• Pet Adoption Application

  • Format: (000) 000-0000.
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  • Date of Birth*
     - -
  • Do you have a Spouse or Co-Adopter?*

  • Co-Adopter Information

    Please provide information for the co-adopter.
  • Format: (000) 000-0000.
  • Does Co-Adopter reside at the same address?*
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  • Co-Adopter Date of Birth*
     - -

  • Household Information

    Tell us about your home and family.
  • Do you have children under the age of 10 years old living in your home?*

  • Important Note About Households with Children Under 10**

    Based on our experience, we’ve found that families with young children are statistically more likely to return adopted dogs. This is often due to unforeseen challenges, unrealistic expectations, or a lack of follow-through—particularly when it comes to training and long-term commitment. While this certainly isn’t true of every family, it’s something we’ve seen enough to approach with added care.

    If you have children under 10 in the home, we ask that you share more about your family’s experience with dogs and your approach to bringing a new pet into your household.

    We’re not looking for perfection—we’re looking for preparation and commitment.

  • Will your newly adopted pet be interacting with children under the age of 10 years old?*
  • Does anyone in your home (or anyone who frequents the home) FEAR dogs?*
  • Does anyone in the home have pet allergies?*
  • Type of Residence*
  • Do you own or rent your home?*
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  • Do you have a yard?*
  • What is the fence height?*
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  • Have you discussed this adoption with all members of your household?*

  • We ask that all adult household members are aware of and supportive of this application and the decision to bring a dog into the home.

    Dogs do best when everyone is on the same page from the start. Please make sure all adult household members are informed and supportive before submitting your application. We do not move forward with placements if there is uncertainty or disagreement within the household.

  • Pet Preferences

    Tell us what you're looking for in a new best friend!
  • What age dog are you interested in adopting? (Select all that apply)*
  • What size dog (full grown) are you open to adopting? (Select all that apply)*
  • What gender dog are you interested in adopting? (Select all that apply)*
  • What energy level best fits your lifestyle?*
  • Why are you wanting to adopt this dog? (Please select all that apply)*
  • On a typical workday, how many hours will your dog be home alone?*
  • Where will your dog stay when home alone? (Check all that apply)*
  • If you’re away for more than 6–8 hours, what plan is in place for your dog’s needs? (Check all that apply)*
  • How much time can you realistically commit to exercising or playing with your dog each day?*
  • Where will your dog safely get off-leash time, if any?*
  • If your dog has an accident indoors, how will you handle it?*
  • What are you not willing to deal with at adoption or at any time in the dog’s life? (Check all that apply)*
  • What do you believe is a realistic annual cost for veterinary care?*
  • Do you plan to get pet health insurance?*
  • If something unexpected happened in your life, e.g. job loss, major move, illness, what support system or plan would you have in place to care for your dog? (Check all that apply)*
  • What circumstances might lead you to return a dog? (Check all that apply)*

  • Pet History + Experience

  • Which of the following best describes your experience with dog ownership? Select the one that most closely reflects your past experience.*
  • Do you currently have a dog in your home?*
  • Do you have a cat in your home?*
  • Are your current pets up to date on vaccinations?*
  • Are your current pets spayed or neutered?*

  • Veterinarian Verification

  • Please list a veterinarian or veterinary clinic that you have worked with in the past or currently use for your pets. This may be your current veterinarian or a clinic you have used previously.

    We use this information to verify that you have established veterinary care for your pets, either currently or in the past. Demonstrated veterinary care is an important part of our adoption and screening process and helps us ensure that our dogs will continue to receive proper medical care in their new homes.

  • Format: (000) 000-0000.

  • Personal References

    Please provide two personal references (not relatives).
  • Format: (000) 000-0000.

  • Personal References

    Please provide two personal references (not relatives).
  • Format: (000) 000-0000.

  • Virtual Home Tour

    Show us around your place!

  • As part of our adoption process, we kindly request that you provide us with a virtual home tour. This is an important step that allows us to ensure the safety and suitability of your home for a new pet.

    Here’s what we would like you to include in your video:

    - A walk-through of the main living areas of your home.
    - A view of your backyard and any other outdoor spaces where your pet might spend time.
    - Please highlight areas where the pet will eat, sleep, and play.

    How to Submit Your Video:

    - You can easily record the video using your smartphone.
    - Ensure that the video is clear with good lighting for visibility.
    - The video doesn’t need to be professional; we are just looking to get a sense of the space.

    Once your video is ready, please upload it here below!

  • Final Touches

  • Are you in contact with any other rescues or shelters about a specific dog?*

  • Acknowledgement & Authorization

    Please read and agree to the following terms.

  • Acknowledgement

    I understand that completing this application does not guarantee approval to adopt a dog. This application is used to help participating rescues or guardians rehoming their dogs determine whether a dog and my household are a good match.

    I understand that Rescue Rehome is a listing platform only and that adoption decisions are made by the rescue or guardian responsible for the dog.

    I certify that all information provided on this form is true and correct. I understand that any misrepresentation may result in denial of my application and/or reversal of an adoption.

    By signing this form, I agree to receive text messages regarding this application from Rescue Rehome or the rescue or guardian responsible for the dog.

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