Ridge's Rescue

Ridge's Rescue

Adoption Application
Contact Information
Name*

First NameLast Name
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
How long have you lived at this address?*
Phone*
Please enter a valid phone number.
Email Address*
example@example.com
Best time/method to contact you:*
Family & Housing

*Note: If renting, we will be contacting your landlord.
Do you rent or own?*
If you rent, please provide us with the rules governing pets:
Landlord Name:

First NameLast Name
Landlord Phone Number:
Please enter a valid phone number.
Landlord Email Address:
example@example.com
At the time of this application, I have notified my landlord that a Ridge's Rescue representative will be contacting them for a reference check via email/text. (Initial below)
Please list all adults in your household, along with their relationship to you:
Please list all children in your household, along with their ages:
Do you have a fenced yard?*
Please describe your household (check all that apply):*

ActiveNoisyQuietAverage
Does anyone in the household have a known allergy to dogs?*
Is everyone in agreement with the decision to adopt a dog?*
Do you have time to provide adequate love and attention?*
Household Pets
What other pets do you have (specify type/number of dogs, cats, etc)?*
How are your current pets around other dogs? Playful? Timid? Indifferent?
Are these pets up to date on vaccines?*
Are these pets spayed/neutered?*
If not spayed/neutered, please explain why:
Have you ever surrendered a pet? If so, why?*
Have you ever had a pet euthanized for reasons other than old age? If so, why?*
Have you ever lost a pet to an accident? If so, what happened?*
How do you discipline your pets?*
Veterinarian Information

*Note: We will be contacting your veterinarian.
Do you have a regular veterinarian?*
Veterinarian's Name:
Veterinarian's Address:

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Veterinarian's Phone Number:
Please enter a valid phone number.
By providing Ridge's Rescue with this information, you are granting permission for a Ridge's Rescue representative to call your vet.
At the time of this application, I have notified my veterinary office that a Ridge's Rescue representative will be contacting them for a reference check. (Initial below)
Training
Do you currently have a trainer that you work with?*
Trainer Name

First NameLast Name
Trainer Phone Number
Please enter a valid phone number.
Do you authorize Ridge's Rescue to contact this trainer?
Do you plan to take an obedience class with your dog?*
Do you understand that under certain circumstances, obedience training will be part of the adoption contract (if required training is not continued, Ridge's Rescue can reclaim custody of adopted pup)?*
About the Dog You Wish to Adopt
What is your idea of an ideal dog and why?
Desired Age:*
Desired Size:*
Desired Breed:*
Breed you would not adopt:*
Desired Sex:*
Name of Ridge's Rescue pup you are applying for:*
Willing to adopt:*

Outgoing/hyper dogDog that needs regular medicationShy dogDog that needs trainingDog that needs groomingNone of these
Where will the dog spend the day? (Describe)*
Where will the dog spend the night? (Describe)*
Number of hours (average) dog will spend alone?*
Who will have primary responsibility for this dog's daily care?*
Who will have financial responsibility for this dog?*
Do you agree to provide regular health care by a licensed veterinarian?*
Do you agree to keep this dog as an indoor dog?*
When the dog goes out, how do you plan to supervise?*
Do you understand that your dog may develop issues as it adjusts to your home?*
Will you tolerate housebreaking accidents, chewing, barking/whining?*
Personal References

Please list 3 references who are familiar with both you and your pets (only 1 can be a family member). Additional references may be requested.
Personal Reference #1*

First NameLast Name
Personal Reference #1 - Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Personal Reference #1 - Phone Number*
Please enter a valid phone number.
Personal Reference #1 - Email Address*
example@example.com
Personal Reference #1 - Relationship*
(Relative, neighbor, friend, etc)
Personal Reference #2*

First NameLast Name
Personal Reference #2 - Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Personal Reference #2 - Phone Number*
Please enter a valid phone number.
Personal Reference #2 - Email Address*
example@example.com
Personal Reference #2 - Relationship*
(Relative, neighbor, friend, etc)
Personal Reference #3*

First NameLast Name
Personal Reference #3 - Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Personal Reference #3 - Phone Number*
Please enter a valid phone number.
Personal Reference #3 - Email Address*
example@example.com
Personal Reference #3 - Relationship*
(Relative, neighbor, friend, etc)
Are you willing to let a representative of Ridge's Rescue visit your home by appointment?*
How did you hear about Ridge's Rescue?*
I agree to contact Ridge's Rescue if I can no longer keep this dog. (Initial below)*
I agree and understand that under no circumstances will a Ridge's Rescue dog be given away, surrendered, euthanized or sold without contacting us first. (Initial below)*
All of the information I have given is true and complete. This dog will reside in my home as a pet. I will provide it with quality dog food, plentry of fresh water, indoor shelter, affection, annual physical examination, and vaccinations under the supervision of a licensed veterinarian.*

Clear
Date*

MonthDayYear
Date
Please upload a copy of your driver's license here:*

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Please verify that you are human*
Should be Empty:

Contact Information

Family & Housing

Household Pets

Veterinarian Information

Training

About the Dog You Wish to Adopt

Personal References