Adoption Application

We are committed to matching the right pet 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 pet'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 application.

The more elaborate and detailed your answers are, the better we are able to determine your "fit" with the animal you are applying for and will decrease the amount of time it will take to process it. One word answers, when there could be a more detailed answer, will simply delay the process.

ALL of our animals are currently IN southern foster homes, regardless of what it says on petfinder, and will come north AFTER they are adopted. There is a $160.00 transport fee that is not included in the adoption amount.

Please initial below to indicate that you understand this, and would like to continue with the application process.

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Personal Information

Name of the animal you are applying to adopt *

First Name *

Last Name *

Street Address *

Address Line 2

City *

State *

Zip Code *

Cell Phone Number *

Home Number *

Email Address *

Who is your employer? *

What is your work schedule ? *

Household Information

Household Member 1 name (self): *

Household Member 1 age: *

Household Member 1 occupation: *

Household Member 2 name: *

Household Member 2 age: *

Household member 2 occupation: *

Please list the names, ages, occupations of any other members of the household:

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 own, please enter N/A

Are there any ordinances in your city that limit the amount of pets you can own? If yes, please explain. *

Is there anyone in your home allergic to dogs? *

Yes

No

Adoption Questions

Is your yard totally fenced? *

What type of fencing and height? Chain link, stockade, picket, if no, please enter N/A *

Where exactly will your pet be kept during the day? *

Where exactly will your pet be kept at night? *

Describe a typical day for your pet. *

Are there any children who visit regularly? If so, what are their ages? *

How many hours at one stretch will the pet be without You each day? If more than a 4 hour stretch what is your plan to allow your pet to potty? If they cannot be let out they WILL potty inside - they have no choice. *

Do you have a plan in place for vacation/away from home care for your pet? *

What is the plan? *

What will you do with your pet if you move? *

About what do you think pet care cost per year? 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

List all pets you currently have, please include: Name, breeds, or breed mixes, size, ages, spayed or neutered? Please list pets you have owned in the past 10 years, how long you owned them, and what happened to them *

Are your current pets (if applicable) on monthly heartworm prevention? If yes, list the brand of prevention *

No

Yes Yes

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? *

If yes, please explain the situation *

How do you exercise your pet? *

The animal may not be housebroken. Are you willing to take the time to work with the animal? *

Name and phone number of the past/current vet. NOTE: Please contact your vet after filing 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 *

If you have not owned any pets, please provide a family vet for us to call and have the account holder to contact their vet. *

Account holders name and past/current pets names. *

Personal References

First Name *

Last Name *

Relationship *

Phone Number *

Email Address

First Name *

Last Name *

Relationship *

Phone Number *

Email Address

We may require a home visit as part of the application process. Will you comply? *

Adoption fees vary per animal depending on the extent of vet care was required. The individual adoption fee is posted on each dogs pet finder profile, the standard ADOPTION fee is $350/dog, $200/cat, UNLESS posted otherwise. The adoption fee goes to fund medical care, food, and shelter for all of our animals, not merely the one you are applying for. Will you comply? *

Have you ever applied to adopt from any other organizations within the last 90 days? *

If yes, what is the status of the application? *

Is there anything else we should know that would help us to understand your application? *

Is your whole family in agreement with adopting this dog/puppy? *

I understand this dog/cat is currently in a southern foster home and will come north after adoption. *

This rescue is not liable for any claims, legal actions, losses, injuries, damages, cost, 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/cat you are adopting would need to come north on the next available transport directly to you (there is no place to "hold" a dog/cat 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. Transport fee is $160 paid by the adopter.
Do you have any questions about this?
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Applicant's Signature *

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