Rescuing in Lebanon Dog Adoption Application

Rescuing in Lebanon Dog Adoption Application
Rescuing in Lebanon is an all-volunteer, non-profit, animal welfare organization dedicated to the rescue and placement of stray, neglected and abused animals. Rescuing in Lebanon is completely funded through fundraising efforts and public donations. All of our pets are cared in boarding facilities and receive complete medical care, which includes worming, vaccinations, spaying/neutering and microchipping prior to their adoption.
This questionnaire is designed to help Rescuing in Lebanon and yourself determine if a specific dog is the right one for you and your household. All adopting parties are required to complete this form prior to adoption. Rescuing in Lebanon reserves the right to deny any adoption based on answers to this questionnaire and/or interviews prior to adoptions!
Applicant Information
Name of the dog you are interested in:*
Your full name:*
Your age:*
Street Address:*
City, State, Zip*
Home Phone:

Area CodePhone Number
Work Phone:

Area CodePhone Number
Cell Phone:

Area CodePhone Number
E-mail:
Employer:
Character reference and phone number:
Household Information
Are all members of your household in agreement with this adoption?*

YesNoDon't Know
Who will be the pet's primary caregiver?*
Do you live in a*

HouseApartmentCondoMobile HomeOther
Do you own or rent?*

OwnRent
If rent, provide name and phone number of landlord:
Does your landlord allow dogs?

YesNo
Are there any restrictions from your landlord or subdivision?*

Number of petsSize or weight restrictionsBreed restrictionsNone
Do you have a fully fenced yard?*

YesNo
Height and type of fence
Do you have any of the following?

Underground fenceKennelDog Run
How many adults are in your household?*
How many children are in your household?*
If children, what are their ages?
Have your children been around animals before?

YesNo
Does anyone in your home have allergies to dogs or have asthma?*

YesNo
Current/Previous Pet Information
List any pets you own or have owned in the past five years, and their ages
How many of these pets are spayed/neutered?
Where are these animals now?
Have you adopted from an animal welfare group before?

YesNo
If yes, what group?
Have you ever given up a pet?

YesNo
If yes, what were the circumstances?
Please provide the name and phone number of your current and/or previous veterinarian or clinic:
New Pet Information
What type of personality do you want your pet to have? (i.e. calm, energetic, protective, couch-potato)*
Are you aware of crate training?*

YesNo
Have you ever house-broken a dog or puppy before?*

YesNo
If the dog has an "accident" in your home, what type of correction do you plan to use?*
How many hours each day will your new pet be home alone?*
Where will your new pet sleep at night?*
How will you supervise the dog's outdoor activity?*
Where will your new dog stay when nobody is home?*
What length of time will you allow your new pet to adjust to his new home?*
Are you willing to work through your new pet's issues, if any?*

YesNo
Are you aware that a new environment is stressful for your pet, and they may exhibit uncharacteristic behavior?*

YesNo
Do you understand that a dog can be an 18 year commitment, and can cost $300 - $2000 per year to care for?*

YesNo
Do you plan to take an obedience class with your dog?*

YesNoNot sure
If yes, where?
Are you aware that a large breed dog takes about two years to mature? Is this something you're prepared for?*

YesNo
What circumstances would lead you to give up your new dog?*
If you had to give up your dog, what would you do with him/her?*
Please list the name of the vet and his contact number or clic number:*
How did you find out about Rescuing in Lebanon?*

Adoptapet.comPetfinder.comFacebookFriend/Family MemberOther websitePetSmartrescuemeOther
May we contact you in order to help with fundraising?*

YESNO
May we contact you regarding volunteer opportunities?*

YESNO
PROCEDURE
1- Meeting whether in person or through a video call 2- meeting the pet/s in person 3- video call to check the house 4- filling an adoption form 5- copy of the ID (back and front) to be sent 6- picking up the pet after approval 7- home visits or video calls to see the pet 8- sending frequently pictures and videos at the beginning. 9- adoption donation is applicable on some of our pets 10- adoption contract will be signed upon approval

AGREEDISAGREEOTHER
By submitting this form you agree to the policies & procedure of Rescuing in Lebanon. any failure to follow these policies & procedures will consitute a breach of contract, and Rescuing in Lebanon will reclaim both possession & ownership of the pet and a legal action will be taken if mistreatment was proven. You agree not to give the pet as a gift. you understand that the pet, as far as can be determined is in good health, and Rescuing in Lebanon is not responsible for medical fees incurred after the adoption date. However, if a health should develop in the fist three days notify Rescuing in Lebanon to dicuss the matter. In addition, you agree to give Rescuing in Lebanon visitation rights to ensure that the terms of the adoption agreement are being observed.
I understand that Rescuing in Lebanon requires the above information to insure that th epet is placed in a good home. I certify that the above information is true and I understand that Rescuing in Lebanon will reclaim the pet if they discover any part of the adoption contract is violated?*

YESNO
Should be Empty:

Rescuing in Lebanon Dog Adoption Application

Applicant Information

Household Information

Current/Previous Pet Information

New Pet Information