Adoption Application

* Indicates required field

Date *

Which dog(s) are you interested in adopting? *

Name *

First

Last

Home Phone Number *

Cell Phone Number *

Occupation *

Length of time employed *

Adoption Fee *

Address *

Work Phone Number *

Email *

Please give us the name and telephone number of your employer *

Your spouse's/living partners' name & profession *

How were your current/previous pets acquired? (Adopted/Purchased/Other) *

Please list the name and number of your current or most recent veterinary care office along with your pet's name if applicable *

Have you ever given up a pet? Y/N and any details *

Do you have a fenced-in yard? *

Yes No

If renting, we must verify that you are allowed to have a pet. Is this okay? *

Do you have or have you owned any pets within the last 10 years? If so, please list the Type, Breed, Length of Ownership & Age *

If your pet(s) are no longer with you please explain the reason *

Do you spay/neuter your pets? If not, why? *

What are your living arrangements? (Rent, Own or Other) *

Landlord's name and phone number (If renting) *

Please list the Name(s) & Age(s) of those living in the home *

Please provide us with 2 references that we may contact (Name, Phone Number, E-Mail, Years Known) *Reference #1* *

How many hours will the dog be left alone? *

Will he/she be an indoor or outdoor dog? *

Where will he/she be kept when no one is at home? *

Are you aware that the annual cost of veterinary expenses for a dog are approximately $500? *

Yes No

How did you hear about us? *

I understand that this application does not ensure adoption and that I may or may not be eligible for adoption under the Rescue Angel's guidelines. I give Rescue Angels permission to contact my references, veterinarian, and landlord (if applicable) regarding all statements in this application. Misrepresentation or omission of facts is cause for denial of adoption. By signing below I attest that all statements made by me in this application are truthful. I agree to be bound by all terms of the Adoption Agreement in the event that this application is approved by Rescue Angels (please sign and date): * This will be considered an electronic signature* *

Does anyone in your home have allergies? (What kind?) *

Please provide us with 2 references that we may contact (Name, Phone Number, E-Mail, Years Known) *Reference #2* *

If dog is left more than 5 hours, will you hire a dog walker? If no, why? *

Where will he/she spend their nights? *

Are you aware of State & Local Ordinances concerning leashing? *

Yes No

Are you aware of State & Local Ordinances concerning licensing? *

Yes No

I understand that this is a life-time commitment and promise that this decision was not taken lightly. I understand the commitment in adopting a dog and am ready for this step in my life. I have approval from my landlord (if applicable) and am ready to adopt this dog with no hesitation. I have thought about my schedule and lifestyle and have determined that it is fit for adopting a dog (please sign): * This will be considered an electronic signature* *

City & State Application was submitted *

Submit

Please review our Adoption Contract and once your application is processed
and approved, please be ready to sign it upon pickup!

Adoption Contract