Rescue Texas Adoption Application

PLEASE ALLOW ABOUT 30 MIN TO COMPLETE THIS APPLICATION

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

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 identification showing current 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. We do not agree with outdoor only dogs.
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 good 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.
Puppies: You will be required to spay or neuter your puppy before 6 months of age at your expense.
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 donation payable to Rescue Texas Resources. Adoption donations help to offset the expenses to prepare your new dog for adoption and compliance with Texas laws.
If transport is required, the transport fee is non-refundable and non negotiable.
Agree that if for any reason the dog has to be given up, you shall contact Rescue Texas Resources first to return the dog.

Today’s Date*

MonthDayYear

Which Animal are you interested in?*

Owner’s Name*

First NameLast Name

Are you a veteran?

Birthdate (25 min)*

MonthDayYear

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

What is your occupation?*

Employer*

Spouse / Partner’s Name

First NameLast Name

Spouse / Partner’s Email

example@example.com

Spouse / Partner’s Phone (mobile)

Area CodePhone Number

Spouse / Partner’s Employer

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.

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

YesNoI’m working on it

What type of home do you live in?*

Do you own/rent/etc.*

OwnRentLive with relative(s)Other

How long have you lived at your current address?*

If less than 2 years, answer next question.

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

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

Is your fence in good shape without gaps or holes?

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?*

May we contact your landlord to confirm approval?

YesNo

What is the name and contact information of your landlord.

Are dogs allowed?

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

What restrictions on size and/ or number of pets apply?

How much is the pet deposit?

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

Have you paid the deposit?

YesNoNot yet

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

Why did you decide to adopt?*

How long have you considered this decision?*

Are you familiar with the breed you have selected?*

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

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

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

Where will the dog/puppy be kept when it is alone at home? Mark all that apply.*

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

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

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

YesNo

How will you transport the dog?*

CrateSeatbeltLoose in vehicleBed of truck

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

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

YesNoNo dogs currently

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

YesNo

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.

Do you currently have a veterinarian?*

YesNo

Vet’s Name and/or business name

Vet phone #

Area CodePhone Number

Vet Website

May we call your vet?

YesNoOther

Additional vet information. If more than one vet

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…

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

ADOPTION APPLICATION

3. Home Occupants

4. Where the Pet will Live

4a. Renters and Leaseholders

5. General

6. Vet Information