subject_line
ADOPTION APPLICATION
Thank you so much for your wish to rescue, save, adopt and give a furever home to one of our very deserving puppies or dogs!
ALL
our dogs are currently
in
southern foster homes,
**
unless**
it says
"NEW ENGLAND"
after their picture on their
AdoptaPet
listing, and they will come north
AFTER
they are adopted directly to their new family.
Please initial to indicate that you understand this, and would like to continue with the application process!
We are committed to matching the right dog to the right family so all will have many happy years together. Our adoption process includes the completion of an application, veterinary reference,
phone interview with your dog's Foster Mom
, adoption fee and adoption agreement. The application is the first step in the process, and the fastest way to begin the process is to submit your completed adoption application.
Please be elaborate with your answers so we may get to know you a little better via your application and before we contact you! Thank you!
These dogs and puppies all deserve a home who will treat them as family members, who will give them a warm and loving
☆
inside
☆
home, a soft bed to sleep on, plenty of food, toys to play with, family members to take them for walks and rides and, finally, give them the chance to enjoy the rest of their life.
❤ ❤
YOU ❤ ❤
are their hope, they need
❤ ❤
YOU ❤ ❤
to adopt them to complete their lives.
ALL individual questions need to be answered or this formsite will not allow it to submit.
ALL information requested is required for us to process your application.
Please
initial
to indicate that you understand this, and would like to continue with the application process!
*
PERSONAL INFORMATION
Name of the DOG you are applying to adopt
*
Your Name
*
Address -
include
Y
OUR COMPLETE ADDRESS, including town, state AND zip code
.
Do
NOT
just put a number and street name &
NO
P.O. Boxes.
Your application will be rejected without this complete info.
*
Email
*
CELL
Phone
*
Home Phone
*
Work Phone
*
HOUSEHOLD INFORMATION
Household Member 1 name (
SELF
):
*
Your
age
*
Your
occupation
*
Household Member 2 (
spouse/partner
) name
*
Household Member 2
(
spouse/partner
)
age
*
Household Member 2
(
spouse/partner
)
occupation
*
Please list the names, ages, occupations of any other members of the household
(
children/parents/friends
)
*
Do you rent or own your home
*
Rent
Own - how many years?
Own - how many years?
If you rent
,
please provide a name
AND
phone number
for your landlord.
IF YOU RENT,
PLEASE EXPLAIN RENTAL SITUATION, EG
:
Do you live in an apartment building?
Do you live in a house with a yard?
Your application will be rejected without this complete info.
If you own, please enter N/A
*
Who is your employer
*
Are there any ordinances in your city that limit the amount of pets you can own? If yes, please explain
*
Is anyone in your home allergic to dogs
*
No
Yes
Yes
Health & Wellness
Click here to download our Health & Wellness Guide
(
initial that you have read it
)
*
ADOPTION QUESTIONS
Is your yard totally fenced?
*
Yes
No
What type of fencing and height?
chain link/height,
stockade/height,
picket/height,
if no fence, please enter N/A
*
Where will the pet be kept during the day when alone and ehen with people?
C
rated inside
?
Loose inside
?
Kennel
outside
?
Loose
Outside
?
A puppy should NEVER be left uncrated when alone - too many opportunities to be injured.
*
Where will the pet be kept at night when alone and when with people?
Crated inside
?
Loose inside
?
Kennel o
utside
?
Loose outside?
*
Are there any children who visit regularly? If so, what are their ages?
*
How many hours at one stretch will the pet be without humans each day?
If more than a 4 hour stretch what is your plan to allow your dog or puppy to potty?
IF they cannot be let out they WILL potty inside - they will have no choice. Your dog or puppy needs human interaction during the day, even 4 hours alone at a time is too long for a puppy with no human interaction.
*
Do you have a plan in place for vacation/away from home care for your pet?
*
Yes
No
What is that plan?
*
What will you do with your pet if you move?
*
About what do you think pet care costs per year for
ALL
the following:
Food, vaccines, toys, unplanned emergencies?
*
We require all animals adopted from us to be spayed or neutered. Do you have any questions or reservations about this policy?
*
No
Yes
Yes
Please list all
YOUR OWN PERSONAL
pets you currently have,
THAT LIVE WITH YOU AND VET RECORDS ARE IN YOUR NAME
,
please include:
Names,
breeds or breed mixes,
sizes, ages
ARE THEY SPAYED
or NEUTERED?
Without this info your application will be rejected.
Please list pets you have owned in the past ten years, how long you owned them, and what happened to them. *
*
Are your
current
pets (
if you have any
) on monthly heartworm prevention?
IT IS REQUIRED TO HAVE YOUR CURRENT DOG(S) ON HEARTWORM PREVENTION TO ADOPT, WE WILL ASK YOUR VET IF YOUR DOGS ARE CURRENT.
●●●●●2nd PART OF QUESTION:●●●●●
***
Please answer the following:
IF you do not currently have a pet,
will your new puppy or dog
be kept on 12 months per year prevention?
*
No
Yes
What type of monthly Heartworm preventive is your dog taking? Your vet clinic can tell me when I talk with them if you do not remember.
What type of monthly Heartworm preventive is your dog taking? Your vet clinic can tell me when I talk with them if you do not remember.
Are your
current
pets (
if you have any
) on vaccinations?
●●●●●2nd PART OF QUESTION:●●●●
***
Please answer the following:
If you do not currently have a pet
will your new puppy or dog
be kept up to date on necessary vaccines?
*
No
Yes - when was their last vet checkup they received routine vaccines?
Yes - when was their last vet checkup they received routine vaccines?
If you have ever had a pet lost, disappear, or die at an early age, please provide details (dogs dying before age 10).
*
Have you ever sold, given away, or surrendered a pet?
*
Yes
No
If yes, please describe the situation.
*
How do you plan to exercise your dog?
*
All dogs, any age, can go through a major amount of stress when they leave the only home and family they have ever known, leave the only other animals they have ever known,
GET ON A TRANSPORT TO TRAVEL TO THEIR NEW HOME,
with dogs and people they have never seen and go into a new home with more strangers and more animals.
It would be a lot for anyone - dog - cat - human - to handle, some dogs acclimate more easily than others. It is important for all dogs to be given time to decompress and become aware that they are safe in their new surroundings. Please initial if you will you be willing to give them time to become accustomed to their new life:
*
If it still does not work out please initial if will you be willing to foster
THIS
dog or puppy you adopted while we find a new home
so they would
not
have to travel 1300 + miles BACK
to their rescue
.
*
The animal may not be housebroken. Are you willing to take the time to work with the animal?
*
Yes
No
Name and vet's phone number (
NOT your own phone number
) of past/current vet
.
NOTE: Please contact your vet after filling out this application and give him/her permission to talk to us about the care provided to your pets by them.
*
Name of intended vet
*
We may require a home visit as part of the application process. Will you comply?
*
Yes
No
Our standard ADOPTION fee is $485-$585/dog
. The adoption fee goes to fund medical care, food, shelter and transport for all of our animals.
Will you comply?
*
Yes
No
Have you applied to adopt from any other organization within the last 90 days?
*
Yes
No
If yes, what is the status of that application?
*
ATTENTION:
Please tell us a little about the home and family life you would be bringing this dog into.
Please be elaborate in your answer, do
NOT
answer
N/A
or
NO
, that does
NOT
tell us anything about you, we would like to have an idea of the type of home and family one of our puppies or dogs would be moving into
! Your application will be rejected without this info.
*
PLEASE make sure your whole family is in agreement with adopting this dog or puppy:
*
Yes
No
I understand
this dog is currently in a southern foster home
and WILL COME NORTH
AFTER
adoption.
*
Yes
No
I am comfortable with a long-distance, sight-unseen adoption
if I can receive extensive information about the dog from the southern foster mom.
*
Yes
No
The rescue is not liable for any claims, legal actions, losses, injuries, damages, costs, expenses, or liabilities whatsoever in connection with your visit, pick-up, adoption, or ownership of the Puppy/Dog. I attest that the Terms and Conditions of Adoption as stated in the adoption application have been read in full by me and I understand that this is part of the adoption process and will be enforced. I attest that the information provided on this application is true and accurate to the best of my knowledge. I attest that I will receive a copy of the Adoption Agreement prior to receiving my dog/puppy and also understand that completion and submission of this application does not guarantee adoption of a Rescue dog. (initial)
*
Once all your questions have been answered and your application has been approved,
the dog you are adopting would need to come north on the next available transport
directly to your area
(there is no place to "hold" a dog for you to meet first) this transport could possibly be the same week you submit your application
IF
there is space on the transport truck
, so the rescue can save another homeless dog. Do you have any questions about this?
*
Yes
No
Applicant's Signature
*
Date
*
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