White Rock Dog Rescue Adoption Application

Adoption Application

White Rock Dog Rescue
Thank you for your interest in a White Rock Dog Rescue pup! We are a 501(c)3 non-profit rescue operating in the Dallas-Fort Worth metroplex. We are completely foster based (do not have a facility, all our dogs are in foster homes) and are run by volunteers.

Completion of this form does not guarantee adoption. We review all applications to find the best fitting match for the dog AND adopter.

Adoption fees are $350 for puppies under 1 years old and $300 for adult dogs over 1 years old. Flat faced dogs (pugs, frenchies, etc.) are $425 for under 1 year and $375 for adults as they require a special vet for sterilization due to their flat faces/short noses.

The adoption fee includes all required vaccines, sterilization, and microchipping. Heartworm and flea preventatives are included with each vaccination visit. If a service has not yet been completed, a voucher for the service is provided.

Adoption fees are due prior to physically taking the pup for a home trial visit. They are not collected on this form and are sent in a separate email request after meeting the pup.

Submitting this form is not a commitment to adopt, but rather it drives the whole process- setting up a meet and greet with the dog, getting any additional questions answered, etc.
The application typically takes fewer than ten minutes to complete. However, we request photos and videos of your property (the yard, the fenceline, and where the dog will sleep). Please complete this form while you are at home.
Name of the dogs you are interested in:*
Name of pup(s) or litter

Applicant Information
Which age group do you fall into?*

18-2425+
Hey, young one! We don't mean to get preachy, but owning a dog is a big financial and time commitment. Can you confirm that you can provide a secure forever home for your new pet? Dogs can live 10+ years (and smaller dogs can live 15+ years) so it is a long term commitment. Another option would be to FOSTER a dog if you are not sure you are ready.*

Yes, no problem. I'm ready to own a dog.Tell me about becoming a foster.
As a foster, you would provide a rescue dog with a safe, loving environment until we find them a perfect forever home.

We provide our fosters with all necessary supplies, including food and a crate for the dog.

In return, we ask that our fosters assist with transportation to all required vetting appointments.

You'll get to meet a variety of dogs, have all your expenses paid, and not have to commit to full-time "parenthood" until you're ready.

Click Here to Find Out More
Which applies to your current housing?*

OwnRent (I'm on the lease)Live with family/friends (but I'm not on the lease)
For renters: Please confirm that your rental agreement will allow for ownership of a dog the breed and size you are requesting and that you will pay the pet deposit before signing the contract. (We will follow up with your landlord.)

I understand and I can provide my rental agreement upon request.
Name of your landlord/ complex
Phone Number of landlord/ complex
If you live with family/friends, but are not on the lease: Please provide details on your living situation. We need to ensure it is a stable home and all inhabitants are on board with getting a new pup.
If you live with family/friends, but are not on the lease: Please confirm that the rental agreement of the property/owners will allow for ownership of a dog the breed and size you are requesting and if required, you will pay the pet deposit before signing the contract. (We will follow up with your landlord/owner.)

I understand and I can provide rental agreement/approval upon request.
Name of the landlord/complex/owner
Phone Number of landlord/complex/owner
Applicant Name*

First NameLast Name
Address*

Street Address

Street Address Line 2

CityState

Zip Code
Cell Phone:*
Confirm Cell Phone:*
Email*
example@example.com
Name of Employer and your Occupation: *
Please upload a photo of your current driver's license (this is a SECURE site)*

Upload Here
We use this information to verify age and conduct a criminal background check. Cancelof

Current/Previous Pet Information
Have you ever owned a dog before?*

YesNo
How many dogs currently live in your home? *
Please list the AGE/BREED/GENDER of your current dogs:*
EXAMPLE: Jack Russell/M/4yo/ 20lbs/ 3 years
Please list the AGE/BREED/ LENGTH OF OWNERSHIP of your last two dogs:*
EXAMPLE: Jack Russell/ 3 years
Are all of your current dogs sterilized and up to date on vaccines (proof will be required if your application is chosen)?*

YesNo
Could you please explain below...
How many cats currently live in your home? *
Any other types of pets in the home?
Chickens? Rabbits? Etc...
Have you ever had to re-home a pet?*

NoYes
What were the circumstances?

Virtual Home Visit
The last step of our screening process is a brief virtual home check.

Please send a short video of your fenced yard capturing the entire perimeter of the fence. (We just want to ensure the yard is secure so your new pup can't get loose!)

Apartment dwellers may substitute a video of where the dog will get daily exercise. (dog park, walking path...)
Fence Perimeter*

Upload Photo and Videos Here
You may use this button to upload multiple files Cancelof
Next, upload a picture of the main room where your family spends time together. We are looking for a good match between the living space and the mature size of the dog.
Main Room*

Upload Photo and Videos Here
You may use this button to upload multiple files Cancelof
Lastly, we would like to see where the dog will sleep- does not need to be exact bed or crate, just the general area, like the living room, bedroom, etc.
Sleeping Area*

Upload Photo and Videos Here
You may use this button to upload multiple files Cancelof
Add any additional comments here about your home and where the dog will get daily exercise.

Terms and Conditions

Please read carefully
I understand that White Rock Dog Rescue (WRDR) reserves the right to deny any adoption based on answers to this questionnaire, the virtual home check, and applicant interviews.*
While White Rock Dog Rescue (WRDR) has made every effort to provide an accurate history and assessment of the dog, WRDR cannot guarantee the dog's age, breed, medical status, history, behavior, or disposition. The APPLICANT releases WRDR and its VOLUNTEERS, DIRECTORS, MEMBERS, AND REPRESENTATIVES of any possible claims arising from injury or damage caused by the dog to any person or property or relating to the health or temperament of the dog. The APPLICANT accepts the dog and assumes all risk for the dog during the home trial and any resulting adoption upon submission of this application.*
I understand that White Rock Dog Rescue (WRDR) does not reimburse for any expenses related to the dog during a home trial or after adoption unless pre-approved in writing and that any dog belonging to White Rock Dog Rescue must be pre-approved for any vet visit during the home trial period. I UNDERSTAND THAT AN ADOPTION IS NOT CONSIDERED FINAL UNTIL I PAY THE ADOPTION FEE, SIGN AND SUBMIT THE ADOPTION CONTRACT, AND FULFILL ALL CONTRACT OBLIGATIONS. This includes sterilization of the dog. *

Finally...
Many of our dogs come to the rescue because of a lack of future planning. Think of your new dog as a true "baby" who may live another fifteen years. Now is the time to talk to family and friends to create a plan so your new baby won't end up homeless ever again. *
Signature*

Clear

We appreciate your interest in adopting, but we are unable to match you with a rescue dog.

Based on our experience, we require all applicants to:
- be the "head of the household"- own or be on the lease for the home.
- agree to sterilize and vaccinate all their animals.
- agree to a virtual home check. (No one from WRDR will physically visit your home, but we ask for videos and photos to ensure the dog's safety.)
Please reconsider your responses and fill out this form again if you meet the above requirements.

Thank you,

White Rock Dog Rescue
Should be Empty:

Adoption Application

Applicant Information

Household Information

Current/Previous Pet Information

New Pet Information

Virtual Home Visit

Terms and Conditions

Finally...