Rescue Dog Adoption Application

Richmond Animal Control is located in Richmond RI. Hours of operation Monday-Friday 7AM-3PM Saturday/Sunday 9AM-2PM. 401-539-4236

All of our pets receive complete medical care, which includes worming, vaccinations and spaying/neutering (when applicable) prior to their adoption. Information on current medical history will be provided prior to adoption.

All adopting parties are required to complete this form prior to adoption. Richmond Animal Control reserves the right to deny any adoption based on answers to this questionnaire and/or interviews prior to adoption! Adoptions are local adoptions only, we will NOT provide any shipping/transportation

Name of the dog you are interested in:

Your full name:

Your age:

Street Address:

City, State, Zip

Home Phone:

Area CodePhone Number

Work Phone:

Area CodePhone Number

Cell Phone:

Area CodePhone Number

E-mail:

Employer:

Character reference and phone number:

Are all members of your household in agreement with this adoption?

Who will be the pet's primary caregiver?

Do you live in a

Do you own or rent?

If rent, provide name and phone number of landlord:

Does your landlord allow dogs?

Are there any restrictions from your landlord or subdivision?

Do you have a fully fenced yard?

Height and type of fence

Do you have any of the following?

How many adults are in your household?

How many children are in your household?

If children, what are their ages?

Have your children been around animals before?

Does anyone in your home have allergies to dogs or have asthma?

List any pets you own or have owned in the past five years, and their ages

How many of these pets are spayed/neutered?

Where are these animals now?

Have you adopted from an animal shelter/rescue before?

If yes, what shelter/group?

Have you ever given up a pet?

If yes, what were the circumstances?

Please provide the name and phone number of your current and/or previous veterinarian or clinic:

What type of personality do you want your dog to have? (i.e. calm, energetic, protective, couch-potato)

Are you aware of crate training?

Have you ever house-broken a dog or puppy before?

If the dog has an "accident" in your home, what type of correction do you plan to use?

How many hours each day will your new pet be home alone?

Where will your new pet sleep at night?

How will you supervise the dog's outdoor activity?

Where will your new dog stay when nobody is home?

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?

Are you aware that a new environment is stressful for your pet, and they may exhibit uncharacteristic behavior?

Do you understand that a dog can be an 18 year commitment, and can cost $300 - $500 per year to care for?

Do you plan to take an obedience class with your pet?

If yes, where?

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

What circumstances would lead you to give up your new pet?

If you had to give up your pet, what would you do with him/her?

I understand that I assume full responsibility for the welfare of this pet from the date of adoption.

Richmond Animal Control Dog Adoption

Applicant Information

Household Information

Current/Previous Pet Information

New Pet Information