Rogues Rescue Ranch Application

Rogues Rescue Ranch

This application will help RRR in placing our animals in a home best set up for success! Thank you for supporting our cause.
Applicant Details

Applicants Personal Information
What is the name of the pet you are applying for?
Are you applying to Foster or Adopt?

FosterAdopt
Who will be the pets Primary care giver? (Full Name)*
Applicants Name*

First NameLast Name
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Primary Phone Number*

Area CodePhone Number
Secondary Phone Number

Area CodePhone Number
Primary E-mail*
example@example.com
How do you prefer to be contacted?
Employer*
Employer Phone Number*
I / We live in a*
If other, Please Describe:
Do you Own or Rent?*
Please provide the Name & Contact Number for your Landlord/Property Management
Does your Landlord/PM/HOA allow animals at your residence?*

YesNo
Are there any restrictions on having animals at your residence?*

NoNumber of PetsSize/Weight RestrictionsBreed RestrictionsOtherUnknown
If other, Please Explain
Do you have access to a yard/back yard for Pottying & Exercise?*

YesNo
What is the size of the yard?
Is the yard fully fenced?*

YesNo
What is the type of fencing being used?
If other, Please describe:
Does your yard include a pool?

YesNo
What do you plan to do with the animal if you move? What if there are restrictions pertaining to your pet?
How many adults are in your household?*
How many children are in your household?*
Please list children's ages:
Have your children been around animals before?

YesNo
Have they had a traumatic or negative experience with animals previously? If yes, please explain at your own discretion.
Does anyone in your home have asthma or animal related allergies?*

YesNo
If animal related allergies, please describe at your own discretion:
Are all members of the household in agreement of fostering/adopting?*

YesNo
How soon are you wanting to foster/adopt?
Personal Reference: Full Name, Phone Number, Email, & Relationship to you.
Pet Details

Current/Previous Pet Information
Do you currently own any pets?*

YesNo
Please list all current pets: (Name, Breed, Age)
Are your pets up to date on vaccines, preventatives (Heart-worm/Flea & Tick), spayed/neutered?*

Up to Date on VaccinesCurrently on HW PreventativeCurrently on Flea & Tick PreventativeSpayed/NeuteredNone of The Above
Please explain why not:*
How is your current pet(s) with other animals: (Select All That Apply)

Dog-FriendlyCat-FriendlySmall-Animal/Livestock FriendlyNot dog-friendlyNot cat-friendlyNot-small animal/livestock friendlyDog-SelectiveCat-SelectiveShy upon IntroductionOver-Confident upon IntroductionUnknown
List any pets you have owned in the past 5 years & where they are now:*
Do you have a regular vet you use/used?*

YesNoI would like help finding one
Vets Name & Address:
Vets Phone Number

Area CodePhone Number
Under what circumstances would you have to surrender your pet?
Have you ever had to surrender an animal?*
Please briefly explain whyr:
Applicant Preferences

Information for RRR's Representatives to help place our animals
What food do you plan on feeding your new pet?
How would you describe your level of animal owning experience?
Are you considering adopting/fostering more pets in the future?*

YesNo
Would you consider adopting a pet with existing medical needs that are currently being treated? (Ex: Heart-worms)
Would you consider adopting a pet with special needs? (Ex: blind, deaf, missing limbs, senior/hospice)
What qualities or preferences are you looking for in your next companion?
Please select any of the following behaviors you are concerned with:*

JumpingPulling on LeashMouthingExcessive BarkingRefusal to be HandledFear/AnxietyI'm not concerned with any behaviorsOther
Which of the behaviors are you willing to work through, with training advice & guidance from RRR?
Do you plan on crate training your new pet?*
Have you every potty-trained an animal before?
Describe your Household Activity Level:*
Please briefly describe your average day:
What activities are you looking forward to doing with your new companion?
Where will your new pet stay when you are not home?*
Where will your new pet sleep at night?*
Have you previously adopted/fostered from a rescue group or shelter?
Which rescue group or shelter?
Who will inherit the animal in the unexpected event of a death? (Please list two references Full Names & Phone Numbers)*
If RRR is unable to board your animal, who will care for the animal when you travel without your pet?
How did you hear about us?

FacebookGooglePetFinderFriend/Family MemberOther
By signing below, I agree to the terms and conditions as follows:

I acknowledge that Rogue's Rescue Ranch has full authority to deny my application for any reason based on their experience and knowledge, not only in the rescue field, but also with the animal(s) that I am applying for.

I hereby acknowledge and agree to a required home check, that will ensure the future safety of the animal(s) I am applying for.

I hereby acknowledge that Rogue's Rescue Ranch has full authority to run a background check if, for any reason, they deem it necessary.

I hereby acknowledge that if I choose to not complete this application to 100%, that it will lower the probability of application approval.

I hereby acknowledge that I have thoroughly read and understand the terms and conditions stated on this application.
Signature (Please write in the space alloted with your mouse)*

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Rogues Rescue Ranch

Applicant Details

Pet Details

Applicant Preferences