ROVER'S REFUGE DOG ADOPTION APPLICATION

DOG ADOPTION APPLICATION

Thank you for your interest in adopting. If you are approved, you are approved to adopt through Rover's Refuge, not approved directly for the animal in your application - we match you with the best fit. YOU WILL RECEIVE A TEXT MESSAGE TO THE NUMBER YOU PROVIDED ONCE YOUR APPLICATION HAS BEEN RECEIVED (WITHIN ONE WEEK OF SUBMISSION)
Name(s) of animal(s) you may be interested in:*
If wanting to be pre-approved for future animals please type "pre-approval"
Name*

First NameLast Name
Age:*
Name of co applicant:

First NameLast Name
Age of co applicant:
Driver's license number:*
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Phone Number*
Please enter a valid phone number.
Email*
example@example.com
Applicants workplace:*
Position:*
Phone number of workplace:*
Please enter a valid phone number.
Co applicants workplace:
Position:
Phone Number of workplace:
Please enter a valid phone number.
Are you a first time pet owner?*

YesNo
Do you currently have any pets?*

YesNo
Please list NAME, AGE, and BREED of current pet(s)*
Most current veterinarian office:*
If new pet owner please put the information on the vet office you will use
Name records are under:*

First NameLast Name
Vets Phone Number:*
Please enter a valid phone number.
Number of children in home:
Ages of children in home:
Do they live with you Full time or Part time?

Full timePart time
Number of adults living in your home:*
Will anyone be home during the day?*

YesNo
Who has main responsibility of adoptive animal? *
What do you consider the location of your home to be?*

SuburbanUrbanRural
Type of home?*

HouseApartmentTownhouseCondoOther
If selected "OTHER" please describe:
Do you rent or own?*

RentOwn
If you rent please provide landlords first and last name and number
How would you describe the energy level in your home?*

Calm/quietModerateActive
Do you have a fenced yard?*

YesNoNot yet but will in the next 6 months
What type of fence do you have? How tall? *
If you plan on having a fence in the near future please tell us what type and height
If you do NOT have a fenced yard, please describe how you will provide proper exercise in detail:
Why did you choose adoption? Have you adopted before? If so please provide what organization you have adopted from and what year*
Most rescue animals have unknown pasts and can have issues that need to be worked out. Are you willing to do whatever is needed to help them become a better family member? *
If issues arise are you willing to work with a trainer? *
If you do not have a trainer connection please let us connect you with our partnering trainer
If you are interested in one of our shy/fearful dogs please explain in detail your experience with dogs who are fearful/timid *
Please type N/A if not applying for a shy/fearful dog
Where will your adopted pet be kept most of the time?*

IndoorsOutdoorsIndoors/outdoors
Typically how many hours will your pet be left alone? *
When the animal will be home alone, where will he or she be staying?*

Free movement of homeConfined in roomCratedOutdoorsGarage
Where do your current pets stay during the day?*
During the night?*
How long have you owned these pets?
Please list NAME, BREED and AGE of PAST pets and what happened to them:*
How long did you own them?*
Are your current pets spayed/neutered? If not please explain:*
Current on vaccines? If not please explain:*
Animals are a lifelong commitment. Are you prepared to care and love this pet for 15+ years? *
How will you provide proper exercise and stimulation for your adopted dog? *
Please be specific
Have you ever given up a pet before?*

YesNo
If selected YES above, where did that pet go?

Friends/familySPCA/Animal ControlRehomed on Facebook/CraigslistOther
What was the reason for giving up that animal?
What type of behavior problems would cause you to surrender the animal back to us?*

Excessive barkingChewingScratchingHousebreakingSheddingDiggingDoes not get along with other petsLitterbox problems (applies to cats)NoneOther
If selected "OTHER" Please describe:
To help resolve issues, are you willing to crate or crate train?*

YesNo
Attend training courses?*

YesNo
What will you do with your animal if traveling or going on vacation?*

Bring with meBoard at boarding facilityBoard at vets officeHire a friend or family member to stay homeAnimal will go to friend or families homeHire pet sitterOther
If you selected "OTHER" please explain:
Do you travel often? If so how many times a year approximately?*
What will you do with your animal if you move? *
Under what possible circumstance would you give up your animal?*

MoveNew babyNew petDivorcePersonal illnessHigh cost of animals careNoneOther
If selected "OTHER" Please explain:
Please provide 2 personal references (no family members)

Please make these references aware we will be giving them a call/sending text message before submitting application
Name of 1st reference:*

First NameLast Name
Phone Number of 1st reference: *
Please enter a valid phone number.
Name of 2nd reference:*

First NameLast Name
Phone Number of 2nd reference:*
Please enter a valid phone number.
If I am approved to adopt from Rover's Refuge, I agree to take the animal to the vet of my choice WITHIN 30 DAYS of adoption for a wellness visit at MY cost and send Rover's Refuge proof of visit*
Individuals who adopt from Rover's refuge are contacted periodically for an update to ensure the animal successfully adjusts to its new home. Do you consent to provide updates? *
If at ANY time the adopter cannot keep the animal, it is REQUIRED the animal be returned to Rover's Refuge care
We require current animals in the household to be altered

If pet has medical issue preventing spay or neuter you can still be considered
By signing below, I knowledge that I have answered every question honestly and have understood every question. I understand applying does not ensure approval and untruthful answers or failure to comply with the requirements of this application or adoption contract can result in forfeiture of the adopted animal
Signature:*

Clear
Date*

MonthDayYear
Date
I certify that I have not (nor no one in my home) has ever been convicted of animal related charges including animals at large, cruelty, neglect, etc.
Signature*

Clear
Date*

MonthDayYear
Date
Rover's Refuge reserves the right to refuse or deny any application
When application is submitted please allow up to 5 business days to hear from Kait.

You are more than welcome to text Emma at (248) 775-9817 for an application update
ROVER'S REFUGE OFFICE USE ONLY

Please do NOT fill out
Home check:

ApprovedDenied
Date of home check

MonthDayYear
Date
Vet check

ApprovedDenied
Date of vet check

MonthDayYear
Date
Reference calls

ApprovedDenied
Application Status

No answer from potential adopterPotential adopter has declined to continueApprovedDenied
Rover's Refuge notes:
Should be Empty:

DOG ADOPTION APPLICATION

Please provide 2 personal references (no family members)

If at ANY time the adopter cannot keep the animal, it is REQUIRED the animal be returned to Rover's Refuge care

We require current animals in the household to be altered

I certify that I have not (nor no one in my home) has ever been convicted of animal related charges including animals at large, cruelty, neglect, etc.

Rover's Refuge reserves the right to refuse or deny any application

When application is submitted please allow up to 5 business days to hear from Kait.

ROVER'S REFUGE OFFICE USE ONLY