Royal Rescues Pet Adoption Application Form

Adoption Application, Contract and Waiver

Perspective Pet Parent

First NameLast Name

Name of Pet You Wish to Adopt

Email Address

Phone Number

Area CodePhone Number

Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry

Do you own any pets?

Pet Name(s)

Pet Breed(s)

Please list ALL pets you have- Living and Deceased. Please list previous animals you have owned and why you no loner have them. Please include name, breed, age, sex, spay/neuter status, UTD on vaccines, heartworm, and wether they are living or deceased?

Please provide your veterinarian's name and phone number:

Do you own or rent your home?

Do you have a yard?

If "Yes" to the above, is it fenced? please describe

What is your landlord's pet policy?

If you rent, please provide your landlord's information here:

Have you ever surrendered a pet you own to any animal shelter including a "low" or "no kill" shelter?

Are there children in the home? (If yes, please list ages)

If you answered "Yes" to the above question, please provide detail:

How many hours per day would the pet be alone?

Will you crate your pet?

If you have an emergency or planned absense, where would your pet stay?

How would you deal with behavioral issues such as barking, chewing, destructive behavior, bathroom accidents indoors, unruly leash behaviors in your pet?

Please provide the names, emails, and contact numbers for 3 personal references:

Have you ever been convicted of an animal related crime, such as cruelty to animals, animal theft, or animal abandonment?

If you answered "Yes" please provide a detailed description:

By clicking the submit button, I understand Royal Rescues will check my references including veterinary and personal.
By clicking the submit button, I understand there is an adoption donation associated with adoption of a pet from Royal Rescues. I understand this donation is non refundable and will ensure the organization is equipped to rescue another homeless pet.
By clicking the submit button, I understand there is no "cooling off" period, and that if I no longer want or can no longer care for my adopted pet, I agree to notify Royal Rescues and provide a 14 day period to allow Royal Rescues. to make arrangents for my pet to be taken back into rescue.
By clicking the submit button, I agree to indemnify and hold harmless Royal Rescues against any losses, lawsuits, claims, injury, damages incurred by me or to any persons or property by my adopted pet, once adoption has been completed.
By clicking the submit button, I understand that Royal Rescues will disclose any of the pet's health or behavior issues known by the above named rescue group before adoption is completed.
By clicking the submit button, I understand that if I no longer want my pet, or am no longer able to care for my adopted pet, I will be directed to surrender my pet to Royal Rescues and provide transport to where Royal Rescues deems appropriate.
By clicking the submit button, I verify all of the above information is true and accurate.

Signature of Potential Pet Parent