MisPits and Friends Adoption Application Form

Adoption Requirements and Process

A home visit must be conducted for a safety check. We will schedule the "meet and greet" and home visit for the same appointment. We will only schedule "meet and greets" for approved adopters. A "meet and greet" does not guarantee adoption approval. We do not process adoption applications for "secondary adopters", for example adopting a dog to be given to someone other than the applicant, as a gift. MisPits and Friends Rescue will work as a "first come, first serve" basis., but will also pick the best fit for the dogs in our organization. The entire adoption process takes time as we are unwilling to sacrifice being thorough when our resources, time, energy, love, and dog's future is at stake. We thank you for your time and patience throughout our adoption process. 1. Fill out and submit an adoption application (must fill in all blanks to be submitted) 2.Vet and Personal Reference Checks 3. Phone Interview 4. "Meet and greet" between applicant and available dogs 5. Home Visit 6. Adoption is Finalized 7. Three week and three month follow-up visit or phone call 8. Lifetime invites to MisPits and Friends Rescue events, because rescuing dogs is like the M.A.F.I.A., once you get in, there is no getting out.
I understand these terms and conditions*
Initials
Name:*

First NameLast Name
Applicants Birth date*

MonthDayYear
Phone Number:*
E-mail Address:*
example@example.com
Address:*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
In the past 30 days, have you applied to adopt from another rescue organization or animal shelter?*
Is there a specific dog you are interested in? If so, please list name below.*
How were you referred to MisPits and Friends Rescue*

Volunteer/FosterFacebookInstagramPetfinderEventwww.mispitsandfriends.orgPrevious adopter
List name, age and relationship of all household members:*
List name, age, species, and breed of all pets you currently care for: This includes any pet in your household even if you are technically not the responsible party*
Please select all that applies to your animals:*

Spayed/NeuteredMonthly Heart Worm PreventativeMonthly Flea and Tick MedsUp to date on shotsNo Pets currently in my care
If you did not select all four vetting options to the previous question, please explain why.*
Please list all veterinarian offices used in the last 10 years, including addresses and phone numbers*
Did you list Shively Animal Clinic as one of your routine veterinary offices?
Please upload your records here

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Have you owned any pets in the past 5 years, that are no longer in your possession?*
If you answered yes, please explain why.*
Are there any other animals besides the ones listed that you have cared for in the last 5 years?*
Please explain if you answered yes to the previous question
Have you had a dog with parvo, canine influenza, or any other contagious illness in your home in the last 5 years. If yes, please explain.*
Is everyone in the household, in agreement of bringing a new dog home?*
What characteristics of a dog would fit your current lifestyle?*

Lap dogLow energyPlayfulExercise partnerWatch dogEnergeticKid friendlyDog friendlyCat FriendlyEmotional SupportRoad trip companionOther
What characteristics would you NOT tolerate in a dog?*
If your dog displayed one of the characteristics you listed previously, what would you do?*

Consult a Professional TrainerConsult a VeterinarianWork through it, no matter what it takesSurrender back to the rescueGet advice from someone inside the rescueOther
If you are having issues with your adoptive pet are you willing to get advice from someone inside of the rescue and work on that at least for a couple of weeks?
How do you plan to exercise your dog daily?*
Do you have any experience with the breed of the dog you have applied for? If yes, please be specific.*
Do you rent or own?*
If you rent, please provide your landlord's info below (name, phone, email, best time to contact): Disclaimer: We do check property owner information. If this question is not answered honestly you will be automatically denied*
Please describe your yard. Do you have a fence? If so, is it a chain link, privacy fence, or wireless fence? How tall is your fence? If you do not have a fence how do you plan to contain the dog when outside? Please explain.*
Will the dog be left outside for an extended period of time? If so, explain how long and why.*
Where will the dog be kept while no one is home?*
How many hours a day will the dog be left alone? *
What is your daily routine like?*
How do you feel about crate training?*
Would you object to periodic visits from a rescue representative? *
If yes, please explain.
If your circumstances were to change such as loss of job, moving, new baby, new pet, etc., what would you do with your pets?*
Does anyone in the home have allergies to dogs?*
Has anyone in the household ever been arrested, charged, or convicted of animal cruelty or animal hoarding? If yes, please explain.*
If you were to fall ill or pass before your pet, what plans do you have arranged for them?*
Do you have any upcoming trips or anything planned that may delay the adoption process?*
References

