Dog Application Form

PLEASE READ: 3/7/22 COVID19 Update: We are currently following all the guidelines and recommendations for the state of PA. Wearing Masks are optional. PLEASE ALLOW 5-7 BUSINESS DAYS TO PROCESS. PLEASE DO NOT PUT IN MULTIPLE APPLICATIONS. Greenmore Farm Animal Rescue DOG Adoption Application

Thank you for your interest in Greenmore Farm Animal Rescue. Our goal is to match great dogs with loving forever homes. We want to make sure the dog you adopt matches your families lifestyle, schedule, and is well suited for their new home. Mobile devices may not allow you to submit the application; please use a computer or laptop.
Please carefully review the dogs profile on Petfinder before submitting an application. If you don't have applicant requirements for a particular dog or puppy your app will not be processed.

Applicants: It is your responsibility to thoroughly read the application and fill out each question completely

Please do not put in multiple applications.

Below are initial requirements before filling out the Application: Please read carefully!

YOU MUST BE at least 21 years of age and be head of household.

YOUR APPLICATION WILL NOT BE PROCESSED IF YOU DON'T SPECIFY WHAT DOG YOU ARE INTERESTED IN.

FOR THE SAFETY OF THE DOG OR PUPPY, households with children 10 years of age or younger must have a physical fence attached to the home with a door that leads directly into the yard.

If you have an INVISIBLE FENCE and children over 10, the fence can only be used on puppies 6 mos. or older

Depending on the safety needs of a particular dog or puppy; we reserve the right to require a fenced-in yard.

IF YOU ARE A FIRST TIME DOG OWNER, and/or you have children 5 and under, your application will only be reviewed for dogs over one year of age.

IF YOU ARE APPLYING FOR A PUPPY YOU MUST ADHERE TO THE BELOW GUIDELINES.

ALL PETS IN THE HOUSEHOLD past and present must be spayed or neutered, current on vaccinations, and have a history of yearly wellness visits.

www.greenmorerescue.org

When multiple applications are submitted on any given dog(s), applications are considered on a first come basis. The application that best suites the needs of the dog is given preference. If your application is approved, please do not schedule an appointment until you are ready to adopt your dog. Greenmore Farm Animal Rescue CAN NOT HOLD OR BOARD DOGS.

PLEASE ALLOW 5-7 BUSNIESS DAYS FOR THE APPROVAL PROCESS. In some cases the approval process could be quicker. Once approved, you will be asked to come to the rescue within 24 to 48 hours. Please keep this in mind when applying to adopt a dog.

Puppies: In the first six months of life, puppies need a lot of attention, care, and exercise. Puppies younger than 10 weeks old won't be able to hold their urine for more than an hour at a time, and it's not until 6 months of age that puppies can wait up to 6 hours to go to the bathroom. Your application will not be considered if your hours out of the house is more than the recommended time for a puppy.

Please note: We reserve the right to refuse adoption to anyone. Please be advised that we will not adopt to persons who mislead or fail to provide accurate information on the application. All children under 18 years of age must be in attendance during the adoption.

Greenmore Farm Animal Rescue is a 501c3 Organization.

Non refundable adoption donations are as follows, which includes microchipping and a martingale collar: (All donations are tax deductible)

Dogs: Cash $395.00 (credit/debit card $420.00)

Puppies: Cash $425.00 (credit/debit card $450.00) there is also a $75 deposit required; refundable after proof of spay/neutering.

Purebred, designer breed and XL dogs: Cash $450.00 (credit/debit card $475.00)
Your Name *

First Name Last Name
NAME OF DOG INTERESTED IN: YOUR APP WILL NOT BE PROCESSED if you don't specify a dog/puppy at our Rescue. *
Please describe what you are looking for in a dog: *
Size of dog interested in lbs: *
Age range you are looking for: *
What is your time frame for adopting a dog: *
Where did you hear about us? *
Home Phone *

Area Code Phone Number
Cell Phone *

Area Code Phone Number
Address *

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code
E-mail *
Applicant Employment Information *

Full time Part time Retired Student Other Work from home Stay at home Mom/Dad
Applicant Occupation *
Your AGE *
Family Members
Are there any pet allergies in your house hold? *

Yes No
Spouse/Partner name: *

First Name Last Name
Spouse/Partner Occupation *
Spouse/Partner Cell phone
Spouse/Partner AGE
NAMES and AGES of children/people living in your home *
Are you head of household? *

Yes No; If you are not head of household we will not process your application
Have your children been exposed to dogs before and what experiences have they had with dogs? *
Tell us a little about your family. What do you like to do for fun, what activities do you enjoy, what hobbies do you have, and how do you see your new dog fitting into these activities? Tell us why you would be a good pet owner. *
What type of home do you reside in: *

Single family home Townhouse Condo Apartment Twin Mobile Home Farm
Do you own or rent: If you rent, please provide landlord/leasing office name and number. We cannot approve your application without approval from your landlord. If you have a landlord, condo, or HOA it is your responsibility to follow all pet related rules. *
Do neighborhood dogs roam freely? *

Yes No
Home / Environment / Care / General Information
Home Atmosphere *

Grand Central Station Active Average Peaceful/Quiet.
How many HOURS each day will your pet be home alone? M-F & Sat-Sun *
While you are out where will your dog be kept? *

