Adoption Application

Adoption Application

Parker's Rainbow Bridge Animal Rescue
Please note that this application is to screen your information and you will be put on a waiting list if you specify you want a certain animal that is in our care; you are not guaranteed to adopt the animal you are interested in, but we do our best to look at all applications and decide who would be the best fit for the animal. We reserve the right to refuse any adoption we consider unsatisfactory. Please be aware that all applicants must be at least 21 years old to adopt from Parker's Rainbow Bridge Animal Rescue and that we require a home check before we proceed to start foster/adoption.If you have any questions about the application process, please email prbarinc@gmail.com - ALL APPLICATIONS ARE VOID AFTER 90 DAYS.
Contact and Residence Information

Please provide as much information as possible. Please be honest - if we find that any information is false you will be denied.
Name*

First NameLast Name
Email*
Primary Email
Mobile Phone Number*

Area CodePhone Number
Address*

Street Address

Apartment #

CityState

Zip Code
Date of Birth

MonthDayYear
Drivers License/State ID #*
Please attach your Driver License/State ID*

Browse Files

Cancelof
What type of home do you have?*

HouseApartmentCondoMobile HomeFarm/BarnGovernment Housing/BoardingOther
Do you rent or own?*

RentOwn
If renting, please provide the name of the complex/landlord name & phone number
i.e. Cypress Woods Condo/Jane Smith 239-555-5555
How busy is your street?*

Very busy roadSlight trafficResidential areaCountry roadOther
Do other adults live in the household?*

YesNo
Please list all adults (over 18 years old)
Do any children live in the household?*

YesNo
Please list all children (under 18 years old)
Is anyone in your household allergic to animals?*
Why do you want a pet?*

Companion for myself/familyCompanion for my petGift for a friend/family memberFor my childrenMouserTrain to be a guard dogTrain to be a hog/hunter dogBreedingTrain to be a therapy/service animalOther
Have you ever given an animal away?*

YesNo
If you selected yes, why?
Employment

Provide as much information as possible. Please be honest - if we find that any information is false you will be denied.
Are you currently employed?*

EmployedUnemployedRetiredStudentOther
If employed, what is the name of your employer and their phone number?
i.e. Joe's Hardware 239-555-5555
Adoptable Pet Preferences

Let us know what kind of pet you're looking for that will fit your lifestyle so we can find the best fit for you! If there is an animal currently in our care that you like, let us know.
Is there a dog/cat we currently have that you are interested in?
i.e. Bonnie - hound mix
Dog/Cat Color Preference (choose no preference or write what you are looking for)*

No preferenceOther
Dog/Cat Breed(s) Preference (choose no preference or write what you are looking for)*

No preferenceOther
Dog/Cat Age Preference (select all that apply)*

Puppy/Kitten (under 6 months)Young (6 months-2 years old)Adult (3-6 years old)Senior (7+ years old)
Dog/Cat Weight Preference (select all that apply)*

Cat (under 15lb)Dog - X-Small (under 10lb)Dog - Small (10-25lb)Dog- Medium (26-60lb)Dog - X-Large (over 100lb)Dog - X-Large (over 100lb)
Personality Preference (select all that apply)*

Low energy (I'm looking for a couch potato to watch TV with)medium energy (I'm looking for a dog that likes to play and walk a lot)High energy (I'm looking for a gym partner with a lot of energy to burn)
Home Questions

We do require permission from your landlord and/or community when renting and will request paperwork from your rental to check any breed or size restrictions.
If it's a rental, do you have permission from the landlord/community to have a pet?*

YesNo
Is there is a size/breed restriction from your landlord/community or home insurance?*

YesNo
If there are size/breed restrictions, please explain:*
i.e. Must be under 30lb - if none please write "N/A"
Where will pet be kept during the day?*
Where will pet be kept during the night?*
Do you plan to leave your pet outdoors?*

YesNo
If yes, describe the outdoor shelter you will provide*
How will you keep your pet confined on your property? (select all that apply)*

In HouseCrate/KennelFenced YardGaragePatio/LanaiTether with a rope, chain, or pulleyOther
Do you have a fenced yard?

YesNo
If yes, what type of fence is it and how tall?
i.e. 6ft chain link (note: A fence is not required for all adoptions, so if you don't have one, it's okay - just let us know)
Will the animal be running loose?

YesNo
If yes, where will they be running loose?
Where will the dog/cat stay when left alone?*
How many hour(s) per day will your dog/cat be left alone?
Describe the activity level in your home*

Busy (visits by friends, meetings, children, parties at home)Noisy (television, stereo, machinery, tools, children playing, dogs barking)Moderate (normal comings and goings)Quiet (homebodies, few guests)Other
Secondary Caretaker

In the absence of the primary caregiver of your dog/cat, please list the secondary care taker's contact information. We will not include them in the final adoption contract, this is only for the sole purpose of knowing the dog/cat will be provided adequate care in case you will be away for sudden cases such as vacation, illness, etc.
Secondary Caretaker Name*

First NameLast Name
Secondary Caretaker Mobile Phone Number*

Area CodePhone Number
Secondary Caretaker Address*

Street Address

Apartment #

CityState

Zip Code
Vet Information and Pet History

Please list all the information of your current pet(s) to the best of your knowledge
If you have a current veterinarian, may we have your permission to request information from them?*
Vet's Phone Number

Area CodePhone Number
Vet's Name & Address

Veterinarian Name

Street Address

CityState

Zip Code
Have you ever owned a pet in the last past ten years?*

YesNo
Please list ALL pets current in your household and owned in the past ten years.
Supplemental Questionnaire
Under what circumstances would you return the dog/cat to us?*
Do you understand that a dog/cat is a long-term commitment?*
Are you prepared to work with a dog/cat's possible health challenges?*
Are you willing/able to work through this dog/cat's adjustment period?*
Will you take your dog/cat to the vet for an annual checkup to be on heartworm prevention? *
Do you understand the local ordinances concerning Licensing, Rabies Law, and Leashing?*
Do you object to a home check of your residence?*
Is there any other additional information you would like to tell us?
Personal Reference

Please list contact information for a personal reference we may call for the consideration of your application
Reference Name*

First NameLast Name
Reference Phone Number*

Area CodePhone Number
Optional Questions

Please let us know how did you hear about Parker's Rainbow Bridge Animal Rescue and if you're interested in volunteering with us for any future events or fostering opportunities
How did you hear about us?

WebsiteFacebookNewspaper/MagazineFlyerPetcoPetSmartAdopted BeforeOther
Are you interested in volunteering with us?
Should be Empty:

Adoption Application

Contact and Residence Information

Employment

Adoptable Pet Preferences

Home Questions

Secondary Caretaker

Vet Information and Pet History

Supplemental Questionnaire

Personal Reference

Optional Questions