REDFOX'S ANIMAL RESCUE
DOG ADOPTION APPLICATION
Name of the dog or dogs you are interested in. Or are you open to any dog that we feel would be a good fit?
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Why are you interested in adopting a dog?
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Picture your perfect dog here. Please describe what you are looking for in a dog and what is most important to you. It could be a type of personality, temperament, energy level, etc. This will help us to more carefully match the dog to your lifestyle.
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Physical characteristics that are important to you such as breed, gender, color, coat length, etc.
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Explain any special criteria for the type of dog you would like to adopt? Type NA in the box if you do not have any.
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When will you be available to adopt your dog?
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Month
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Day
Year
Date
Your Name
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First Name
Last Name
Cell Phone
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Area Code
Phone Number
Home Phone
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Area Code
Phone Number
Email Address
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Home Address (Please enter the apartment number if living in an apartment).
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Street Address
Apt/Unit/Space/Lot#
City
State
Zip Code
How long have you lived at this address?
Occupation
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Is there another person who will be adopting the dog along with you? They can be a Spouse/ Partner/Family Member/Friend.
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Yes
No
Name of the Spouse/Partner/Family Member/Friend (All the following boxes must be completed if there is another person to be considered as the adopter along with yourself).
First Name
Last Name
Cell Phone
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Area Code
Phone Number
Email Address
Occupation
Are you 18 years or older?
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Yes
No
What is your living situation? (It will be verified)
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Own
Rent
Live with parents
Landlord's Name if renting. Must be answered to be considered for an adoption. Type NA in the box if you are not renting
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Landlord's Phone Number. Must be answered to be considered for an adoption. Type NA in the box if you are not renting.
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Has the landlord granted you permission to have a dog?
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Yes
No
I am not renting
Size of pet allowed and fee. Must be answered to be considered for an adoption. Type NA in the box if you are not renting.
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Is there a monthly fee?
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Yes
No
I do not rent
Age of adults (including you) and/or children who live in the household.
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Please provide the following information on all of your current pets: Name Gender Age Kind of animal Type N/A in the box if you do not have any current pets.
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How are your children around dogs?
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Fearful
Somewhat timid, but will warm up
Very comfortable and have had experience with dogs as pets
Very comfortable and have had experience being around dogs, but not as pets
There are no children in the household
Are you willing to supervise and teach your children to respect the dog?
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Yes
No
There are no children in the household
What experience do you have with dogs?
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Have you ever had a problem with dogs not getting along? If so, how did you handle it? Type NA in the box if you have never been in this situation.
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What are your thoughts on obtaining professional training for the dog?
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Do all the members of your family want to adopt a dog?
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Yes
No
Please give the reason for both yes and no answers.
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What is your home activity level?
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Quiet with no visitors
Quiet with few visitors
Busy and noisy some of the time
Busy and noisy most of the time
If you have visitors to your home, please give details. Type NA in the box if you do not have any.
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What will the living situation be for the dog?
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Inside all the time
Outside all the time
In and out as pleases
Do you have a doggie door?
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Yes
No
Have you ever potty trained a dog?
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Yes
No
Would you consider a dog that needs to be potty trained?
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Yes
No
Although most of our rescues are potty trained before being adopted, sometimes nerves will get to the best of them while adjusting to their new home and environment. How will you handle this situation if it occurs? Of course, if we do have a dog that still requires potty training, you will be informed of that up front.
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How long each day will the dog be left alone?
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Will you be using a crate/kennel for the dog?
Yes
No
Where will the dog stay when you are away from home?
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Where will the dog sleep when the family goes to bed?
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How do you plan to exercise the dog and how often?
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Name of your local veterinary hospital and phone number that you currently use. Please make sure this information is 100% accurate before submitting the application. Any inaccurate information will automatically exclude you from adopting a dog. We take this very seriously because the hospital information will be verified. Type in the box Do not have a current hospital if you do not have one.
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Name of your Veterinarian (type in the box multiple if you use more than one).
Name of the person or persons and the name of the pet or pets on the account. Please make sure this information is correct as well. Must be answered correctly to be considered for an adoption. We take this very seriously. Type NA in the box if you do not have a current hospital.
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Have you used other veterinarian hospitals either locally or out of state?
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Yes
No
If yes, the name of your other veterinarian hospital(s) used and their phone number. You may list more than one. Must give accurate information in order to be considered for an adoption. Type N/A in the box if you have never used another veterinarian hospital before.
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If yes, the name of the person or persons and the name of the pet or pets on the account. Must give accurate information in order to be considered for an adoption. Type N/A in the box if you have never used another veterinarian hospital before.
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Are all of your current pets up to date on vaccinations?
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Yes
No
Do not have any current pets
If no, please give reason. Must be answered to be considered for an adoption. Type NA in the box if you do not have any.
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Are all of your current pets spayed/neutered?
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Yes
No
Do not have any current pets
If no, please give reason. Must be answered to be considered for an adoption. Type NA in the box if all your pets are spayed/neutered.
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Are all of your dog's current on heart worm prevention?
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Yes
No
Do not have a dog
If no, please give reason why. Must be answered to be considered for an adoption. Type NA in the box if you do not have one.
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Is your yard "securely" fenced? (the fence will be inspected)
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Yes
No
If yes, please describe your fence (type, height, width, length, and any other information). Must be answered to be considered for an adoption. Type Do Not Have A Fence in the box if you do not have one.
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Do you live close to a body of water?
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Yes
No
If yes, is there some kind of divider between your home and the body of water? Please describe/explain in detail. Must be answered to be considered for an adoption. Type N/A in the box if you answered no.
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Is there anything else that you would like for us to know about you and/or your family?
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Are you willing to do a home visit?
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Yes
No
Would you be interested in fostering?
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Yes
No
Would you be interested in fostering or adopting a special needs dog?
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Yes
No
Personal Reference (non relative)
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First Name
Last Name
Phone Number
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-
Area Code
Phone Number
Email Address
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example@example.com
Relationship to Applicant (non relative)
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I am electronically signing this application by checking this box and I attest that the information provided by me on this application is true and accurate to the best of my knowledge and permit Redfox's Animal Rescue to contact my veterinarian and my landlord (if renting). I understand that submission of this application does not guarantee Redfox's Animal Rescue will adopt a dog to me.
Signature
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First Name
Last Name
Signature of Spouse/Partner (Must be completed if there is another person to be considered as the 2nd adopter).
First Name
Last Name
Today's Date
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Month
-
Day
Year
Submit
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