Free inside house Confined in crate Inside a closed room Doggie day care Gated area inside house In yard Dog walker coming in With friends or family
Do you CURRENTLY have a physical fence completely enclosing your back yard? If yes, please check all that applies. Pictures of your fence will be requested. *

Yes No Split rail Split rail w/ wire mesh Chain link Privacy-Wood or Vinyl Aluminum or Iron Vinyl decorative Six Foot High Fence / Stockade Picket
What are your CURRENT accommodations for keeping your dog safe while outside? *

Fenced in Invisible fence: Verification may be required Leash and walks Patio area Garage Outside dog kennel Loose in yard unattended Tie out cable or Trolley
Where will your dog sleep at night? *

Free inside house Confined in crate Inside a closed room Bedroom
Senior Applicants: In the event that you are no longer able to care for the dog; please designate a care surrogate. Name and relationship; number to contact *
Neighborhood/ Location Information:
Are there an dog parks in the area? *

Yes No
Are there any walking trails in the area *

Yes No
Do you have side walks on your streets? *

Yes No
Do you live on a busy street? *

Yes No
Did you grow up with Dogs? *

Yes No
Dog Experience as an Adult *

First time owner Have owned dog(s) before
Tell us about your experience with dogs as an adult: *
Have you ever had to surrender/rehome/return a dog before: *

Yes No
If yes, please tell us why
How many pets do you currently own?
Dog (s)
Cat (s)
Name, Age and breed of Animals indicated above. Also, please include deceased pets and the year they passed.
Dog (s) Name(s) and ages *
Cat (s) Name(s) and ages
Are your current pets spayed and/or neutered?

Yes No
Are your current dogs licensed?

Yes No
Are your current pets vaccinations up to date?

Yes No
If you answered No to any of the questions above, please explain:
Is your current dog well socialized with other dogs? Yes or No, please explain. *
Personal References: Please list the names and phone numbers of 3 people who can speak to your ability to care for a pet. Only one reference can be a family member. Please inform your references that we will be calling them.
1) Name: Relationship *
Phone Number (please include area code) *
2) Name: Relationship *
Phone Number (please include area code) *
3) Name: Relationship *
Phone Number (please include area code) *
Veterinary Contact Information
Veterinary offices require your permission to release information. When calling your Vet to release information ask them what they have on file for your pets. If any of the below criteria is not met we will not process your application. If you do not call your Vet ahead of time we can't process your application

When we call your veterinarian to inquire about your previous or current pet(s) care managament, it is extremely important for us to have your pets information exactly as your veterinarian has on file. If we can't verify your veterinary care, we can't review your application.

If you do not have a Vet please put NA in the fields below.

PLEASE NOTE: THE BELOW CRITERIA MUST BE MET ON YOUR VET REFERENCE FOR BOTH DOGS AND CATS.

YOU WILL NOT BE CONSIDERED FOR ADOPTION OTHERWISE.
- All pets in the household past and present must be current on vaccinations. Rabies vaccine is a law in most states. This includes indoor cats.
- Records must show a history of yearly Wellness visits
- All pets in the household past and present must be spayed or neutered
If you take your pet (s) to another facility besides your Vet for vaccines please indicate that on the application. If so, you will be asked to supply a copy of the certificate (s) of vaccine history.
Current Veterinarian Name: *
Phone Number (please include area code) *
Owner name on veterinarian records: *
Relationship to Owner if not self: *
Previous Veterinarian Name:
Phone Number (please include area code)
Owner name on veterinarian records:
Relationship to Owner if not self:
Alternate Vaccination Facilities used: Clinic, Pet Store, etc. If records are not available you may be required to provide a copy of your vaccine history.
Phone number for above facility (please include area code)
My signature below certifies the following:

That all the house hold members are listed on this adoption application and that each member residing at this address has never been convicted of animal cruelty, abandonment, neglect, or abuse.

That I am at least 21 years of age and head of the household, and that I am willing to spend the time and money necessary to provide medical treatment, proper nourishment, care, and indoor shelter for my dog.

That if relevant, I have followed all the required rules of pet ownership set forth by my landlord or condo association.

Yes, I am aware that my adoption donation is non-refundable. My donation is a gift that keeps on giving. By taking home my dog, I have opened up space and resources for another dog to be rescued from a "High Kill Animal Shelter."

Thank you for completing our application. Your application will be reviewed by the adoption team. If approved; you will be notified via email or phone approximately 5 to 7 business days after submission. Due to the number of applications we receive; you will not be notified if your application does not meet the requirements of the rescue or does not meet the requirements of the profiles on Petfinder.

Once you hit the submit button please wait until you receive a "Thank you" pop-up on your screen. A confirmation email will be sent to you shortly.
Signature of applicant: *
Date: *
Thank you for considering adopting from Greenmore Farm Animal Rescue. We look forward to working with you to find a great match for your family.

Mailing address: 246 Clonmell Upland Road. West Grove, PA 19390

Greenmore Farm Animal Rescue is a 501c3 Organization. All donations are tax deductible to the extent allowed by law.
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PLEASE READ: 3/7/22 COVID19 Update: We are currently following all the guidelines and recommendations for the state of PA. Wearing Masks are optional. PLEASE ALLOW 5-7 BUSINESS DAYS TO PROCESS. PLEASE DO NOT PUT IN MULTIPLE APPLICATIONS. Greenmore Farm Animal Rescue DOG Adoption Application

Family Members

Home / Environment / Care / General Information

Veterinary Contact Information