ARC'S Dog Application & Contract

Dog Application

Animal Rescue & Control
Please complete and submit the following pet adoption application. Pet ownership is a serious commitment, it's to ensure that our animal is a right fit for you and vice versa. Thus, we thoroughly review and verify all applications. Thank you for both your patience and interest!

Please note: You must be 18 years or older to adopt an animal.
Name of prospective pet:
Breed:
Color:
I am looking to adopt because ...*
Are you familiar with this particular breed?*

YesNo

CONTACT AND HOUSEHOLD INFORMATION
Name:*

First NameLast Name
Occupation:*
Email:*
example@example.com
Cell Phone:*
Home Phone:*
Address:*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

People living in your household, including yourself:*

	Name	Phone Number	Relationship	Age
Person 1
Person 2
Person 3
Person 4
Person 5
Person 6

Type of Residence:*

RentOwn
Type of Home:*

HouseApartment / CondoOther
If Other, please elaborate ...*
If "Other" was not selected, type "N/A"
How long have you lived here?*
If apartment/condo, what are the rules about pets?*
If not "apartment/condo", type "N/A"
If you rent, please list landlord's name and phone number:*
If you don't rent but own, type "N/A"
What will you do with your pet if you move?*
Have you ever had to re-home a pet ? If so, what was the reason and how did you go about the rehoming process?*
Do any other children and/or animals visit often?*

YesNo
If yes, what are the ages of the children and/ or types of animals:*
If "No", you can type "N/A"

TRAINING / BEHAVIORAL
What characteristics or behavior habits are you NOT willing to work with ?*
How will you train your pet?*

at hometraining classI dont knowOther
How will you discipline your pet ?*
Do you know how to housebreak a pet?*

YesNo
Are you willing to learn ?*

YesNo
What would you do if your dog develops a problem with:
Digging:*
Barking:*
Chewing:*
Separation Anxiety:*
Aggression / Nipping / Jumping :*

VET INFORMATION
Current Veterinarian Clinic:*
Phone Number*
Previous veterinarians in the last 5 years (Pleas list phone numbers)*
Type "N/A" if this is your first pet you're adopting and registering him/her to the vet
Do you currently own other pets in your household?*

YesNo

Current pets in your household*

	Name	Species/ Breed	Age	Sex	Current on Vaccines	Spayed or Neutered
Pet 1
Pet 2
Pet 3
Pet 4
Pet 5

Pet pictures you would like to share ...

Cancelof

List below pets you have previously owned*

	Species/ Breed	Owned how long?	Age	Spayed or Neutered	What happened to him/her?
Pet 1
Pet 2
Pet 3
Pet 4
Pet 5

The information I have provided in ARC'S adoption application is true and accurate. Knowingly giving false information or failing to provide certain information will cause my application to be denied. New applications are required every 90 days.
Signature:*

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Today's Date:*

MonthDayYear

Dog Adoption Contract

Animal Rescue & Control
CURRENT OWNER'S(1) NAME: ARC

Microchip, Rabies/ DAPP vaccines, Heartworm/ Lyme test, Spays/Neuters, and other treatment must be performed at a veterinarian who is partnered with ARC prior to adoption being finalized and/or within 6 months upon FTA placement.
ADOPTED ANIMAL DESCRIPTION:

Name: blanks*
Breed: blank*
Sex: blanks*
Color: blanks*
Microchip Number: blanks*
I, blanks*, hereafter referred to as the adopter(2), hereby agree that the above-described animal is being adopted by me solely as a pet for myself and/ or my immediate family. I agree that I will not sell, give away or otherwise dispose of said animals to any person(s), dealer, retailer, auction, institute or any other entity for any reason. If at a later date I am unable or unwilling to keep this pet, I agree to first contact the above-described current owner and give them the option to reclaim said pet at no charge.

I hereby agree to care for the above-described pet in humane and responsible manner and to provide it with clean and adequate shelter, food, water, and veterinary care. I further agree that said pet shall reside inside my home and shall not be allowed to roam freely.

I hereby agree that this pet shall wear a collar or harness with identification tags at all times.

I hereby agree that the adoption fee of $ blank* helps to cover the current owner's expense of raising and caring for the animal and is not refundable.

I hereby understand and agree that the current owner makes no representations or warranties, expressed or implied, about the above-mentioned animal's temperament and is hereby absolved from any liability for future damages or injuries caused by said animal. I also understand and agree that the current owner further gives no guarantees, expressed or implied, of the suitability of the animal to the adopter and/or his family.
Adopter's Name:*

First NameLast Name
Phone Number*
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
I certify that all statements made by me on this adoption agreement are true and correct. I agree that the current owner has the right to confiscate the above described animal in the event that any statements made by me are found to be false and/or check for the adoption fee is returned for insufficient funds.
Adopter's Signature:*

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Today's Date:*

MonthDayYear
1 Current owner is defined here as the person who originally held the above described animal in their possession

2 Adopter is defined here as the person who accepts for adoption the above described animal
Should be Empty:

Dog Application

Dog Adoption Contract