JR's Pups-N-Stuff Dog Application

1

Adoption Requirements* This field is required.

2

Application Processing Fee* This field is required.

3

List the full name and date of birth for ALL people living in the house* This field is required.Include applicant, co-applicant(spouse, boyfriend/girlfriend) roommates, parents, children, siblings Please be sure that you tab or scroll to the right to complete all fields for each member in the household

4

JRs will check available public records for all adults in the household. Please provide any additional information you would like us to consider regarding any charges or outstanding financial judgments.If you are unsure, in Wisconsin you can go to https://wcca.wicourts.gov/ to view your own public records

5

Address* This field is required.This address will be used on adoption contracts as well as to send rabies certificates post adoption. Please be sure that it is correct and complete. If you live in an apartment or condominium building please be sure that your unit number is included. PO Boxes are not allowed.

Street Address

Apartment / Condo Unit Number

City

State

Zip Code

Country

6

Primary Phone* This field is required.

7

Secondary Phone

8

Applicant's email address* This field is required.This email address will be the primary point of contact moving forward. Please be sure that you have access to any professional email addresses during non-business hours to facilitate the adoption process.

9

Co-Applicant's email addressSome adoption documentation may be sent utilizing e-signature protocols. In these instances a unique email address will be required for both the applicant and the Co-Applicant.

Confirm Email

10

In our home we have (check all that apply)* This field is required.JRs policy regarding adoption of puppies under 6 months to families with children younger than 8 years old is a firm policy. We have found over the years that our return rate is considerably higher when puppies under 6 months are adopted to families with children under 8. While we realize that this might be disappointing to you, we have lots of wonderful puppies who are 6 months or older and they are past the biting, chewing, and not sleeping through the night stage. I encourage you and your family to look at some of the slightly older puppies. They have tons of puppy play left in them well beyond 6 months

Children under 8

Children over 8

Dogs

Cats

Other Pets

None of the above

11

Have you ever fostered for JRs?* This field is required.

Yes

No

12

When?

13

Have you adopted from JR's before?* This field is required.

Yes

No

14

What was the animal's JR's name?

15

Approximately how long ago?

16

What type of pet are you looking for (check all that apply)* This field is required.

Male

Female

Adult

Puppy

17

Are you looking for a specific breed* This field is required.

Yes

No

18

What breed?

19

Have you researched this breed to determine whether or not it is appropriate for your home/living environment

Yes

No

21

This pet will be WITHOUT human companionship for about hrs per day * hours per day, days per week * days per week.

24

Where do you live?* This field is required.

House

Apartment

Condominium

25

Do you rent or own?* This field is required.

Rent

Own

26

Does your landlord allow pets?

Yes

No

27

Is a deposit required?

Yes

No

28

What is the amount of the deposit required?

29

Is there a monthly rent increase?

Yes

No

30

What is the amount of the increase?

31

Landlord's Name

First Name

Last Name

32

Landlord's Phone Number

33

Landlord's email address

example@example.com

34

If you have a copy of your lease, you can upload it here which may eliminate the need for JRs to wait for a call back from your landlord

Drag and drop files here

Select files to upload

35

What are the condominium association's restrictions for pets regarding breed, size, limits etc.?

36

If the city listed in your address is not the municipality whose ordinances you follow, please note the name of the municipality below:

37

Are you familiar with the local ordinances regarding dog ownership in your community?* This field is required.

Yes

No

38

Are there any restricted breeds (those not allowed) in your community?* This field is required.

Yes

No

39

What breeds?

40

Are there any breeds with restrictions (the breed is allowed but must have specific training, fencing, etc.) in your community ?* This field is required.

Yes

No

41

Please explain community/complex breed requirements

42

Are there any restricted breeds per your homeowners insurance?* This field is required.

Yes

No

43

Please explain your homeowners insurance breed restrictions

44

Is there a weight limit for dogs in your complex or community?* This field is required.

Yes

No

45

What is the weight limit?

46

Do you understand that by adopting a dog, you are required to comply with all local ordinances, including licensing?* This field is required.

Yes

No

47

In our household we have:
number of adults * adults (18 or older)
number of children * children (under 18)
The age(s) of the children: Age of children

48

Is anyone in your family allergic to animals?* This field is required.

No

Yes, dogs

Yes, Cats

Yes, both cats & dogs

49

What is done to manage the allergies?

