Rover Rescue Adoption Application

What outside space is available for the pet?

If fenced yard, type of fencing

Chain LinkBlock WallWoodOther

Height

Lock on gates?

YesNo

Do you have any of the following?

BalconyPoolPet Door

Will you have your dog tied up?

YesNo

Where will your pet sleep during the night? *

In what areas of the house will the dog be allowed? *

How many hours per day on average will the pet be left alone?*

Do you have a relative who would adopt the pet if you, for any reason, become incapable of caring for him or her? (Note: Rover Rescue reserves the right to approve this individual)*

YesNo

If yes, who?

First NameLast Name

Relative Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

Relative Phone Number

Please enter a valid phone number.

Will your dog be allowed on the furniture?*

YesNo

If no, how will you train your dog not to jump on your furniture?

How do you plan on housebreaking your new dog (please understand that even dogs that are housebroken will go through an adjustment period)?*

Do you plan on using a litter pan?*

YesNo

If yes, where will it be?

Are there any reasons that might preclude you from being able to properly care for your new pet?*

YesNo

If yes, please list reasons:

Under what conditions would you not keep your new pet?

If "Other", please explain

What would you do with your pet if you could not keep it for the aforementioned reasons?

Will you be able to live with fur on your furniture, stains on your rugs, a warm body on your bed, and an animal who may be destructive at times?*

YesNo

If the pet becomes destructive, what would you do?*

How did you hear about this pet adoption?

Anything you'd like to share about yourself/family?

Some adoptions may require a home delivery of the pet, I agree and consent to have a volunteer deliver my pet to my home in the event my application is accepted.

Signature*

Date*

Date

Would you like to receive our newsletter?

YesNo

Please Note: Filling out this application DOES NOT guarantee an adoption. We have thoroughly evaluated all of the animals in our care, and try very hard to match the right pet to the right person and situation. Adoptions are not on a first come first served basis. We reserve the right not to adopt. If we do not call or email you within 3-4 days of receiving your application, it means that either the pet was adopted another applicant or we felt that the situation presented on the application was not the right situation for that particular pet.

Rover Rescue Adoption Application

PERSONAL INFORMATION

IDEAL DOG

PAST AND PRESENT PET HISTORY

Pet 1

Pet 2

Pet 3

Pet 4

HOME ENVIRONMENT