Application | Rags2Rescued

ADOPTION APPLICATION

Tell us about you:

First Name

Last Name

Phone

Age

Confirm Email

Address

City

State

Zip Code

Name of dog of interest OR describe the type of dog you are looking for

Tell us about your work:

Occupation

Employer

How long at current job

I will be able to cover the adoption fee of $875 and cover regular monthly dog expenses. (eg. healthy diet, vet costs, proper care for when you are away from home longer than 6-8 hours or vacation)

Tell us about your living environment

Please describe your living environment and surrounding area:

If you rent, does your landlord allow pets?

Years living at current address?

Do you have a fenced yard? (We don't think a yard is always required)

Do you plan on moving in the next year?

If you decide to move in the future, what will you do with your dog?

Tell us about your family and other pets

Are all members of the family aware and on board with adopting a rescue dog?

Do you have children?

Please list all residents in your home and ages:

Have your children lived with dogs in the home before?

Does anyone in your home have animal allergies or asthma that would prevent you from caring for this dog?

Please list all pets you have currently (animal, age and sex) and or have had in the past

Tell us more about your plan

How many hours will the dog be alone in a day?

Where will the dog stay when you are not home during the day? Where will he sleep at night?

Are you willing invest time and money in training classes with all members of the family?

Who will care for your dog when you are out of town or away from the house for more than 6-8 hours?

How do you plan to exercise the dog? How many days a week and for how long?

Where do you plan to take the dog for training?

What would you do if the dog develops behavior problems outside of basic obedience training classes?

Veterinarian and/or Vet Clinic Name

Why do you want to adopt a former street dog?

List 2 references other than family you have known for at least 3 years

Reference 1 Name

Reference 1 Phone

Reference 2 Name

Reference 2 Phone

I hereby certify that all information given in this application is true and complete. I acknowledge that any misrepresentation of this information will result in the adopted animal being reclaimed by Rags2Rescued.

How did you hear about us?