Dr. Dolittle's Rescue Ranch Adoption Application

Dr. Dolittle's Rescue Ranch Adoption Application

All potential adopters and foster homes are screened for sustainable placement. We reserve the right to refuse placement of an animal for any reason and we reserve the right to not disclose a reason for denial. Requirements/Qualifications: *You must be 21 years of age or older and have identification showing your present address. *You must have the consent of all adults living in the household. *You must have the consent of your landlord if you rent and proof of a pet deposit. *Your owned pets must have current vaccinations, on heartworm and flea/tick prevention, and must be altered. * You must agree that any damages done to your home by this pet is NOT our responsibility.
What is the name/breed of the dog you want to adopt?
You can list more than one dog. Please list in order of preference.
Personal Information:
Name

First NameLast Name
Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Email
example@example.com
Do you own your home, rent, have military housing, or public housing?
Do you live with your parents?
Do all adults consent to the adoption of this pet
What type of home?
How long at current address?
Do you plan on moving in the next 12 months?
Please upload proof of residency

This can be your driver's license or any bill.
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Renter Info:
Does your landlord allow pets?
Is a pet deposit required? If so, how much?
Is there a breed restriction or weight/size limit?
Name of Apartment Complex/Landlord and phone #:
Do you give us permission to verify the pet policies and deposits with your landlord?
Household Information:
Number of adults and ages
Number of children and ages
Does anyone in your household have any known allergies to:

Other
Do you have an enclosed fenced in yard attached to your home? Type and Height?
Please attach any pictures of your fenced in backyard if applicable.

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Do you have or will you get a pet door?
Do you plan to chain/cable your pet in the yard?
Adoption Information:
Are all your pets in your household current on vaccinations?
Please explain what you believe causes heartworm disease?
What type of heartworm prevention do you currently use or have you used in the past?
Should your pet get heartworm disease, what do you believe is the cost of treatment?
What type of Flea/Tick prevention do you currently use or have you used in the past?
Where would you purchase your preventive medications?

Other
Name of the Veterinarian you currently use or have used in the past, address, and phone number:
Why do you want to adopt?
Are you getting this animal for:

Other
This pet will be kept:

Other
Where will the pet sleep at night?
Are you willing to purchase a crate?
Do you understand that your pet MUST be spayed/neutered?
What brand of food will you feed your pet?
Please tell us what behaviors you are unwilling or unable to work through (after initial adjustment and training period). Check all that apply:

Other
If applicable, can you keep your new pet away from your other pets in the house for at least two weeks while you are able to monitor their reaction?

Other
Are you willing to call us for advice and/or work with a trainer on any of the above issues?

Other
Occupation, Employer and address:
Do you travel with your job? If so, how often?
Where will this pet stay while you are gone on business or personal vacations?
Time away from home?

Other
Are you a student:
Pet Ownership History:
Have you adopted an animal before? If yes, from where?
Have you ever given up or euthanized a pet for any reason other than a terminal illness? If yes, please explain.
Pet History

Please list all pets currently owned or owned in the past: Include ALL pets currently in household:
Pet #1: Please provide all the following information, dog/cat, name, breed, sex, age, owned how long, owned now, if not why not; spayed/neutered, if not, why not?; kept inside only , outside only, inside/outside and for how long.
Pet #2: Please provide all the following information, dog/cat, name, breed, sex, age, owned how long, owned now, if not why not; spayed/neutered, if not, why not?; kept inside only , outside only, inside/outside and for how long.
Pet #3: Please provide all the following information, dog/cat, name, breed, sex, age, owned how long, owned now, if not why not; spayed/neutered, if not, why not?; kept inside only , outside only, inside/outside and for how long.
Pet #4: Please provide all the following information, dog/cat, name, breed, sex, age, owned how long, owned now, if not why not; spayed/neutered, if not, why not?; kept inside only , outside only, inside/outside and for how long.
Pet #5: Please provide all the following information, dog/cat, name, breed, sex, age, owned how long, owned now, if not why not; spayed/neutered, if not, why not?; kept inside only , outside only, inside/outside and for how long.
Please upload any pictures of your pets, backyard, home, and anywhere else the new adopted pet will be to help us choose the best home for them

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Do you agree to abide by our guidelines and return the pet to us if you cannot keep it; and to notify us if the pet is lost or dies?
Should anything happen to you (i.e. illness, injury, death,etc.), do you have a contingency plan in place to take and care for the pet.
If you responded yes to the above question, please provide the information of the individual that would take responsibility of the dog.
Name, address, phone number, and relationship to you
ALTHOUGH DDRR HAS MADE EVERY EFFORT TO PROVIDE ACCURATE MEDICAL HISTORY AND ASSESSMENT OF THE DOG, WE CAN NOT GUARANTEE THE DOG’S AGE, BREED, MEDICAL STATUS OR HISTORY, BEHAVIOR OR DISPOSITION. APPLICANT HEREBY RELEASES DDRR AND ITS VOLUNTEERS, DIRECTORS, MEMBERS AND REPRESENTATIVES OF ANY AND ALL POSSIBLE CLAIMS ARISING FROM INJURY OR DAMAGE CAUSED BY THE DOG TO ANY PERSON OR PROPERTY OR RELATING TO THE HEALTH OR TEMPERAMENT OF THE DOG. APPLICANT ACCEPTS THE DOG AND ASSUMES ALL RISK FOR THE DOG UPON SUBMISSION OF THIS APPLICATION
I understand if the information provided on this application is incorrect or untrue, I will surrender this pet upon demand of and to Dr. Dolittle's Rescue Ranch. I agree to allow a representative to inspect my home and yard, and if any violations of the contract are in evidence, I agree to allow a representative of Dr. Dolittle's Rescue Ranch to remove the animal from the premises and this entry shall not constitute as trespass. I certify that all the information in this application is correct and complete to the best of my knowledge.
Signature
Should be Empty:

Dr. Dolittle's Rescue Ranch Adoption Application

Personal Information:

Renter Info:

Household Information:

Adoption Information:

Pet Ownership History:

Pet History