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ADOPTION APPLICATION
Tell us about you:
First Name
Last Name
Phone
Email
Age
Under 25
25 - 28
29 - 33
34 - 40
41 - 47
48 - 56
57 - 65
65+
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Confirm Email
Address
City
State
Zip Code
Name of dog of interest OR describe the type of dog you are looking for (age, sex, color, etc.)
Tell us about your work:
Occupation
Employer
How long at current job
Under 1 year
1 - 5 years
6 - 10 years
Over 15 years
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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?
YES
NO
Not Applicable
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Years living at current address?
Under 1 year
1 - 5 years
6 - 10 years
Over 10 years
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Do you have a fenced yard? (We don't think a yard is always required)
YES
NO
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Do you plan on moving in the next year?
YES
NO
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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?
YES
NO
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Do you have children?
YES
NO
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Please list all residents in your home and ages:
Have your children lived with dogs in the home before?
YES
NO
Not Applicable
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Does anyone in your home have animal allergies or asthma that would prevent you from caring for this dog?
YES
NO
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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?
Never
1-3 hours
3-6 hours
6-8 hours
8-10 hours
Over 10 hours
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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?
YES
NO
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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?
Facebook
Instagram
Friend or Family
Google Search
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