Ridge's Rescue

Ridge's Rescue

Adoption Application
Contact Information
Name

First NameLast Name
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
How long have you lived at this address?
Phone
Please enter a valid phone number.Format: (000) 000-0000.
Email Address
example@example.com
Best time/method to contact you:
Family & Housing

*Note: If renting, we will be contacting your landlord.
Do you rent or own?
If you rent, please provide us with the rules governing pets:
Landlord Name:

First NameLast Name
Landlord Phone Number:
Please enter a valid phone number.Format: (000) 000-0000.
Landlord Email Address:
example@example.com
At the time of this application, I have notified my landlord that a Ridge's Rescue representative will be contacting them for a reference check via email/text. (Initial below)
Please list all adults in your household, along with their relationship to you:
Please list all children in your household, along with their ages:
Do you have a fenced yard?
Please describe your household (check all that apply):
Does anyone in the household have a known allergy to dogs?
Is everyone in agreement with the decision to adopt a dog?
Do you have time to provide adequate love and attention?
Household Pets
What other pets do you have (specify type/number of dogs, cats, etc)?
How are your current pets around other dogs? Playful? Timid? Indifferent?
Are these pets up to date on vaccines?
Are these pets spayed/neutered?
If not spayed/neutered, please explain why:
Have you ever surrendered a pet? If so, why?
Have you ever had a pet euthanized for reasons other than old age? If so, why?
Have you ever lost a pet to an accident? If so, what happened?
How do you discipline your pets?
Veterinarian Information

*Note: We will be contacting your veterinarian.
Do you have a regular veterinarian?
Veterinarian's Name:
Veterinarian's Address:

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Veterinarian's Phone Number:
Please enter a valid phone number.Format: (000) 000-0000.
By providing Ridge's Rescue with this information, you are granting permission for a Ridge's Rescue representative to call your vet.
At the time of this application, I have notified my veterinary office that a Ridge's Rescue representative will be contacting them for a reference check. (Initial below)
Training
Do you currently have a trainer that you work with?
Trainer Name

First NameLast Name
Trainer Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Do you authorize Ridge's Rescue to contact this trainer?
Do you plan to take an obedience class with your dog?
Do you understand that under certain circumstances, obedience training will be part of the adoption contract (if required training is not continued, Ridge's Rescue can reclaim custody of adopted pup)?
About the Dog You Wish to Adopt
What is your idea of an ideal dog and why?
Desired Age:
Desired Size:
Desired Breed:
Breed you would not adopt:
Desired Sex:
Name of Ridge's Rescue pup you are applying for:
Willing to adopt:
Where will the dog spend the day? (Describe)
Where will the dog spend the night? (Describe)
Number of hours (average) dog will spend alone?
Who will have primary responsibility for this dog's daily care?
Who will have financial responsibility for this dog?
Do you agree to provide regular health care by a licensed veterinarian?
Do you agree to keep this dog as an indoor dog?
When the dog goes out, how do you plan to supervise?
Do you understand that your dog may develop issues as it adjusts to your home?
Will you tolerate housebreaking accidents, chewing, barking/whining?
Personal References

Please list 3 references who are familiar with both you and your pets (only 1 can be a family member). Additional references may be requested.
Personal Reference #1

First NameLast Name
Personal Reference #1 - Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Personal Reference #1 - Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Personal Reference #1 - Email Address
example@example.com
Personal Reference #1 - Relationship
(Relative, neighbor, friend, etc)
Personal Reference #2

First NameLast Name
Personal Reference #2 - Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Personal Reference #2 - Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Personal Reference #2 - Email Address
example@example.com
Personal Reference #2 - Relationship
(Relative, neighbor, friend, etc)
Personal Reference #3

First NameLast Name
Personal Reference #3 - Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Personal Reference #3 - Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Personal Reference #3 - Email Address
example@example.com
Personal Reference #3 - Relationship
(Relative, neighbor, friend, etc)
Are you willing to let a representative of Ridge's Rescue visit your home by appointment?
How did you hear about Ridge's Rescue?
I agree to contact Ridge's Rescue if I can no longer keep this dog. (Initial below)
I agree and understand that under no circumstances will a Ridge's Rescue dog be given away, surrendered, euthanized or sold without contacting us first. (Initial below)
All of the information I have given is true and complete. This dog will reside in my home as a pet. I will provide it with quality dog food, plentry of fresh water, indoor shelter, affection, annual physical examination, and vaccinations under the supervision of a licensed veterinarian.
Date

MonthDayYear
Date
Please upload a copy of your driver's license here:

Cancelof
Please verify that you are human
Should be Empty:

Contact Information

Family & Housing

Household Pets

Veterinarian Information

Training

About the Dog You Wish to Adopt

Personal References