Please list three (3) references that are not in the same home as the person(s) applying to adopt. Atleast two references need to be non-family members.
Reference 1
Name:*

First NameLast Name
Phone Number*
When would be the best time to contact this person?*

9am-12pm12pm-4pm4pm-8pm
Years Known:*
Relationship:
Reference 2 - NON RELATIVE
Name:*

First NameLast Name
Phone Number*
When would be the best time to contact this person?*

9am-12pm12pm-4pm4pm-8pm
Years Known:*
Relationship:
Reference 3 - NON RELATIVE
Name:*

First NameLast Name
Phone Number*
When would be the best time to contact this person?*

9am-12pm12pm-4pm4pm-8pm
Years Known:*
Relationship:*
By submitting this application, I understand that, if approved, I agree to the following terms and conditions:
* I understand that there will always be an adjustment period for any dog coming into my home. The average is 3 weeks to 3 months, and I am willing to work with this pet to assist it in becoming a member of the family, including gradually introducing it to our home and family (including other animals), through the use of a crate, and monitoring the dog’s exposure to these things as needed. I also understand that many of these dogs have survived incredible odds and need lots of extra care and patience.

* I agree to provide proper and sufficient food, water, vet care, and humane protection as the animal may require throughout its lifetime at my expense. If the dog becomes seriously ill or injured, I will still care for the animal and assume the cost of veterinary care.

* I understand that all dogs adopted from MisPits and Friends Rescue are adopted as family members that reside indoors with their owners. MisPits and Friends Rescue adopts canine companions and does not guarantee that any dog is a working dog. Many will work naturally, but it is not guaranteed.

* I agree that an ID tag with my phone number and current license, attached to a properly fitted and buckled collar, will remain on the dog at all times.

* I agree to train this dog using firm but fair methods only. I will not abuse the dog by hitting, kicking, starving, shocking, whipping, etc. (Note: Hitting a dog repeatedly on the head, can cause epilepsy). I understand that most rescue dogs have already experienced these abusive methods. The expectation is that the animal will have a better life than it did previously.

* I AGREE TO ASSUME ALL LEGAL RISK AND OBLIGATIONS OF OWNERSHIP. Further, I agree to waive all claims against MisPits and Friends Rescue or its agents, servants, or members for illness, injury or property damage arising out of or in any way related to the adoption of a dog and to indemnify MisPits and Friends Rescue for any and all such damages incurred.

* I agree not to surrender this live animal to be used for the purposes of vivisection or experimentation. I further agree not to surrender or rehome this animal to any shelter, rescue, or individual without written permission in the form of a new contract with MisPits and Friends Rescue.

* I agree to notify MisPits and Friends Rescue if, for any reason, I am unable or unwilling to keep this animal. I understand that MisPits and Friends Rescue will accept any animal adopted from them back into their care.

* I agree to notify MisPits and Friends Rescue if the animal is lost or believed stolen and to retrieve the animal from any animal shelter if impounded.

* I agree that under no circumstances will this dog be allowed to ride in the back of an open truck or in a car with the window(s) wide open. If needed, there are harnesses designed for a dog to safely ride in a vehicle.

* I agree that I will not have this animal euthanized unless it is necessary for the humane relief of suffering due to serious and untreatable illness, injury, or other condition, and will only do so with the advice of a qualified veterinarian.

* I agree to allow a designated agent or member of MisPits and Friends Rescue to visit me at my premises, with prior notice, to check on the welfare of the adopted dog. I also agree to allow said agent or member to remove my adopted dog after any such inspection, if the agent or member is not reasonably satisfied that said dog is being properly cared for or the agent or member reasonably believes the animal is being abused or the adopter/residence is in any way unsuitable. Should I disagree with the agent or member's judgment, I agree not to sue MisPits and Friends Rescue, but will submit the dispute to arbitration with a neutral arbitrator experienced in animal care and agreed upon by both parties. Each party is to bear its own costs and attorney's fees for such arbitration.

