Adoption Application Dog Adoption Application Thank you for considering adoption of a pet in need. Please ensure this application is filled out completely and that all family members are in agreement about adding this pet. A pet is a serious commitment that can be over 15 yrs. We will do our best to ensure that the pet you are looking at is a good match for your home and the following questions will help with that decision. Please Note: We do not adopt out to anyone who uses an e-collar for training or has a unaltered pet (not due to age or medical reasons). Name of pet you are interested in adopting:Your full nameAge:Names and ages of people living in your home.Mailing AddressAddress LineCityStateZip CodePhone:EmailAre you the homeowner? Yes NoIf you are not the homeowner, please contact your landlord to ensure you can adopt.Landlord NameLandlord PhoneIf further training is needed are you willing to work with a trainer: Yes NoDo you have a fenced in yard? Yes NoIf yes, please describe type/height of fence:If no fence, how do you plan to meet the exercise needs of the pet:How many hours a day do you expect the pet to be left alone?Where will the pet be kept when home?At night?While you are gone?Have you ever been charged with animal cruelty? Yes NoHave you ever rehomed a dog or cat? Yes NoIf yes, why?Have you ever euthanized a pet for non-medical reason's Yes NoIf yes, why?If you have existing animals are they current with their vaccinations: Yes NoAre they spayed/neutered? Yes NoPlease list animals in your home by Type, Breed, and AgeWe will be contacting your veterinarian to verify information. Supplying their name and phone number is also your consent for us to contact them.What is the best time to reach you to discuss adoption?What is the name of your veterinary clinic?Vet PhoneRuff to Rescue Express requires a home visit prior to any adoption. All members of household must be present during the visit so we can see how pet reacts to the home and all potential new family members. Do you consent to this home visit? Yes NoSelecting NO will result in denial of application.Any additional information or comments?By submitting the above application to Ruff to Rescue Express you certify that the above information is true and correct to the best of your knowledge. You also acknowledge false information will result in denial of application.Send