So MD Animal Rescue: Dog Adoption Application

Submitting this application does not mean you are commiting to a dog, nor does it guarantee you will get that dog. It is simply a tool we use to help both you and us identify a good potential match for your family and lifestyle.

A successful adoption depends on selecting the right dog for your household and a good understanding of the dog's needs and care requirements. Please help us with this process by answering the following questions fully & completely. THANK YOU!

Name of the dog you want to adopt

Applicant's Name

First & Last Name

Co-Applicant's Name

First & Last Name

Address

Street Address

Street Address Line 2

CityState

Zip Code

Applicant's E-mail Address

Phone Number

Area CodePhone Number

Phone Type

Names and ages of all residents in your home, including yourself.

Do you currently have any pets?

If you currently have pets, please list them below.

Are your current pets altered and vaccinations up to date?

If your current pets are not altered, please explain why below.

Vet reference (please call your vet and give permission to release information to us)

Vet name, address & phone number

Two Personal References - Include Name, Phone Number, relationship and length of relationship. Please let your references know we will be contacting them.

Are you planning to move in the within the next 90 days?

I you answered yes, please explain your plans for your new pet.

When will you be ready to adopt this dog?

Is anyone in your home allergic to dogs?

Does anyone in your home fear dogs?

Are you familiar with dog regulations in your area?

If you answered no to the question above, please contact your town/county/condo assoc and ask them what the regulations are.

I/We live in a

Do you rent or own this property?

Renters must provide a written letter or a copy of the lease proving pets are allowed and what restrictions there are. Have you already gotten this documentation together?

Condo / Townhome owners, or owners living in an HOA neighborhood, you must provide written documentation that pets are allowed and what the restrictions are. Have you obtained this documentation?

We must have all required written documentation before we will continue processing the application. Note that this could delay your application allowing the dog your are interested in being adopted by someone else.

Approximate square footage of your home

Do you have a yard?

If vertical fence, what is your fence height?

Annual Household Income

Do anyone stay / work from home?

If you answered no above, how many hours a day will the dog be home alone?

Where will the dog be kept when home alone? Please note that we do not adopt to owners who leave their dogs outside.

Will you dog be allowed on the furniture?

Where will the dog sleep at night?

Have you discussed this adoption with all members of your household?

We will be speaking to all adult residents to confirm everyone is aware of this application process and wants to have a dog added to the family. Please do not submit this application if you are "trying to talk someone into" adopting this dog or think "once they meet the dog, they will want one" or "I'm getting this dog as a surprise birthday present for them." In those scenarios, you are welcome to email us to discuss the dog, but we require that all adults have been part of the decision to adopt.

How much do you feel you can reasonably afford and would be willing to spend on your dog per year (for things like veterinary care, licensing, ID tag, food, toys, crate, other supplies, training, pet sitting, etc)?

Please check all that apply. I want to adopt this dog...

Please take time to think, be honest with yourself and us when answering this question. What are you absolutely NOT willing to deal with at the time of adoption or at any time during the life of the dog?

For what reason would you return a dog?

What do you feel is a reasonable amount of time for a rescue dog to adjust to life with you and your family?

How do you plan to introduce your new dog to your family (other pets) and help integrate this dog into your family?

What would you do if your dog was diagnosed with a life threatenening condition?

What would you do if your pet was diagnosed with a life threatening condition?

What brand of dog food do you plan to feed?

Do you plan to take formal obedience classes?

Do you have any additional comments, questions or concerns? Anything else you would like us to know to help match you up to a dog?

I understand that completing this application does not guarantee I will be allowed to adopt a dog, and that the application is a tool to help So MD Animal Rescue determine if this dog and my family are a good fit for each other. I acknowledge that all information provided on this form is true and correct. I understand that any misrepresentations may result in my not being approved and/or removal of the adopted dog from my possession. I also certify that I have never been convicted of animal cruelty or neglect.

I agree to allow a representative from So MD Animal Rescue to contact my vet for a reference and also agree to allowing a home visit prior to adopting this dog. If I am approved to adopt a dog, I agree to pay a non-refundable adoption fee and hand sign an adoption contract at the time of adoption.

Please read the above, check this box, sign, and click Submit.

Applicant's Signature

Co-Applicant's Signature

Signature date

Feel free to email us with any questions - Smar46@aol.com

Renters: Please send a copy of the pet section of your lease or a landlord pet permission letter to the email address above.

So MD Animal Rescue reserves the right to reject any application based on information obtained during this screening process. Please understand that our primary goal is the health, happiness, and safety of our rescued dogs.