Adoption Application

Name and/or ID Number of dog you are applying to adopt *

Is EVERY member in your household in agreement and want to adopt this pet*

YES!No

Applicant's Name*

First NameLast Name

Email*

example@example.com

Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

Home Phone Number*

Area CodePhone Number

Cell Phone Number*

Area CodePhone Number

Work Phone Number*

Area CodePhone Number

Do you own or rent your home*

If rented, provide landlord's name and phone number.*

Length of time at residence*

Do you have a fenced yard? If so, what type of fencing. (This is not a requirement for all dogs, but will be for certain ones.)*

What are your thoughts on keeping a dog strictly as an outdoor pet.*

Employer name, address and phone number*

How long have you been employed there.*

Co-applicant name*

First NameLast Name

Co-applicant phone number*

Area CodePhone Number

Co-applicant: employer name address and phone number*

Including yourself, Please list the name and age of everyone who lives in the home where the pet will be placed and everyone who has regular access to the home. (More info is always better.)*

Name, address and phone number of veterinary reference. If you've used this veterinarian for less than a year, please list your previous vet too. *

PERSONAL REFERENCE #1 Please list the name, address and phone number of someone who can vouch for your ability to properly care for this pet.*

PERSONAL REFERENCE #2 Please list the name, address and phone number of someone who can vouch for your ability to properly care for this pet.*

List all other pets in the home: Name Age Breed Spayed or neutered & Length of time owned*

Do you animals other than dogs and cats? Please list them.*

Have you owned dogs in the past? For how long? What happened?*

Can you afford to provide financially for this new pet?*

Please tell us how much you think it will cost to keep a dog and the types of typical expenses you are prepared to incur. (This may seem silly but we've met a lot of folks who don't know there is more to owning a dog than feeding it.)*

If your pet was sick or injured, how much money do you think is too much to pay to save its life?*

Have you ever given away or voluntarily surrendered any pet?*

Have you ever lost a pet? (Including loss of the pet's life in any kind of accident? Please tell us about the incident(s).*

Have you ever been CHARGED with animal neglect, cruelty or had an animal taken away for ANY reason?*

Have you ever been CHARGED with a crime of a violent nature?*

Who will be the primary caretaker for the adoptee?*

How many hours per day / night will the adoptee be supervised by the caretaker?*

How much freedom/supervision do you think a dog should have when outdoors?*

Where will the adoptee be kept when caretaker(s) are all away from home?*

What kind of dog food will the dog be fed? How often? (Angels Retreat requires their guests to have a food that rates a minimum of 3-stars on the independent research site DogFoodAdvisor.com)*

Tell us how you discipline your dogs?*

Why do you want to adopt this dog?*

Please describe a typical day for this dog if in your home.*

Where will this dog sleep at night*

Where will the dog be kept during the daytime.*

What life situation(s) could cause you to give away or re-home your pet?*

If something were to happen and you passed away before this pet, what would become of him/her? If pet(s) are to be placed with family members, are they in agreement - and are things already in place? *

By submitting this form, I am digitally signing it and hereby affirm or attest that my answers are true and complete. I am submitting an application to adopt a pet as a family member from Angel's Retreat, Inc In submitting this application I hereby agree to be bound by the terms set forth by the rescue in their adoption agreement. Such terms include but are not limited to follow up contact, providing suitable shelter, veterinary care, maintaining the pet's ideal body weight and overall condition of health in a way found satisfactory to Angels Retreat, Inc, providing internal and external parasite prevention, non-tethering and maintaining current vaccinations.