Ruff Road Revival Adoption Application

Ruff Road Revival Adoption Application

RRR
RRR is an all-volunteer, all-breed nonprofit animal rescue organization focusing on networking, spay/neuter, training and improving the quality of life for animals in need. We are completely funded through fundraising efforts and public donations. All of our pets are cared for by foster homes and receive complete medical care which includes worming, vaccinations, spaying/neutering and microchipping prior to their adoption.

If you did not receive this application via email, please contact us via email first to be sure the pet you are interested in is still available (before you spend time filling this out): ruffroadrevival@gmail.com

This application is intended to help RRR match the right pet with the right home. All adopting parties are required to complete this form prior to adoption. RRR reserves the right to deny any adoption based on answers to this application and/or interviews prior to adoptions! If anything does not apply to you, please answer with N/A.

Adoption fees are included at the bottom of this form.
General Information
Date*

MonthDayYear
Date
Name of the animal you are interested in:*
Your full name:*

First NameLast Name
Your age:*
Street Address:*
City, State, Zip*
Cell Phone:*

Area CodePhone Number
Email*
example@example.com
Employer:
About Your Home
Are all members of your household in agreement with this adoption?*

YesNoDon't Know
Is this application being filled out by the pet's primary caregiver? If not, please have the pet's primary caregiver fill it out.*

YesNoOther
Do you live in a*

HouseApartmentCondoMobile HomeTownhouseOther
Do you own or rent?*

OwnRent
If you rent, please provide the landlord's name:
Landlord's Phone Number:

Area CodePhone Number
Does your landlord allow pets?

YesNo
Are there any restrictions from your landlord or subdivision?*

Number of petsSize or weight restrictionsBreed restrictionsNone
Can you provide a copy of your lease/rental agreement showing you can have a pet?

YesNoOther
Do you have a fully fenced yard? If so, please list the height and type of fence*
How many adults are in your household?*
How many children are in your household and what are their ages?*
Have your children been around animals before?

YesNo
Does anyone in your home have allergies to dogs/cats or have asthma?*

YesNo
Do you travel often? If so, what do you plan to do with the pet when you travel?*
This animal will be:*
Please detail the outdoor space available:*
Pet History

Please fill out the following information about your current and past pets. Please do not include pets you had as a child living at home and we do not need information regarding reptiles, livestock or fish unless you feel it may be necessary with the specific animal you are interested in.
Do you currently have any pets in your home?*
Please list all of your current pet's names, species (cat/dog/other), breed, size and age:*
Please list how long you have had each pet and where you got each of them from:*
Are all of your pets spayed/neutered?*
If no, please explain:*
Are all of your pets up to date on vaccinations and heartworm prevention and can you provide the most recent vet records?*
If no, please explain:*
Do your pets like other animals?*

Yes, DogsYes, CatsNoN/AOther
If any of your pets are selective with other animals, please explain here:
Past Pets

Pets you have had as an adult- starting with the most recent
Please list the name, species, breed, and size of all previous pets here:*
How long did you have each of these pets and when did you have each of these pets (ex. 2010-2016)?*
Where did you get each previous pet? (Breeder, craigslist, humane society, shelter etc.)*
Were each of these pets spayed/neutered and kept up to date on vaccinations and heartworm prevention? If not, why not?*
What happened to each previous pet?*
About Your New Pet
In your selection of a pet, what is your preference for breed, age, male/female?*
In your selection of a pet, what is your preference for size/weight, hair length and hair color?*
In your selection of a pet, what is your preference for personality and energy level?*
In your selection of a pet, what things do you NOT want (personality, temperament, behavior)?*
Why are you interested in adopting a new animal?*
Please provide the name and phone number of your current and/or previous veterinarian or clinic (by providing this information, you are giving RRR permission to reach out to your vet. Please call them and tell them RRR will be reaching out):*
What type of exercise will your new dog get (dogs only)?*

YardWalksHikesAgilityIndoor PlaytimeN/A (Cat)Other
How many hours each day will your new pet be home alone?*
Where will your new pet sleep at night?*
Where will your new dog/cat stay when nobody is home? *
Will your new pet be allowed on the furniture?*
Do you plan to take an obedience class with your dog?*