50

Have you EVER returned, surrendered or given away a dog or cat to a friend, family member or other person, shelter, organization, or rescue group for ANY reason?* This field is required.JRs considers the omission of previously returned or rehomed pets to be a blatant attempt at misdirection. While rehoming a dog does not automatically disqualify you from adoption, intentionally leaving a rehomed pet off of the application will.

Yes

No

51

Please tell us what prompted you to have to rehome your dog or cat.

52

When did this happen?

53

Please tell us what, if anything, you would do differently in this scenario today?

54

What will you do with your pets if you move in the future?* This field is required.

55

How much do you anticipate spending yearly to feed, vaccinate, license and provide routine medical care for your pet?* This field is required.

56

Do you have a limit on what you would spend for a medical emergency?* This field is required.

Yes

No

57

What is that limit?

58

Are you familiar with the closest Veterinary Emergency Clinic in your area?* This field is required.

Yes

No

59

What do you consider an appropriate reason for euthanasia of a pet? * This field is required.

60

Would you be willing to allow a representative from the shelter visit your home before the adoption is completed as a part of the approval process?* This field is required.

Yes

No

61

Adding a pet to your family is a lifetime commitment. Are you prepared to make a commitment for the entire life of your pet? * This field is required.

Yes

No

62

Do you realize a dog may live 15 years?* This field is required.

Yes

No

63

It may take your new pet several weeks to adjust to its new home, especially if other pets or children are involved. This transition time may include some undesirable behaviors that will require extra time/attention. Are you prepared to allow this much time? * This field is required.

Yes

No

64

Adding a new pet will require transition time for any existing pets. This could take your pet (s) several weeks to adjust to his/her new companion. Are you prepared to allow this much time? * This field is required.

Yes

No

65

What steps are you willing to take to help your pet adjust to his/her new home? * This field is required.

66

What conditions would cause you to re-home (return to rescue) your pet?* This field is required.

67

Do you understand that even house trained dogs may have accidents, especially during transitions or stressful times? * This field is required.

Yes

No

68

How do you plan to house train your dog?* This field is required.

69

How do you plan to exercise your dog? * This field is required.

70

What type/brand of food do you plan to feed you dog?* This field is required.

71

Have you, or any members of your household, had a pet in the past 10 years?* This field is required.If any person residing at this address has been responsible for any kind of animal in the past 10 years, please select Yes

Yes

No

72

Are all pets in the home spayed/neutered, up to date on vaccines (Distemper/FVRCP & Rabies) as well as heart worm preventatives and annual wellness exams ?JRs does require that minimally all animals (including indoor cats)be spayed/neutered, have an annual exam, rabies and distemper shots as well as annual wellness exams including HW test. Titter testing can be done in lieu of annual vaccines. If your pet is not up to date, please complete the application after you have taken them in to see the vet.

Yes

No

73

Please list ALL household pets, alive or deceased, that you have had in the past 10 years.If you no longer own the pet, please be specific as to what happened to the animal. If you have an unneutered dog/cat, please explain why you have not altered the animal. Please be sure that you tab or scroll to the right to complete all fields for each pet listed

74

Who is (was) your veterinarian for the above animals? If your pets see different vets, please list all vets you are using/used.Applications will NOT be processed without this information You MUST contact your vet and let them know that they can release information to our representative. Failure to do this will result in significant delays in processing your application.

75

Comments or additional information you would like to provide to assist us in identifying the correct dog for you.JR's application is not for a specific dog. If you are completing this application for a specific dog please understand that it is possible that the dog will be adopted prior to your approval to adopt from JRs.

76

What is your desired time frame for adopting?* This field is required.

As soon as possible

1-3 months

3-9 months

9-12 months

When a great match is found

77

How did you hear about us?

Friend/Family referral

Petco Adoption Event

Online pet search engine (Petfinder, Petango etc)

Facebook

78

Signature:* This field is required.By signing below, I certify that the information I have given is true and I recognize that any misrepresentation of the facts may result in my losing the privilege of adopting a pet. I authorize investigation of all statements on this application. Verification of vetting, landlord and available public records will be checked for accuracy of information. I understand that this application is property of the JR’s.

(Typed or electronic signature accepted)

79

I grant permission for JRs to share the information gathered in this application with the individuals who now own the dogs for their consideration.

YESNO

80

I understand that submission of this application does not guarantee that I will be approved to adopt an animal with JRs and that any processing fee that I will pay is non-refundable.* This field is required.

Yes

No

81

My Products* This field is required.

My Bag

1

New Application Processing Fee
$5.00+Edit
Back

82

Payment Methods

83