Adoption Application

Adoption Application

Dogs/Cats/Puppies/Kittens
This questionnaire is designed to help True-Blue Pet Rescue and yourself determine if a particular animal is the right one for you and your household. All adopting parties are required to complete this form prior to adoption. True-Blue Pet Rescue reserves the right to deny any adoption based on answers to this questionnaire and/or interviews prior to adoptions!
Applicant Information
Name or description of the animal you are interested in:*
Your full name:*
Your age:*
Street Address:*
City, State, Zip*
Home Phone:*

Area CodePhone Number
Cell Phone:*

Area CodePhone Number
Is it OK to text message you?
E-mail:
Character reference name and phone number:*
Household Information
Are all members of your household in agreement with this adoption?*

YesNoDon't Know
How many adults are in your household?*
How many children are in your household?*
Who will be the pet's primary caregiver?*
Does anyone in your home have allergies to dogs or have asthma?*

YesNo
In this section, please list EACH person living at your home. Include Name, Age, and indicate whether they have experience with the type of animal you are applying to adopt.*
Name Age Experienced with animals?
Do you live in a*

HouseApartmentCondoMobile HomeOther
Do you own or rent?*

OwnRent
If rent, provide name and phone number of landlord:
Does your landlord allow dogs?

YesNo
Are there any restrictions from your landlord or subdivision?*

Number of petsSize or weight restrictionsBreed restrictionsNone
Do you have a securely fenced yard?*

YesNo
Height and type of fence
Do you have any of the following?

Underground fenceKennelDog Run
Current/Previous Pet Information
In this section, please list EACH pet currently living at your home. Include Name, Species, Breed, Age, and indicate whether they are altered (spayed/neutered).*
Name Species/Breed Age Altered?
Have you ever given up a pet?*

YesNo
If yes, what were the circumstances?
Please provide the name and phone number of your current and/or previous veterinarian or clinic:
Vet or Clinic Name City Phone
Pet Care Considerations
What type of personality do you want your pet to have? (i.e. calm, energetic, protective, couch-potato)
Have you ever house-broken a dog or puppy before?*

YesNo
If the dog has an "accident" in your home or destroys something of value, how will you react?*
How many hours each day will your new pet be home alone?*
Where will your new pet sleep at night?*
How will you supervise the dog's outdoor activity?*
Where will your new dog stay when nobody is home?*
What length of time will you allow your new pet to adjust to his new home?*
What type of exercise do you intend to provide for your pet?*
Are you willing to work through your new pet's issues, if any?*

YesNo
Are you aware that a new environment is stressful for your pet, and they may exhibit uncharacteristic behavior?*

YesNo
Do you understand that a pet is a long-term commitment (up to 18 years for large breed dogs), and can cost $300 - $500 per year to care for?*

YesNo
Are you financially able to provide for the needs of your pet, including food, veterinary care, toys, bed, training, for your pet?*
What circumstances would lead you to give up your new dog?*
If you are no longer able to keep your pet, will you agree to return it to True-Blue Pet Rescue at no charge?*

YesNoOther
How did you find out about True-Blue Pet Rescue?*

Adoptapet.comPetfinder.comFacebookFriend/Family MemberOther websiteOther
True-Blue Pet Rescue saves desperate dogs and cats and helps them find loving adoptive homes. Our pets come from high-kill shelters, those that have been abandoned, and those that are sick or injured and need medical attention to go on to live normal lives. We are True-Blue friends to these True-Blue pets. .
I/We attest that the above information is true and correct to the best of my/our knowledge.
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Adoption Application

Applicant Information

Household Information

Current/Previous Pet Information

Pet Care Considerations