Adoption Application

MOORE'S RESCUE RANCH ADOPTION APPLICATION
Please complete this application if you would like to meet one of our furkids! This application is not binding, and it doesn't necessarily mean you will adopt the pet. Completing this application indicates that you are interested in meeting the pet to decide if you would like to adopt.

Meeting one of our pets does not guarantee adoption. We often receive multiple applications for the same pet, and must make a determination on which home is best. This means that sometimes we have to turn down great people - please don't take it personally!

We do not adopt outside of Illinois. If we cannot locate a home visit volunteer in your area, then we are unable to approve your adoption request. We are sorry for the inconvenience.

All applicants are subject to a background check. Once again, please do not take it personally. Background checks are an extra level of protection for our pets (who cannot speak for themselves) from being placed in an unsafe environment.

We do not adopt pets to families whose current pets are not up to date on shots or unaltered. Exceptions will be made for medical reasons, as stated by a veterinarian. Thank you for understanding our mission to reduce overpopulation!

We adopt cats as INDOOR ONLY.
Are you applying to adopt a Cat or Dog?*

CatDog
Name of pet you are interested in*
Your Name*

First NameLast Name
E-mail*
Daytime Phone Number

Area CodePhone Number
Evening Phone Number*

Area CodePhone Number
Cell Phone

Area CodePhone Number
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Do you own or rent? If renting a copy of the lease or letter stating you can have a pet will need to shown to the rescue.*

OwnRent
What type of home do you live in?*

HouseTownhouse/Condo/DuplexApartmentOther
If "Other" please explain
Do you have a fenced yard (no electric fences will be approved)?*

NoYesCheck here if adopting a cat
If yes, how high is the fence and what is it made out of.
If no, specify how you will contain the dog outside. For a cat adoption type NA in the box.
Do you have any other pet(s)?*

YesNo
If yes, list the pets name, breed and age. Also include if the pet(s) are up to date on vaccines and if they are spayed/neutered. Please include all pets in your home. Type None if you do not own any other pets.*
Have you owned any pets in the past five years that are no longer in your possession?*

NoYes
If yes, list the reason the pet(s) is no longer in your possession.
Does anyone in your family smoke inside your home?*

NeverRarelyDailyWeekly
List the age and gender of all the children/adults living in house household*
Are all family members in agreement to adopt a pet ?*

YesNo
If you adopt a pet, will it be left outside unattended?*

NoYes
If you answered yes, how long will the pet be left unattended each day?

Just for bathroom breaks several times a dayA hour or two at mostMore than an hour or two at one timeCheck here if adopting a cat
If you checked "more than an hour or two at one time", please clarify how many times the pet would be unattended each day and for how long.
How many hours (on average) will the pet be left alone each day?*
Where will the dog live? (Cats are adopted for Indoors only)*

Indoors Only (except when outside to play/bathroom breaks)Predominantly outdoorsCombinationCheck here if adopting a cat
If you selected "Combination" please elaborate
Where will the pet sleep at night? (ie inside in kennel, inside loose etc.)*
How often do you plan on walking the pet?*

Multiple times a dayOnce per day3-5 times a weekRarelyCheck here if adopting a cat
What are you looking for in a pet? (check all that apply)*

IndependenceDependenceLap dogExercise partnerWatch dogKid friendlyEnergeticPlayfulSeriousSidekickOther
If you checked "Other" explain here
Which characteristics would you NOT tolerate in a pet? (check all that apply)*

Not housebroken right awayNot housebroken after trainingDog aggressiveCat aggressiveToo hyperDiggerFence jumperBarkerDroolerProtective over toysOther
If you checked "Other" explain here
If your pet displayed one of these traits, what would you do?*

Consult a behavioristConsult a vetWork through itGet advice and help from the people in the rescueSurrender back to the rescueOther
If you checked "Other" explain here
What is the best way to correct your pet's mistakes?*

Swat on the buttYell "NO!"Redirect the behaviorIgnore, but praise when he/she does something goodKennel him/her when he/she is badTraining and positive reinforcement!Other
If you checked "Other" explain here
Under what circumstances would you return a pet to the rescue?*

MovingLost job, can no longer affordBehavioral issues (aggression, etc.)Health issues (hip dysplesia, allergies, etc.)Adding a baby to the familyDog got too bigI would do everything in my power to NOT have to return the dog to the rescue!Other
If you checked "Other" explain here
Please list your first personal reference. INCLUDE email address and phone along with how they know you. If no email address, type in "none". DO NOT NOT LIST A FAMILY MEMBER. Please let this individual know we will be contacting them. *
E-mail
Phone Number*
Please list your SECOND personal reference. INCLUDE email address and phone along with how they know you. If no email address, type in "none". DO NOT list a family member. Please let this individual know we will be contacting them. *
E-mail
Phone Number*
If you currently have pets or had a pet within the last 3 years, please list the name of your vet clinic, the vet's name, phone number and email address if possible, if no email address type "none". If you do not have a vet, you can list the information for the vet you plan to use.
E-mail
example@example.com
Phone Number*
If you have any other information you would like to provide us with, feel free to do so here!
How did you hear about our rescue?*

PetfinderAdopt A PetCraigslistWord of mouthInternet searchAdoption DayOther
If you checked "Other" explain here
Adoption applications are kept on file for one year following approval. If you are a tenant, you must provide a copy of the lease agreement showing that you have permission to keep a pet on the property before completing an adoption. You will need to give your veterinarian consent for us to conduct a pet reference check on you.

Moore's Rescue Ranch is focused on rescueing animals with disabilities, as such you may be adopting a pet with a disability as explanied by the Moore's Rescue Ranch representitive. By signing below you ackowledge and understand that this pet may have extra needs for proper care.

I certify that I am at least 21 years of age, and that I have sufficient economic resources to pay for the costs associated with keeping an animal. I authorize Moore's Rescue Ranch to verify any statement I have made in this application. I also understand that Moore's Rescue Ranch has the right to deny my application. By typing my name and date below, I acknowledge the information I have provided is true.
By typing your name and date below, this will serve as your written signature on this document. You are certifying that the above information is true and accurate.*
Submit this form by clicking the button below
Should be Empty:

MOORE'S RESCUE RANCH ADOPTION APPLICATION

Submit this form by clicking the button below