with other pets in the home?*

Difficulty adjusting to household?*

Chewing or being destructive to things besides dog items?*

If you had to give the dog up what would you do? Don’t assume it would never happy…*

If the dog became lost, what would you do?*

What do you consider a good reason for giving up a dog? (mark all that apply)*

Explain other reasons to give up the dog/puppy, not listed in previous question…

Are you planning to provide obedience training?*

YesNoNot sure yet, but I will if necessary

You may have to house train your new pet. Please explain your method of house training. If you’re not sure how, we understand…just say you need pointers.*

Are you familiar with the leashing and licensing regulations in your area?*

YesNo

How will you transport the dog?*

CrateSeatbeltLoose in vehicleBed of truck

Dogs can often live in excess of 10 years. Vet bills and nutrition can be expensive. Are you prepared to assume this responsibility?*

YesNo

Heartworms are a parasite that is transmitted by mosquitoes to your dog. They live and grow in the heart, eventually producing enough worms that the heart can no longer function. Treating a dog for heartworms is both expensive ($500 - $1,000) and very hard on your dog’s system because arsenic is used. Heartworms are, however, very easily prevented with a monthly heartworm pill. Your dog will need to be on these pills for the rest of its life. The monthly cost is approximately $20. Are you willing to commit to this level of care?*

YesNo

Do we have your permission to periodically check with your vet to ensure that you are keeping your dog on heartworm preventive?*

YesNo

Do you currently have a veterinarian?*

YesNo

Name of current vet, if applicable

f your dog ever requires surgery or special care, costing up to or in excess of $1,000, what would you do?*

Which of the following canine diseases are you familiar with?*

If you currently have dog(s), are they on heartworm preventative?*

YesNoNo dogs currently

Have you ever had a pet die of causes other than those related to old age? If yes, please explain

Have you ever returned or given an animal away before?

YesNo

If you answered yes to the previous question, please explain the circumstances for giving away your pet.

Please list all animals CURRENTLY owned.

	Dog/Cat & Breed	Sex?M/F	Age	Altered? Yes or No	Inside or outside	Year of last vet visit
1.
2.
3.
4.

Please list all animals PREVIOUSLY owned.

	Dog/Cat & Breed	Sex?M/F	Age	Altered? Yes or No	Inside or outside or both	Briefly explain what happened
1.
2.
3.
4.

Do you own a pet other than a dog or cat? Please explain…

Very Important Terms & Conditions: Our dogs come from Rescue situations. Often times being abandoned, neglected or abused by their original owners. After initial rescue, the dog likely was temporarily cared for by foster families. Locating to another home can cause stress and uncertainty for the dog. When you welcome the new dog into your home, it will need time to decompress and may take at least one month and up to three months to adjust to their permanent environment. Rescue Texas and all affilates will not be held liable for any damage to humans or property. Rescue Texas may make periodic visits to the dog being adopted from this application to assess proper care and living environment.

I certify that the information contained in this application is true. I further understand that any false information may result in denial of the application and Rescue Texas reserves the right to decline any application. By signing this digital form, I assert that my signature may appear different than handwriting and I am the primary applicant on this form.

Signature

Clear

ADOPTION APPLICATION

1. Primary Owner Information

2. Spouse/Partner Information

3. Vet Information

4. Home Occupants & Information

4a. Renters and Leaseholders

5. Pet Care Expectations

What would you do if the dog demonstrates the following behaviors?: