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 name

Age:

Names and ages of people living in your home.

Mailing Address

Address Line

City

State

Zip Code

Phone:

Are you the homeowner?

Yes

If you are not the homeowner, please contact your landlord to ensure you can adopt.

Landlord Name

Landlord Phone

If further training is needed are you willing to work with a trainer:

Yes

Do you have a fenced in yard?

Yes

If 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

Have you ever rehomed a dog or cat?

Yes

If yes, why?

Have you ever euthanized a pet for non-medical reason's

Yes

If yes, why?

If you have existing animals are they current with their vaccinations:

Yes

Are they spayed/neutered?

Yes

Please list animals in your home by Type, Breed, and Age

We 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 Phone

Ruff 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

Selecting 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.