Mama Rhea Animal Rescue Dog / Puppy Adoption Application

Thank you for considering adoption through Mama Rhea Animal Rescue.

We are located in Hillsborough, NJ and adopt within a 2-hour driving range of our location.

Dogs and puppies are fun, loving, playful, and rewarding companions, but they are also a lifelong commitment. Before starting this application, please make sure you are prepared to fully commit to the time, care, training, and responsibility that comes with adopting a dog or puppy.

As part of our adoption process, Mama Rhea Animal Rescue requires a veterinary reference check and a brief video home visit. Please contact your veterinarian and give them permission to speak with Mama Rhea Animal Rescue regarding your current or previous pets. The video home visit allows us to view the primary living areas of your home as well as your backyard/outdoor area. Both the veterinary check and video home visit are required in order for an application to be fully processed. Because we are a volunteer-run rescue and may receive a high volume of applications, we will reach out only if your application is approved or selected to move forward.

Our goal is to find the best possible match for each dog in our care. We carefully review each application and consider the individual dog’s needs, personality, and what type of home will be the best fit. The applicant we feel is the strongest match will be contacted to continue the adoption process.

If you are ready to become a Paw Parent, please complete this adoption application as thoroughly as possible. The form may take approximately 10–25 minutes to complete.

Please note: Submission of an application does not guarantee adoption. Mama Rhea Animal Rescue reserves the right to approve or decline an application based on what we believe is the best and safest match for each individual dog or puppy.

Name of dog(s) you are interested in or type of dog(s)

Your Name

First NameLast Name

Email

A confirmation will be sent to this email.

Phone Number

Please enter a valid phone number.Format: (000) 000-0000.

Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

Occupation

PET SECURITY & SAFETY

Select the option that best describes your current home or primary residence:

If Other type of residence, please explain:

Select the option that best describes your residency:

Other

Do you have permission from your landlord to have a dog/puppy live on the property?

Landlord's Name:

Landlord's Phone #:

Please enter a valid phone number.Format: (000) 000-0000.

How many members are in your household (including yourself)?

Household members

Rows	Name	Age	Relationship
Yourself
Mem 1
Mem 2
Mem 3
mem 4
mem 5
mem 6
mem 7
mem 8
mem 9
mem 10

Does every member of your household agree to the adoption of this pet?

Is any member of your household allergic to pets or animials?

If allergic, please explain:

PET SECURITY & SAFETY

Please select the type of living situation you plan for this dog:

Is the dog allowed on the furniture?

Where will your dog sleep (be specific)?

Do you have a dog door at your residence?

Do you have a private fenced yard?

What percentage of the time will the dog be in the yard?

Do you share your yard with anyone else?

Please describe the type of fencing you have surrounding your yard:

(e.g. wooden, chain-link, concrete, etc.)

How high is your fence (at its lowest point)?

If you have a gate to enter/exit your yard, how high is your gate?

Are you certain your yard and fencing are secure enough for dog?

Do you have a swimming pool on your property?

Is the pool secure and gated?

PET SECURITY & SAFETY

Please choose the option that best describes your employment status:

When you are at work, where will the dog be?

Will anyone in your household be home when you are at work?

How many hours will the dog be left alone?

When you go on vacation or a trip, who will care for your dog? (select all that apply)

If Other type of care, please explain:

Do you currently have any other pets/animals living in your household?

What kind of pets/animals?

If Other type of animal, please explain:

Please describe the other dog(s) that live in your household?

(i.e. breed, age, sex, etc.)

Is the other dog(s) in your household spayed or neutered?

Please explain why the other dog(s) are not spayed or neutered:

Have you ever had a dog before?

How many years of experience do you have as a dog owner?

Have you ever had a dog (or another beloved pet) pass away before?

What happened to him/her?

Under what circumstances would you consider giving up/ surrendering your dog (check all that apply)?

If Other type of circumstance, please explain:

If your dog were to develop or have behavior issues (i.e., nipping, biting, barking, digging), will you be willing to consult a trainer to try to rectify the situation before giving the dog up?

If you are not willing to consult with a trainer, please explain why not?

PET SECURITY & SAFETY

Have you ever been responsible for losing a dog (or another pet) before?

How did you lose that pet?

If your dog gets out, which of the following will you do (check all that apply)?

In the past, have you ever been forced to give up your dog (or another pet) before?

What was the surrender process?

If Other type of surrender, please explain:

What will you do if/when your dog gets sick or injured?

Do you know how much veterinary care typically costs?

Are you prepared to spend the money for proper care of your dog, if needed?

If you have cost limitations, please explain:

Do you currently have a trusted veterinarian?

Name of your veterinarian or the Office ( if this is first pet type first pet or office you plan to use)

Vet Office Phone # ( Please look it up if you dont have it saved)

Please enter a valid phone number.Format: (000) 000-0000.

Town/state where your vet office is located

PET SECURITY & SAFETY

What will you do if/when your dog/puppy misbehaves (e.g. chews your favorite shoes or furniture)?

How will you get your dog/puppy to do what you want him or her to do?

Have you ever trained a dog/puppy in obedience class?

Do you still use those same training methods?

Do you think it is necessary for your dog to wear an ID tag?

A pet requires a lot of people attention. Are you prepared to spend a lot of time with your new pet (for the rest of it’s life)?

Are you prepared to make a commitment to provide love and care for this new pet (up to 15+ years, if time permits)?

By checking the following boxes, I am agreeing to the following statements:

Initials here:

Today's Date:

Date

Please verify that you are not a robot or a cat.