Adoption Application

ADOPTION APPLICATION
TO BE FILLED OUT BY THE ADULT OWNER & PERSON FINANCIALLY RESPONSIBLE FOR THE DOG

Please read and answer all questions. Once we receive your application it will be reviewed by our adoption team. We do not operate on a first come, first serve basis, but base our decision on what is the best fit for our dog. We reserve the right to deny an application for any reason. The process may take a few days to a few weeks. As a general rule, we do not facilitate out-of-state adoptions. If you’re interested, please contact us to inquire before applying. If you do not hear from us within a week, please do not hesitate to email us at adopt@icaredogrescue.org.
Date*

MonthDayYear
Date
APPLICANT INFORMATION

** To be filled out by the adult owner over 18 years of age **
Name*

First NameLast Name
Address*

Street Address

Street Address Line 2

CityState

Zip Code
Email*
example@example.com
Phone Number*

Area CodePhone Number
MobileLandline
Age*
MATCHING YOU WITH YOUR NEW DOG
1. Name of dog(s) you are interested in:
2. If the particular dog you’re interested in is no longer available or not the best fit, are you interested in continuing the adoption process to find the right dog?

YesNo
3. Please select the size of dog that is the best fit for your family:

Small (under 20 lbs)Medium (20-40 lbs)Large (40-70 lbs)Extra Large (over 70 lbs)
4. Please select the energy level that is the best fit for your family:

LowMediumHigh
5. Are you looking for a dog that is comfortable in a social setting like a dog park or dog beach?

YesNoDoesn't Matter
6. Please describe the characteristics you find important in the dog you adopt:
HOUSEHOLD INFORMATION
7. Does anyone else live in the household besides the applicant?

YesNo
Please list all people
8. Who will be the primary caregiver(s) for the dog:
A) Primary caregiver occupation:
Full TimePart TimeWork From Home
Please describe typical schedule:
B) Secondary caregiver occupation:
N/A if does not apply
Full TimePart TimeWork From Home
Please describe typical schedule:
9. Is anyone in the home allergic to dogs?

YesNo
10. Do all the occupants of the home know you are looking to adopt a dog?

YesNo
11. Although all medical conditions are disclosed if they should exist, are you prepared to handle any unexpected medical expenses or emergency care that may possibly occur with the dog?

YesNo
12. Tell us a bit about you and your family and why you would like to adopt this dog:
HOME
13. Type of Dwelling:

HomeCondoApartment
14. Do you:

RentOwn
Ownership:

PrivateComplex
How long have you lived there?
Do they allow dogs?

YesNoDon't Know
Is there a weight limit?

YesNo
How much?
Is there a breed restriction?

YesNo
Please describe:
Do you share the yard with other tenants?

YesNo
Landlord Information:
15. Do you have an outdoor area for the dog?

BackyardPatioDeckNo
What type of fencing/enclosure do you have and how high is it?
16. Do you have a pool?

Yes - EnclosedYes - Not EnclosedNo
17. Does the dog have access to the outside area while you are not home?

YesNo
Please explain how:
18. Upon a required home check, if any modifications are needed for the dog’s safety are you open to doing that ?

YesNo
19. Are you planning to move in the next year?

YesNo
Where will you be moving and will the dog be moving with you?
CURRENT PETS
20. List all dogs currently living in the household:
BREED - M/FM - AGE
21. Are they spayed/neutered?

YesNo
Please explain why not:
22. Do you have any other animals that will be living with the dog?

NoCatBirdRabbitLivestockOther
Please list:
PAST PETS
23. Please list your previous pets over the past 10 years:
TYPE OF PET - CAUSE OF DEATH - AGE
24. Have you ever had to rehome a pet?

YesNo
Please explain why and where did they go:
DOG CARE
25. Where will the dog stay during the day?
26. Where will the dog stay during the night?
27. How many hours will the dog spend alone each day?
28. Where will the dog stay while you are not home?
29. How will the dog be cared for if you are away for an extended period of time

House/Pet SitterDaycare FacilityStay with Family/FriendOther
Please list:
30. What type of food will you provide the dog?

DryWetHomemadeRaw
Brand?
If you do not know - Open to Suggestions
31. How will the dog get exercise?
32. How would you describe your experience level with dogs?
33. What dog behaviors are undesirable to you and what actions would you take to correct these behaviors?
34. Do you understand that some dogs require an adjustment period while settling into their new environment?

YesNo
35. What is your process for teaching or reinforcing house training skills?
36. Are you willing to work with a trainer on any issues that may arise?

YesNo
37. What circumstances would cause you to return the dog to I.C.A.R.E. Dog Rescue?

NoneExcessive BarkingHouse Training ProblemsDiscipline ProblemsSocialization ProblemsMedical BillsMoveOther
Please clarify reason:
ADDITIONAL INFORMATION
38. How did you hear about I.C.A.R.E. Dog Rescue?

Pet Adoption WebsiteI.C.A.R.E. Dog Rescue WebsiteSocial MediaFamily/FriendAdoption EventNewspaperOther
Please list:
39. Have you previously applied to any other animal rescues?

YesNo
Which one(s)?
40. Did you adopt from any of these animal rescues?

YesNo
Which one(s)?
APPLICATION REQUIREMENTS
I understand this is an application and I.C.A.R.E. Dog Rescue has the sole discretion, with or without cause, to accept or decline this application. All the information I have provided in this application is true and correct.*

YesNo
I understand that I.C.A.R.E. Dog Rescue may receive several applications for the dog I am applying for. I understand that in that event, the best home will be selected for the dog.*

YesNo
I understand that the adoption fee is $425 (2 - 12 months), $375 (1 - 6 years), or $325 (7+ years). THE ADOPTION FEE IS NON-REFUNDABLE AND NON-NEGOTIABLE.*

YesNo
By checking this box, I agree that by entering my name I am signing this application electronically.*

I agree
Name*

First NameLast Name
Should be Empty:

ADOPTION APPLICATION