* I agree that MisPits and Friends Rescue reserves the right to reclaim both possession and ownership without payment of any kind with or without court action in the event that I do not comply with the adoption contract provisions. In the event that MisPits and Friends Rescue reclaims the pet I will waive claims that I might otherwise have arising from such reclaiming.

* I understand that if the dog dies as a result of breaking any of these covenants, my relationship with MisPits and Friends Rescue will be terminated. MisPits and Friends Rescue will not "find me another dog" to adopt nor recommend me to another group or shelter. I further understand that under certain circumstances (e.g., neglect, abuse, or rehoming/surrendering without permission) that MisPits and Friends Rescue may inform other rescue groups and shelters of the situation in an effort to protect other animals.

* I also agree that if the information given pertaining to this adoption is found to not be accurate to the best of my knowledge, I forfeit all rights and ownership of the dog adopted from MisPits and Friends Rescue.

* I further agree to pay and reimburse forthwith MisPits and Friends Rescue for any and all legal fees and court costs it incurs in enforcing the terms and conditions of this contract.

RETURN POLICY/TRIAL PERIOD
I understand that I, the adopter, must return the dog to MisPits and Friends Rescue if the adoption is unsuitable. Unsuitable is defined as a problem which cannot be resolved with either a family member or other animal within the family. The adopted dog is to be returned to MisPits and Friends Rescue, not sold or given away. I further understand that the adoption fee money has already been spent toward saving the life of the next homeless dog and, therefore, I will not receive a refund of the adoption fee. I understand that I should maintain diligent contact with MisPits and Friends Rescue through the important and crucial first two weeks that the dog is in my home and alert them of any problems I may have with my new dog. If no contact is made, MisPits and Friends Rescue will assume there are no problems. MisPits and Friends Rescue will make an attempt to check on the dog within that time period, as well.

If life circumstances change and I cannot keep the animal, I will contact MisPits and Friends Rescue FIRST and make arrangements to return the animal. I understand that MisPits and Friends Rescue may require me to hold the dog until space can be made available for it within their foster home network. A health certificate is required prior to return. I will not sell or give the dog away to anyone without prior written approval from a MisPits and Friends Rescue agent. I will be responsible for the cost to return this pet.

HEALTH/TEMPERAMENT
I understand that all dogs are adopted “AS IS.” Most animals adopted through MisPits and Friends Rescue have been rescued from shelters and, therefore, there is often little or NO known history on any individual animal. All estimates of age and assessment of temperament are based, first, on shelter evaluations and further validated by the foster home(s) in which they reside while in rescue. MisPits and Friends Rescue makes every effort to place only healthy animals of suitable temperament, but cannot guarantee the "future" health or temperament of any adopted animal. As an adopter, I am responsible for making the “hard choices” that any owner would have to make should the animal become gravely ill or become overtly aggressive.

I understand that all medical records for the dog I am adopting will be provided to me within a reasonable time period after the adoption is finalized. I understand that a health check by my veterinarian should be done within one week of taking possession of said dog. I acknowledge that MisPits and Friends rescue would never knowingly adopt a dog with undisclosed physical or temperamental problems. I will ensure that my veterinarian knows the "normal" temperament of this dog’s breed. If there is an unforeseen problem, I will contact MisPits and Friends Rescue immediately.

HEARTWORM WARNING: It has been discovered that a dog can test negative for Heartworm but later test positive, even if preventative has been
given in the interim. This is because at the time of initial testing the adult female heartworm had not developed enough to produce antigens that would show up when the first test was taken. It is not MisPits and Friends Rescue’s responsibility or fault if the dog tests positive for Heartworm at a later date. By signing this adoption contract I release MisPits and Friends Rescue from all financial liability stemming from a positive Heartworm test after adoption. MisPits and Friends Rescue has taken every precaution to ensure any dog adopted is free of Heartworm infection. It is very important to keep my dog on a Heartworm Preventative program during the mosquito season, so he/she does not get Heartworms. (Note: Puppies under six months cannot be tested for existing Heartworm infection.)

Upon adoption a written copy of this contract must be signed.
I have read and agree to the terms and conditions above.*

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Date*

YearMonthDay
Date
Signature*

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Adoption Requirements and Process

By submitting this application, I understand that, if approved, I agree to the following terms and conditions: