Canine Adoption Application

It’s a long form…. But isn’t it worth it?

We reserve the right to decline any application based on the information we receive or are given during the approval process with no explanation to the applicant. Information received during the approval process is considered confidential. Any application not completed IN FULL will not be processed. Due to the time involved in processing applications please advise us as soon as possible if you have decided to adopt elsewhere, are no longer interested in adopting or would like to withdraw your application. This will allow us to spend time working on open applications to find adopters for our pets.

Your Name (required)

Name of spouse or significant other (if applicable):

Are you 21 or older? (required)
yesno
If you checked “No” please stop here. You must be 21 or older to adopt from us.

Your Address (required)

Your City (required)

Your State (required)

Your Zip Code (required)

Daytime Telephone Number (required)

Evening Telephone Number (required)

Your Email (required)

How did you hear about us? (required)

Have you ever owned a cat or dog before? If so, please give a brief history: (required)

Are you aware that some breeds are active, very intelligent, may shed and/or require a lot of grooming, exercise and/or interaction with their family? (required)
YesNo

Please list all other pets you currently have or have owned in the past 10 years. For each pet, please include the type of pet, name, sex, age, breed and whether it is spayed or neutered. If not spayed or neutered, please explain why. Put “none” if you have not owned other pets:

Who would be the primary caretaker of the pet? (required)

Would you prefer a (required)
MaleFemaleNo preference

Would you prefer a (required)
PurebredMixed breedNo preference

note that the majority of our rescue animals come from shelters and have no “papers.” We often determine breeds and/or “purebreds” by appearance. Please specify breed request:

Breed

How old of a pet are you looking for? (Choose all that apply) (required)
Under 1 year1 to 2 years2-4 years4 or olderNo Preference

What size are you looking for? (required)
Under 20 poundsUnder 50 poundsOver 50 Poundsno Preference

When are you looking to adopt? (required)
Right awayIn a few weeksOver a month from now

What type of home do you live in? (required)
Single homeCondoApartmentTownhouseDuplexMobile HomeOther

Do you Rent or Own (required)
RentOwn

If you rent, we must receive written approval from your landlord giving consent for the requested dog/cat to be in/on the property BEFORE the application process has started. Please email to rescueright@gmail.com.

How long have you lived at your current address? (required)
Years

If less than one year, please list your previous address:

Do you have a fenced in yard? (required)
YesNo

If you have a fenced yard, what kind of fence is it and how tall is it at its lowest point?

How will you handle exercise and toilet duties for the pet?

How many hours a day are you away from the home?(required)

Where will the dog stay when you go away? Please be specific (required)

Where will the pet spend the night? Please be specific: (required)

How would you correct the dog/cat if he/she has a housebreaking accident in your home? (required)

How would you correct the dog/cat if he/she has chewed something, like shoes or furniture? (required)

Have you and your family discussed the time, energy and effort needed to properly care for a cat/dog? (required)
YesNo

Number of adults residing in your home (required)

Their relationship to the applicant?

How many children reside in the home (please include children who are there part-time)? (required)

How old are the children?

Is anyone in the house allergic to dogs? (required)
YesNoDon't know, First pet

Veterinarian Information

Do you have a regular veterinarian? (required)
YesNo

If yes, please list the names and phone numbers (including area codes) of your last two veterinarians:

PLEASE CALL YOUR VET AND HAVE CONSENT TO RELEASE MEDICAL INFORMATION POSTED ON YOUR FILE. WITHOUT THIS INFORMATION YOUR APPLICATION WILL NOT BE ACCEPTED OR PROCESSED.

Is your current pet (if applicable) on preventative heartworm medication? (required)
YesNo

If so, what kind?

Have you ever been charged with or convicted of animal neglect, abuse or cruelty of any kind? (required)
YesNo

If so, please explain:

Would you let us visit your home by appointment? (required)
YesNo

List (3) three references, including their relationship to you, home and work phone numbers (including area codes) at which we may reach them. Please let them know that we will be calling. You may only list one family member and cannot use your veterinarian as a personal reference:

Do you understand the information received during the approval process is confidential and we cannot give details to applicants if they are denied? (required)
YesNo

By submitting your application, you are declaring that the information provided in this application is true and complete to the best of your knowledge. We can and will deny any application if an applicant has falsified any information provided during the approval process. You understand that if this application is sent incomplete then you will not be considered for approval.

THANK YOU SO MUCH FOR YOUR INTEREST IN FOSTERING A RESCUE RIGHT PET AND HELPING AN ANIMAL IN NEED!

Your Name as proof of Agreement and date (required)