• Thank you for being interested in adopting a pet from us! The following information is requested so that we can assist you in the selection of your new dog. This form and consultation with a Ruff Patches representative are designed to help us determine the right pet for you and your family!

    PLEASE NOTE: We are an all-volunteer organization and have received a huge increase in requests for adoptions, fostering, and assistance. It's keeping us busy! Right now the waiting time for a response is 5-7 days, but we are catching up as quickly as we can. Thank you for your understanding and patience!

  • Please state your birth date (to verify you are over 18 years old). We will not save this information and your privacy is very important to us!*
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  • About You

  • What other people are in your household?*

  • Which do you live in?*

  • Do you rent or own?*
  • If you rent, do you have permission from your landlord to have a pet?

  • Pets in the Home

  • Do you currently have other pets?*

  • About the Dog You Wish to Adopt

  • Will your dog be allowed on the furniture? *
  • Do you have a fenced back yard?*
  • Do you have a fenced front yard?*
  • What type of fencing do you have? *

  • About the Dog You Wish to Adopt Continued...

  • Which of the following would force you to give up your dog/s?*

  • Have you adopted a pet from a shelter or rescue before?*
  • Would you like to receive our e-mail newsletter? We respect your privacy and would never give away or sell your information to anyone!*
  • Should be Empty: