Mama Rhea Animal Rescue Dog / Puppy Adoption Application

Thank you for considering adoption through Mama Rhea Animal Rescue.

We are located in Hillsborough, NJ and adopt within a 2-hour driving range of our location.

Dogs/puppies are fun, loving, playful, and also a lot of work. Before you start this application, please ensure you can fully commit to the care of the dog/puppy before you decide to adopt one.

If you know you are ready to be a Paw Parent, please complete this application for adoption form as thoroughly as possible. The form can take up to 10–25 minutes to complete. Once submitted, someone from our team will follow up with you soon.

(Note: We reserve the right to refuse any adoption that we feel will not suit the dog’s/puppy’s requirements.)

Name of dog(s) you are interested in or type of dog(s)

Your Name

First NameLast Name

Email

A confirmation will be sent to this email.

Phone Number

Please enter a valid phone number.Format: (000) 000-0000.

Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

Occupation

PET SECURITY & SAFETY

Select the option that best describes your current home or primary residence:

If Other type of residence, please explain:

Select the option that best describes your residency:

Other

Do you have permission from your landlord to have a dog/puppy live on the property?

Landlord's Name:

Landlord's Phone #:

Please enter a valid phone number.Format: (000) 000-0000.

How many members are in your household (including yourself)?

Are there any babies, toddlers or young children that live in your household?

What are their ages?

Does every member of your household agree to the adoption of this pet?

Is any member of your household allergic to pets or animials?

If allergic, please explain:

PET SECURITY & SAFETY

Please select the type of living situation you plan for this dog:

Is the dog allowed on the furniture?

Where will your dog sleep (be specific)?

Do you have a dog door at your residence?

Do you have a private fenced yard?

What percentage of the time will the dog be in the yard?

Do you share your yard with anyone else?

Please describe the type of fencing you have surrounding your yard:

(e.g. wooden, chain-link, concrete, etc.)

How high is your fence (at its lowest point)?

If you have a gate to enter/exit your yard, how high is your gate?

Are you certain your yard and fencing are secure enough for dog?

Do you have a swimming pool on your property?

Is the pool secure and gated?

PET SECURITY & SAFETY

Please choose the option that best describes your employment status:

When you are at work, where will the dog be?

Will anyone in your household be home when you are at work?

How many hours will the dog be left alone?

When you go on vacation or a trip, who will care for your dog? (select all that apply)

If Other type of care, please explain:

Do you currently have any other pets/animals living in your household?

What kind of pets/animals?

If Other type of animal, please explain:

Please describe the other dog(s) that live in your household?

(i.e. breed, age, sex, etc.)

Is the other dog(s) in your household spayed or neutered?

Please explain why the other dog(s) are not spayed or neutered:

Have you ever had a dog before?

How many years of experience do you have as a dog owner?

Have you ever had a dog (or another beloved pet) pass away before?

What happened to him/her?

Under what circumstances would you consider giving up/ surrendering your dog (check all that apply)?

If Other type of circumstance, please explain:

If your dog were to develop or have behavior issues (i.e., nipping, biting, barking, digging), will you be willing to consult a trainer to try to rectify the situation before giving the dog up?

If you are not willing to consult with a trainer, please explain why not?

PET SECURITY & SAFETY

Have you ever been responsible for losing a dog (or another pet) before?

How did you lose that pet?

If your dog gets out, which of the following will you do (check all that apply)?

In the past, have you ever been forced to give up your dog (or another pet) before?

What was the surrender process?

If Other type of surrender, please explain:

What will you do if/when your dog gets sick or injured?

Do you know how much veterinary care typically costs?

Are you prepared to spend the money for proper care of your dog, if needed?

If you have cost limitations, please explain:

Do you currently have a trusted veterinarian?

Name and Phone of your veterinarian:

PET SECURITY & SAFETY

What will you do if/when your dog/puppy misbehaves (e.g. chews your favorite shoes or furniture)?

How will you get your dog/puppy to do what you want him or her to do?

Have you ever trained a dog/puppy in obedience class?

Do you still use those same training methods?

Do you think it is necessary for your dog to wear an ID tag?

A pet requires a lot of people attention. Are you prepared to spend a lot of time with your new pet (for the rest of it’s life)?

Are you prepared to make a commitment to provide love and care for this new pet (up to 15+ years, if time permits)?

By checking the following boxes, I am agreeing to the following statements:

Initials here:

Today's Date:

Date

Please verify that you are not a robot or a cat.