DDRL Foster/Adoption Application

  • Adoption/Foster Application

  • Which animal are you interested in fostering/adopting? (Check all that apply)*
  • What would your Adoption/Foster Preference be? (Check all that apply)*
  • Check each option that you are interested in.*
  • Are you willing to work with us to correct any possible behavior issues that the rescue may have?*
  • Do you have experience with special needs dogs and/or cats?*
  • Are you interested in fostering and/or adopting a senior or end of life stage animal?*

  • Adopter Personal Information

  • Format: (000) 000-0000.
  • Format: (000) 000-0000.

  • Yourself & Family

  • Please fill out the entire application. All questions marked with a ( * ) are required and they must be answered. If they are not,  the application will not submit. If any of those marked required do not pertain to you, mark (N/A) in order to move forward with the application process. 

  • Home Environment

  • Do you Own or Rent your home?*
  • Choose which best describes your living situation.*
  • If a Rental, does your lease permit you to have animals?*
  • Format: (000) 000-0000.
  • Do you have a yard with a fenced in yard?*
  • Do you have a swimming pool?

  • Rescue Animal Living Space & Care

    This is important information. Please be Specific.
  • How many hours per day will your Rescue be left alone?*

  • Current & Previous Pets

    Including Vet Care
  • Have you had rescues previously?*
  • Other animals living in your home? (Click all that apply)*
  • Are your pets currently UTD on Vaccinations?*
  • Are your pets on Heart-worm Preventative?*
  • Are your pets Spayed or Neutered?*
  • Have any of your pets Ever displayed any Food or other aggression's toward other animals or humans?*

  • Vets & Personal References

  • Format: (000) 000-0000.
  • Format: (000) 000-0000.
  • Format: (000) 000-0000.
  • Format: (000) 000-0000.
  • Format: (000) 000-0000.
  • How did you hear about Dixie's Dream Rescue Limited? (Check all that apply)*

  • Must Read

  • By signing via electronicly I agree that the information that I have provided in this application is complete and correct. I understand that any false information I have provided will invalidate this and any future applications. I further declare that I am financially and physically able to care for a rescue animal. I understand that proper food and veterinarian care may be costly, and I am able and willing to meet the needs of my rescue animal. I understand and agree to get yearly dog tags and provide Dixie's Dream Rescue Limited with verifiction including the assigned number. I understand the requirements and grant permission for Home Checks at random, both prior to and following adoption. I submit that if a Home Check reveals falsification or misrepresentation of any facts on my part, Dixie's Dream Rescue Limited reserves the right to either refuse adoption or to nullify the adoption and reclaim said rescue from my premises without reimbursement of the adoption fees. I release Dixie's Dream Rescue Limited from any liabilities I may incur from the adoption process or by the rescue while in my care. 

  • Date
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