Saving Grace Rescue LBK
First and Last Name
Address
Address
Street Address Line 2
City, State, Zip
State / Province
Postal / Zip Code
Daytime Phone
Format: (000) 000-0000.
Evening Phone
Format: (000) 000-0000.
Email
example@example.com
Are you applying for a specific dog? Please name:
If not applying for a specific dog, please describe the characteristics you are looking for:
Ages of all permanent residents of your home (adults and children), including yourself:
Do you live in a house or an apartment?
Do you own or rent?
Landlord's Name:
If renting, please provide your landlord's phone number:
-
Area Code
Phone Number
Length of residency?
Please describe your neighborhood:
Do you have a fenced yard? If so, describe your fence:
Are you familiar with local dog regulations and restrictions in your area? If yes, please describe:
Are you employed? Occupation?
Who is your employer? Length of employment?
What are your work hours and the work hours of other members of the household?
How many hours/day will your dog spend alone?
Are any members of your household allergic to animals? Fearful of dogs?
Please provide the following information about ALL animals living in your home, disposition, length of ownership, where you got him/her, spayed/neutered:
Please list previous pets and what happened to them:
How will your dog spend his/her day and night?
How will you provide exercise for your dog?
Do you travel for work or vacation? How will your dog be cared for while you are gone?
Have you considered the expense of maintaining an animal? (Food, vetting, training, crate, toys, etc)?
Are you familiar with humane procedures for housebreaking a pet? Please explain:
Do you intend to crate the dog? Where and for how long?
Are you planning on enrolling your dog in training classes?
May we visit your home as part of the pre adoption process? (local adoptions)
What will you do with your dog in extreme weather conditions?
Under what circumstances would you not be able to keep the dog? What will you do if this happens?
Do you agree to license, keep vaccinations up to date, and provide total healthcare for this dog?
Will you continue heartworm prevention?
Name of your veterinarian:
Phone number of your veterinarian:
Format: (000) 000-0000.
Please provide names and phone numbers of 3 references who can attest to your suitability as an adopter:
Additional comments or things you would like us to take into consideration:
Please answer the following if applying for a Bully breed:
If not applying for a Bully breed, answer with n/a in each field.
How are you prepared to deal with discrimination that may come with Bully breed ownership? (renting, insurance etc.)
Bully breeds are people loving dogs and require a lot of time and attention. How will you meet these needs?
Why did you choose a Bully breed for adoption? What qualities attract you to them?
What challenges do you think owning a Bully breed may present?
Saving Grace Rescue LBK Adoption Contract
I/We understand that often times the complete history of a rescue dog is unknown. Saving Grace Rescue LBK (hereafter, SGLBK) will provide me with a description of their experience with the dog I/we considering, however, I/we understand I/we may encounter behavioral or other not previously known
I/We understand and agree that SGLBK makes no express or implied warranty, representation or promise to the age, health, breed, habits, disposition or safety of the dog. I/We hereby accept the dog as is, assume all risks and responsibilities associated with the ownership of the dog, including bites, and I/We hereby fully and completely release, indemnify and hold harmless SGLBK, its directors, officers, volunteers, and representatives from any claim, cause of action or liability of any sort or nature, whether known or unknown, directly or indirectly arising out of or in connection with the adoption, care or ownership, maintenance, temperament or condition of the dog.
I/We agree that said dog will NEVER be used for fighting or other illegal purposes.
I/We agree to care for the dog humanely including providing adequate food, water, shelter, love, and said dog will be maintained in an adequately enclosed area or on a leash at all times.
I/We agree to have said dog vaccinated annually with necessary inoculations and Rabies vaccination compliance with local and/or state ordinances and that it is my/our responsibility to remain familiar with ordinances. I/We agree to provide veterinary care as needed.
I/We agree to notify Saving Grace Rescue LBK (SGLBK) within 10 days of change in address or number. I/We understand SGLBK may make inquiries about said dog at any time.
I/We agree to notify SGLBK immediately if said dog becomes lost or gets stolen. I/We agree that the reside within my property and will not be allowed to roam freely.
I/We agree not to sell, trade, or dispose of this dog. IF AT ANY TIME, I/WE ARE NOT WILLING OR NOT CARE FOR THE DOG, I/WE WILL RETURN THE DOG TO SGLBK. I/We understand that SGLBK is not to refund adoption fee, but may do so at their discretion. If applicable, "As an adopter through Project Freedom Ride, I understand the adoption fee is a non-refundable donation and as the adopter, I am required to keep the pet safe either in my residence or at my expense for up to 30 days should it not work out."
I/We hereby acknowledge that I/we have read and understood the above terms and conditions of and will keep the dog described herein as a family member. I/We enter into this contract of my/our will and understand that this is a binding contract enforceable by civil law.
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