Adoption Application

Adoption Application
The turn around for applications to be processed is 1-3 days. To make the process go more smoothly please make sure you have completed the following PRIOR to submitting an application:

Contacted your Veternarian and gave the "okay" to release information to a member of Our Pack Animal Rescue.
If renting: Obtained approval from your landlord , or roomates , and a member of Our Pack Animal Rescue will be calling to verify approval.
Get approval to use chosen references and alert them of a phone call or email from Our Pack Animal Rescue.
Animal of Interest Name: *
If unsure put pre-approval
Applicant 1 First name: *
Applicant 1 Middle name: *
Applicant 1 Last Name: *
Applicant 1: Birthdate *

Month Day Year
Date
Applicant 2: Full Name *

First Name include middle name Last Name
Applicant 2: Birthdate *

Month Day Year
Date
Phone Number *

Area Code Phone Number
Additional Phone Number:

Area Code Phone Number
E-mail *
Address *

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code
Do you live in a: *
Do you: *

Own Rent Live with Parents Other
If Renting: Please indicate landlord contact information *
Put N/A if not renting
Describe your Homes Activity Level *

Busy/Noisy Moderate Comings/Goings Quiet with Occasional Guests
Please List all People Living in the Household (Include Name, Relationship, Gender and Age) *
Does Anyone in your Household have Allergies to Animals? *

Yes No
Are all members of your Family agreeable to Adopting a Dog? *

Yes No
Please List any Pets you have Living or Deceased (Please include Name, Breed, Age, Altered, Sex, UTD Vaccines, Living/Deceased, If you no longer have- why) *
Please List any Veterinarians used for any of the above pets listed- include phone numbers *
Adoption Questionnaire

Please complete to help us match you to your newest pack member!
What age and gender are you interested in ?
What size dog do you want? (Check all that apply)

Small Medium Large
Please describe the type of dog you are wanting to adopt (Please include breed types, coat length, personality traits, energy level, hypoallergenic) We always want to make sure we have the best fit!
How much extra training do you want or plan on doing to get your newly adopted pet adjusted into your pack ?
We cannot guarantee a dog to be housebroken, are you equipped to train with love and patience?

Yes No
Have you had any experience with with an emotionally or physically neglected or abused dog?

Yes No
Does the pet need to be okay with the following (Check all that apply)

Cats Dogs Kids (under 10) Kids (over 10)
Do you have a fenced yard?

Yes No Partial
If fenced, please give details on height, material, # of gates, are gates locked or lockable?
How many hours in a day would the pet be left alone?
What are you plans to exercise your pet? Please list any parks near by or trails, how many walks a day, approximate length, and activities such as agility.
References
Reference #1: Full Name *

First Name Last Name
Relation to applicant(s): *
E-mail
Phone Number *

Area Code Phone Number
Reference #2: Full Name *

First Name Last Name
Relation to applicant(s): *
E-mail
Phone Number *

Area Code Phone Number
By signing this electronically, I acknowledge that I have completely read this questionnaire/ application and comprehend it fully.

I agree to cooperate with a home check (whether in person, via picture or video; pending circumstances)

I understand that applying does not ensure approval and that untruthful answers or failure to comply with the requirements of this application can result in the forfeiture of any pet adopted by me through Our Pack Animal Rescue, Inc.

I certify that the above information is correct, and I understand that the information will be verified.

I agree to have Our Pack Animal Rescue complete reference call checks and conduct a home visit inspection to be able to approve my application.
Date *

Month Day Year
Your full name *
Should be Empty:

Adoption Application

Adoption Questionnaire

References