Dog Adoption Application
Please copy and paste this into an email and then email completed form to us at email@example.com Email us if you would prefer we email the form to you for completion.
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:
How many people live in your home: Their ages:
Full Mailing Address (including Zip code):
Phone number: Email address:
Are you the home owner: If not home owner, please contact landlord to ensure you can adopt.
Landlord's name: phone number:
Please describe what attracted you to this pet:
If further training is needed are you willing to work with a trainer: YES NO
Do you have a fenced in yard: YES NO
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 pet be kept when home: At night:
While you are gone:
Have you ever been charged with animal cruelty: YES NO
Have you ever re-homed a dog or cat: YES NO If yes, why:
Have you ever euthanized a pet for non-medical reason's: YES NO If yes, why:
If you have existing animals are they current with their vaccinations: YES NO
Are they spayed/neutered: YES NO if not, why:
Please list animals in your home: Type, Breed and Age
Which Vet clinic do you use: Phone:
We will contact them to verify information, please list vets phone number (supplying this information is also your consent to contact them)
Ruff to Rescue Express requires a home visit prior to any adoption, all members of household must be present so we can see how pet reacts to home and all potential new family members. Do you consent to this home visit? YES NO Selecting NO will result in denial of application.
What is the best time to reach you to discuss adoption:
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.