Rescue Adoption Application

The Rescue Adoption Application

* Indicates required field

Name *

First

Last

Phone Number *

Email *

Address *

Line 1

Line 2

City

State

Zip Code

Country

DOB *

Secondary Contact Name *

First

Last

Secondary Contact Phone Number *

Who are you interested in adopting? *

What has drawn you to this particular dog/breed? *

Please provide some information about your home, lifestyle and family. Example: How many people are in your household, activity level, activities you would like to do with you dog, any other information about yourself *

Do you currently have any other pets in your home? *

Yes No

If answered yes to the above question please provide details below - including buy not limited to breed, sex, spayed/neutered, up to date on vaccination. *

What is your experience with dogs? Example: Previous pets/breeds owned *

Where will the dog be if your are at work/away from the home? *

Is your property fenced? *

Do you agree to continue crate training your dog? *

If faced with impossible circumstances such as homelessness or financial crisis what arrangements would you make for your dog? *

Please provide two Character References we can contact (name and number, brief description of who they are) who can confirm you would be a responsible pet owner *

**If your application is successful you will be contacted by a team member from The Rescue, who will advise the next stage of the adoption process and set up a meet and greet with the dog/puppy of interest.

Submit

YOUR CART

The Rescue Adoption Application