PETS R LOVE RESCUE Adoption Application

PETS R LOVE RESCUE
PETS R LOVE RESCUE
Comprehensive Pet Adoption Application
Rescue Phone Number: 912-707-7711
Applicant Information
Full Name:

First NameLast Name
Date of Birth:

MonthDayYear
Date
Driver's License Number:
State:
Address:
City/State/Zip:
Phone Number:
Format: (000) 000-0000.
Email Address:
example@example.com

Pet Verification
Do you have any current pets?
If yes, list type, breed, and age:
Are your pets spayed/neutered and up-to-date on vaccinations?
Veterinarian Name & Phone Number:
How many hours per day will the pet be alone?
Where will the pet stay when you are home?
Where will the pet stay when you are not home?
Who will be the primary caregiver?
Do you understand the financial responsibility of vet care, food, and supplies?
Are you prepared to commit to this pet for its lifetime (10-20 years)?
Have you ever surrendered a pet? If so, when and why?

Housing & Environment
Type of Residence (House/Apartment/Condo/Mobile Home):
Do you own or rent?
If renting, Landlord Name & Phone:
Do you have a fenced yard?
Number of adults in household:
Number of children in household:
Ages:

Employment Information
Company Name
Company Address
Company Phone Number
Manager Name
Manager Phone Number
Manager Phone Email

Pet Preference Information
Type of pet you want to adopt (Dog/Cat/Other):
Name of animal applying for:
Age preference:
Size preference:

Personal References (At Least Two)
Reference #1 Name:
Phone:
Format: (000) 000-0000.
Reference #2 Name:
Phone:
Format: (000) 000-0000.

Veterinarian Reference Release
I authorize Pets R Love Rescue to contact my veterinarian to verify vaccination history and responsible pet ownership.
Landlord Verification Authorization
If renting, I authorize Pets R Love Rescue to contact my landlord to verify that pets are permitted in my residence.
Background Check Authorization & Release of Information
I understand that Pets R Love Rescue may conduct a criminal background check as part of the adoption screening process to ensure the safety and well-being of the animals. I also understand that by signing, Pets R Love Rescue may be allowed to conduct home checks and contact your references.
Applicant Signature:
Printed Name:
Date:

MonthDayYear
Date

Pets R Love Rescue – Applicant Agreement
Please Read the Following and Sign Below
Providing Pets R Love Rescue with this information means you are allowing a Pets R Love Rescue representative to call your veterinarian, property owner, and references during the application process. You agree that Pets R Love Rescue may follow up with said contacts after adoption has taken place.
You also agree that Pets R Love Rescue may photograph or video you and your family for use in publication/media.
Please understand our goal is to make sure these animals are placed in good homes. The responsibility of Pets R Love Rescue is the best interest of the animals. Pets R Love Rescue has the right to refuse an adoption for any reason.
I acknowledge that the application remains the property of Pets R Love Rescue and am aware that there is an ADOPTION FEE.
I certify that the above information in this application is true and accurate to the best of my knowledge. I understand that omission of information and/or failure to answer all questions and sign the application can result in this application being declined.
Also, if an omission or untruth is discovered after an adoption takes place, I understand that Pets R Love Rescue reserves the right to annul the adoption and reclaim the animal.
It is understood that this adopted animal can be removed from my care at any time should I violate any of the following:
- Allowing this animal to run loose or failure to provide current ID tags.
- Failing to provide adequate food, water, shelter, companionship, and medical care.
- Forcing the animal to live anywhere except inside the primary residence (example: garage). Cats are strictly indoors.
- Declawing, debarking, ear cropping or in any other way mutilating this animal for cosmetic or other purposes.
- Tethering and/or chaining canines outside is strictly prohibited.
If you are no longer able to care for the adopted animal, you MUST contact Regina to return the pet back to Pets R Love Rescue with their medical records at no charge.
Once you submit your application, we should receive it within 24 hours. You will be notified that it has been received and has moved onto the review process.
Our application review process can take several days. The quicker you respond to any requests we may make for additional information, the quicker we can process your application.

If we are asking for additional information, it doesn't mean that you are the individual approved to adopt the dog, we are still reviewing your application. Please be aware that a single dog or puppy can receive multiple applications.
If we think your family would be a good fit for that dog/puppy, we will invite you to schedule a meet and greet appointment. If the meet and greet goes well and the dog/puppy is a good fit for your family, you'll be able to leave with him that day.
Applicant Name:
Signature:
Date:
Should be Empty:

PETS R LOVE RESCUE

Comprehensive Pet Adoption Application

Applicant Information

Pet Verification

Housing & Environment

Employment Information

Pet Preference Information

Personal References (At Least Two)

Veterinarian Reference Release

Landlord Verification Authorization

Background Check Authorization & Release of Information

Pets R Love Rescue – Applicant Agreement

Please Read the Following and Sign Below