Adoption Application Form

Adoption Application Form
Applicant Details

For all required questions that do not apply to you please just put N/A
Date

MonthDayYear
Date ex. 01/01/2023
Name

First NameLast Name
Spouse/Partner Name

First NameLast Name
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Phone Number (Mobile)

Area CodePhone Number
Phone Number (Work)

Area CodePhone Number
Phone Number (Home)

Area Code (the first 3 numbers, ex 123)Phone Number (the last 2 sections, ex. 456-7890)
E-mail
example@example.com
How long have you been at your current address?
I / We live in a

Other
Do you rent?
*Please note that if you live in an association or rent we will need to see a copy of your lease or the by-laws from the association*

Browse Files

Cancelof
Landlord Name
Company
Phone Number

Area Code ex. (123)Phone Number ex. 456-7890
Email
What insurance company do you use?
Does your insurance company have any restrictions for dog breeds?
If yes, please list those restrictions
Please list all household members' names, ages, and relationship to you
Include their name, age, and their relationship to you
Do you anticipate any changes to your family make up within 3 months of adopting? Please specify
Ex, family members moving out or moving in with you, a child going off to college) PLEASE NOTE that any changes will not disqualify you from adopting a dog, it just helps us find the dog that will be the best match for your family
Your Employer
How long have you been in your current position?
Have you ever been convicted of a felony?
If yes please explain
Have you ever been convicted of animal abuse or neglect?
If yes please explain
Name and breed of dog interested in
Would you be willing to adopt a different dog if the dog listed above is unavailable? If yes please complete the following section
Desired size
Desired gender
Desired age
What traits are important to you? (Check all that apply)
Desired Activity/Energy Level
Pet(s)

Please list all current pets and relevant information
Pet name blanks Species blank AgeType a label Breed Type a label Sex Type a label UTDType a label AlteredType a label
Pet name blanks Species blank Age Type a label Breed Type a label Sex Type a label UTD Type a label Altered Type a label
Pet name blanks Species blank Age Type a label Breed Type a label Sex Type a label UTD Type a label Altered Type a label
Pet name blanks Species blank Age Type a label Breed Type a label Sex Type a label UTD Type a label Altered Type a label
Pet name blanks Species blank Age Type a label Breed Type a label Sex Type a label UTD Type a label Altered Type a label
For more than 5 pets, please list the rest below
Do you anticipate adding any other animals to your family, besides the one you're applying to adopt, within 3 months of adopting this animal? If so, please specify
PLEASE NOTE your answer will not disqualify you from adopting, but will help us place an animal with you that's a good match for your family
Please list all pets you have owned in the past 10 years
Have you ever had to surrender or rehome a pet?
If yes, please explain
Where will the pet stay when you are not home?

Other
Do you have a fenced in yard?
If yes, what type of fence is it?
Are you willing to install a fence?
How much training are you willing to commit to after adopting?
Where will your pet sleep at night?
How many hours will your dog be left alone each day?
What will you do if a health issue comes up that is expensive or ongoing?
Where will you keep the dog when you go away on vacation?
Reasons you would consider giving up your dog

Other
Vet Information

Please provide us with your current veterinary information
Company
Doctor's name
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Phone number
Email
References/Home Questions

You may use one family member as a reference
Name blanks* Relationship blank* Phone number Phone Number* Years known Type a label*
Name blanks* Relationship blank* Phone number Phone Number* Years known Type a label*
Name blanks* Relationship blank* Phone number Phone Number* Years known Type a label*
Are you willing to have a representative of the rescue come to your home to perform a home check?
If no, please explain
Additional comments
By signing this application you are agreeing to the following statements: -I UNDERSTAND THAT IN THE EVENT THAT I CAN NO LONGER CARE FOR THE DOG I WILL IMMEDIATELY CONTACT ALL ABOUT THE DOGS RESCUE INC., AND RETURN THE DOG TO THEM. -I UNDERSTAND THAT THE ADOPTION FEE IS NONREFUNDABLE. -I ATTEST THAT INFORMATION I HAVE PROVIDED IS COMPLETE AND ACCURATE. -I AM ALLOWING ALL ABOUT THE DOGS RESCUE INC. PERFORM A BACKGROUND CHECK ON ME. -I UNDERSTAND THAT ALL ABOUT THE DOGS RESCUE INC. PULLS MOST OF THEIR ANIMALS FROM A SHELTER AND MAKES NO COMMITMENTS ON THE ANIMAL'S AGE, BREED, TEMPERMENT, AND/OR MEDICAL HISTORY Typing your name will constitute as your legal signature.
Date

MonthDayYear
Date ex. -1/01/2023
Should be Empty:

Adoption Application Form

Applicant Details

Pet(s)

Vet Information

References/Home Questions