YesNoN/A (Cat)
If yes, where?
Are you prepared to take your new dog to obedience training and/or hire and in-home trainer if necessary?*
Do you have any experience with crate-training or potty/litter box training?*
What type of discipline will you use to correct undesirable behavior (accidents in the house, chewing, jumping etc.)? Explain in detail*
When and where would you allow your pet to be off-leash?*
If your new pet escaped from your home, what steps would you take to find them?*
How will you supervise the pets outdoor activity?*
What length of time will you allow your new pet to adjust to their new home?*
Are you willing to work through your new pet's issues, if any?*

YesNo
Are you aware that a new environment is stressful for your pet, and they may exhibit uncharacteristic behavior? (It takes 3 months for a new pet to fully settle in)*

YesNo
Are you aware that a large breed dog takes about two years to mature? Is this something you're prepared for?*

YesNoN/A
Other Information
If you have ever bred an animal, please describe the circumstances:*
For fun, for show, for profit, on accident- put N/A if not applicable
Have you ever owned a declawed cat or a debarked dog?*
Yes/No- If yes, please describe
Have you ever moved with a pet?*
Yes/No- If yes, please describe
Have you ever owned a special needs pet?*
Yes/No- If yes, please describe
Does anyone in your home use a mobility device?*
Scooter, wheelchair, walker, cane etc.
Check all that apply. Under what conditions would you NOT keep your new pet?*

Moved to a place that didn't allow petsMove out of stateSheds too muchDog grew too bigNot housebrokenKids ignored pet/pet ignored kidsRequired prescription food or medicationHas seizuresWhines/cries/barks at nightWhines/cries/barks during the dayNot crate trainedIs destructive towards clothing/shoes/toysIs destructive towards furniture/other household items (drywall, door frame, blinds etc.)New babyAllergiesPets didn't get along"Marks" indoorsNot litter box trainedBit or snapped at another animalBit or snapped at a personBarks too muchEscapes from yard/houseGrowled at another animalGrowled at a personDivorce/separationUnemployment or financial hardshipPersonal illness/physical incapacityResource guards against other animalsResource guards against peopleDigsJumps on peopleToo energeticToo lazyToo shyToo friendlyNone of the aboveOther
If other, please describe:
What would you do with your animal if you could not keep it for the above reasons?*
What type and brand of food do you plan on feeding your new animal?
Can you afford regular veterinary care for this animal- including yearly vaccinations, monthly heartworm/flea/tick prevention, annual physical exams, dental care, etc. ($300 or more per year)?*
Can you afford serious injury or illness costs ($1000 or more)?*
How did you find out about RRR?*

Adoptapet.comFacebookFriend/Family MemberOther websitePetfinderOther
Summary and Signatures
Please type your name here to indicate that you have gone to our website and read our "Are You Ready To Adopt" page - *
THANK YOU FOR TAKING THE TIME TO COMPLETE THIS APPLICATION.

PLEASE NOTE: Filling out this application DOES NOT guarantee an adoption.
We have thoroughly evaluated all of the animals in our care, and try very hard to match the right pet to the right person and situation. Adoptions are not on a first-come first-served basis. We reserve the right not to adopt.

Please remember that we are all volunteers and work regular jobs like everyone else. We will reply to your application as soon as it has been processed (normally 2-4 days).

Thank you for considering a rescue animal!

Adoption fees are:

Dogs In Need of Transport-

$350 Seniors 7 or older

$400 Adults under age 7

$450 Puppies under 1 year

Dogs Being Adopted Locally-

$200 Seniors 7 or older

$250 Adults under age 7

$300 Puppies under 1 year

Cats Being Adopted Locally-

$75 Seniors 7 or older

$100 Adults under age 7

$125 Kittens under 1 year

$175 Pair of kittens
By signing below, you ensure that all information given on this adoption application is truthful to the best of your knowledge.
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Ruff Road Revival Adoption Application

General Information

About Your Home

Pet History

Past Pets

About Your New Pet

Other Information

Summary and Signatures