PAR Dog Adoption Online Application

PAR Dog Adoption Application

Thank you for your interest in adopting from Parker’s Animal Rescue.
TODAY'S DATE:*

MonthDayYear
Information on our process and organization:
If you are unable to adopt within our time-frame for any reason (i.e. vacation, housing situation, etc), please let us know in the space below:
Is there a particular dog from PAR you're interested in adopting?*
Applicant Name*

First NameLast Name
Date of Birth*

MonthDayYear
Applicant Email*
example@example.com
Applicant Phone Number*
Please enter a valid phone number.Format: (000) 000-0000.
How do you prefer to be contacted?*

TextCallEmail
Full Street Address (Incl. City and State)*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Occupation*
Work from home?*

YesNo
Employer
How long have you worked there?
Ever owned a rescue dog?*

YesNo
Applied to adopt a dog from a rescue within the past year?*

YesNo
If yes, which rescue?

Co-Applicant/Spouse:

Please provide the following information about Co-Applicant/Spouse.
Co-Applicant Name

First NameLast Name
Co-Applicant Date of Birth

MonthDayYear
Co-Applicant Email
example@example.com
Co-Applicant Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Co-Applicant Full Street Address (Incl. City and State)

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Co-Applicant Occupation
Work from home?

YesNo
Employer
How long have you worked there?
Ever owned a rescue dog?

YesNo
Applied to adopt a dog from a rescue within the past year?

YesNo
If yes, which rescue?

References:

Please provide the following information for three non-related individuals who can serve as references and can speak to your lifestyle, home environment and history as a pet owner.
Reference #1: Full Name*

First NameLast Name
Reference #1: Phone Number*
Please enter a valid phone number.Format: (000) 000-0000.
Reference #2: Full Name*

First NameLast Name
Reference #2: Phone Number*
Please enter a valid phone number.Format: (000) 000-0000.
Reference #3: Full Name*

First NameLast Name
Reference #3: Phone Number*
Please enter a valid phone number.Format: (000) 000-0000.

Current/Past Pets (continued):
Have you ever surrendered a pet to an animal shelter, rehomed or given a pet away?*

YesNo
If yes, please explain:
Have you ever received a citation or been involved in any legal action regarding a pet?*

YesNo
If yes, please explain:
Please provide the name AND phone number of your regular veterinarian: (Will be contacted for a reference.) *

Your Ideal Dog:

Please provide the following information about what you are looking for in a dog.
What traits are most important to you?*
What behaviors would you have a hard time dealing with in your dog?*
Desired Gender of Dog*

MaleFemaleNo Preference
Ideal Age*

PuppyYoung AdultAdultSenior

ACKNOWLEDGE THE FOLLOWING:
PAR will attempt to provide you with an accurate assessment of the temperament and behaviors of dogs that you meet through PAR. If your application is approved, PAR will make its best efforts to match you with the right dog for you, based upon information provided by you and your references and other information known to PAR at the time. Not every PAR dog may be a match for you and there may be a dog that you are interested in adopting that may be in the process of adoption by another Applicant. PAR reserves the right to refuse to adopt to any Applicant, solely in PAR’s discretion.

PLEASE NOTE: Colorado law requires all rescue dogs to be spayed or neutered by a licensed veterinarian prior to adoption unless expressly exempted by the Colorado Commissioner of Agriculture.
Do you understand that there is a non-refundable non-transferable $425 adoption donation to PAR to adopt a dog from PAR?*

YesNo
Do you understand that the complete history of rescue dogs may not be known and you may encounter unanticipated behavioral problems or medical issues?*

YesNo
Do you intend to come to training classes that are included in the adoption fee and taught by Parker‘s Animal Rescue?*

Yes, I am interested!No, I am not interested/cannot attend.
If you are not interested or cannot attend training classes, please explain.
PLEASE INITIAL: I agree that I will be available within PAR's adoption timeline (to be discussed with PAR's Adoption Coordinator).*
PLEASE INITIAL
Do you have any upcoming travel plans (vacations, work travel, extended trips, etc.) that may impact the timing of an adoption or your ability to bring a new pet home within PAR’s adoption timeline? If so, please explain.*

ACKNOWLEDGE THE FOLLOWING:
There are inherent risks in adopting a dog and owning a dog. PAR shall not be liable for any damages, injury or death resulting from the inherent risks of adopting a dog or dog ownership. No person adopting a dog from PAR or person affiliated in any way with a person adopting a dog from PAR shall make any claim against PAR, or maintain any action against PAR, or recover from PAR for injury, loss, damages or death resulting from any of the inherent risks of dog adoption or dog ownership.

By signing below, Applicant acknowledges the inherent risk in adopting a dog and dog ownership and agrees to waive any and all claims against PAR as set forth herein.

By signing below, you attest to the truthfulness of the information that you have provided to PAR herein and otherwise.

By signing below, you give PAR permission to contact your veterinarian and your references and visit your home prior to your approval for adoption.

By signing below, you agree that if you provide any false or misleading information you may be disqualified from adoption and/or PAR may remove an adopted dog from your premises and PAR will not return your adoption donation.
I ACKNOWLEDGE THE ABOVE:*

YesNo
Your Signature*
TYPE YOUR FULL NAME:*
Co-Applicant Signature
(CO-APPLICANT) TYPE YOUR FULL NAME:*
How did you hear about us?
Should be Empty:

PAR Dog Adoption Application

Co-Applicant/Spouse:

Your Home:

IF RENTING: (IMPORTANT)

Care and Training:

References:

Current and Past Pets:

Current/Past Pets (continued):

Your Ideal Dog:

ACKNOWLEDGE THE FOLLOWING:

ACKNOWLEDGE THE FOLLOWING: