Relief Angels: Pet Adoption Application

Relief Angels Pet Adoption Application
Adoption Fee $300 for dogs. Cats already altered are $125. Kittens are $150 with $50 refundable after proof of surgery. (These fees covers vaccinations and all medical care as up to date as age appropriate and time permitting, deworming and a microchip).

Transport fee for out-of-area adopters: $75 (We will transport up to 150 miles.)

Fees are payable via cash

check - 5302 Valleywood Dr, Klamath Falls, OR 97603

PayPal - @ReliefAngels

Cash app - $ReliefAngels

Venmo - @ReliefAngels (Last 4 6050)

Fees must be paid in advance of transport for out of area adopters.

IF your dog has not been altered yet, you can choose for us to put a $150 credit on your account with the vet of your choice OR you can choose to donate it to our emergency medical fund.
Sumitting this application does not mean you are commiting to a pet, nor does it guarantee you will get that pet. It is simply a tool we use to help both you and us identify a good potential match for your family and lifestyle.

A successful adoption depends on selecting the right pet for your household and a good understanding of the pet's needs and care requirements. Please help us with this process by answering the following questions fully & completely. THANK YOU!
Name of the pet you want to adopt*
Adopter's Name*
First & Last Name
Co-Adopter's Name
First & Last Name
Address*

Street Address

Street Address Line 2

CityState

Zip Code
Adopter's E-mail*
Co-Adopter's E-mail
Phone Number*

Area CodePhone Number
Phone Type*

CellHomeWork
Names and ages of all permanent residents of your home (adults/children)*
Do you currently have any pets?*

YesNo
If you currently have pets, please list them below.
Are your current pets altered?

YesNoWill be within the next 30 days, appointment has been scheduled. (We will call your vet to verify this.)
If your current pets are not altered, please explain why below.
Vet reference (please call your vet and give permission to release information to us)*
Vet name, address & phone number
Two Personal References*
Are you planning to move in the near future?*

YesNo
If moving soon, to what city/state?
When will you be ready to adopt this pet?*

TodayThis weekendWithin a weekWithin a monthNot ready yet, just researching
Are you in contact with any other rescues or shelters about a specific pet?*

Yes, application is pendingYes, just an email inquiry, no app yetNo, but I am looking at several dogs onlineNo, I am only interested in this particular dog
Is anyone in your home allergic to dogs or cats?*

YesNo
Does anyone in your home fear dogs or cats?*

YesNo
Are you familiar with dog regulations in your area?*

YesNo
If you answered no to the question above, please contact your town/county/condo assoc and ask them what the regulations are.
I/We live in a*

Single Family HomeDuplex/TwinCondo/TownhomeTrailerApartment
Do you rent or own this property?*

RentOwn
Renters, have you contacted your landlord to find out if there's any restrictions on the kind or size of dog you can have?

YesNoNot yet, but I willIt's written in our lease
Landlord's name and phone number

N/AOther
If you rent, you must show us a written letter from your landlord or a copy of the section of your lease stating that you are allowed to have dogs and showing any limitations.

If you live in a condo or townhome, you must show us written proof that you are allowed to have a dog there and show any restrictions.
Approximate square footage of your home*

Less than 800 square feet800-1,000 square feet1,000-1,500 square feet1,500-2,000 square feetOver 2,000 square feet
Do you have a yard?*

Yard, fenced with a vertical fenceYard, fenced with invisible fencingYard, no fenceNo yard (apartment/condo/townhome)
If vertical fence, what is your fence height?

2' high3' high4' high5' high6' high
Annual Household Income*

Under $20,000$20,000-$30,000$30,001-$50,000$50,001-$70,000$70,001 or higher
Have you discussed this adoption with all members of your household?*

YesNoYes, adults have discussed. Kids don't know yet.
Please do not submit this application if you are "trying to talk someone into" adopting this pet or think "once they meet the pet, they will want one" or "I'm getting this animal as a surprise birthday present for them." In those scenarios, you are welcome to email us to discuss the pet, but we would like all adults in the home to be involved in that email discussion.
Based on the description in the dog's bio, do you feel pretty confident that you will be likely to adopt this dog upon meeting it?*

YesNoNot sure
Fantasy question: What would your dream dog be like? (If this dog is not a fit, we may be able to recommend another based on what you say here.)*
What activity/energy level do you prefer?*

Wild and crazy is coolLeash trained daily jogging partner would be excellentMedium energy, plays a bit then hangs out with youLow energy, walks slowly on leash, a total couch potatoOther
Please check all that apply. I want to adopt this dog...*

As a family petTo breed with my dogTo train/use for huntingTo train/use for agilityTo train/use as a therapy dogTo train/use as an assistance dog for the disabledTo use as a guard dogFor a jogging/hiking partnerTo interact with lots of friends/familyAs a gift for a friend, partner, or family memberAs a companion for my dog(s)As a companion for my cat(s)As a companion for my child/children
What would cause you to return a pet?*
What do you feel is a reasonable amount of time for a pet to adjust to life with you/your family?*
Do you plan to get pet health insurance?*

YesNoI wasn't aware this was available. I will look into it.
Additional reference (if desired)
Do you have any additional comments, questions or concerns? Anything else you would like us to know to help match you up to a dog?*
I understand that completing this application does not guarantee I will be allowed to adopt a pet, and that the application is a tool to help Relief Angels determine if this pet and my family are a good fit for each other. I acknowledge that all information provided on this form is true and correct. I understand that any misrepresentations may result in my not being approved and/or removal of the adopted dog from my possession. I also certify that I have never been convicted of animal cruelty or neglect.

I agree to allow a representative from Relief Angels to contact my vet for a reference and also agree to allowing a home visit prior to and/or shortly after adopting this dog. If I am approved to adopt a dog, I agree to pay a non-refundable adoption fee and hand sign an adoption contract at the time of adoption.

I understand that all dogs adopted from Relief Angels will be vaccinated as age appropriate as possible prior to adoption. I also understand that Relief Angels will only Spay/neuter pets after they are old enough for the health and safety of the pet. It is my responsibility to do so if adopting a pet that has not been altered yet.
Please read the above, check this box, sign, and click Submit.*

I/We have read and understand all of the above.
Applicant's Signature*
Co-Applicant's Signature
Signature date*
After you submit this form, it will take you back to the previous page you were on. Feel free to email us with any questions:

Contact@relief-angels.org

Renters: Please send a copy of the pet section of your lease or a landlord pet permission letter to the email address above.

Relief Angels reserves the right to reject any application based on information obtained during this screening process. Please understand that our primary goal is the health, happiness, and safety of our rescued pets.
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Relief Angels Pet Adoption Application