Adoption Application

Applicant

* Full Name: * Address:
* Home Phone: * City:
Cell Phone: * State:
* Email: * Zip:

Pet Preferences

What type of pet are you interested in? DogCatOther
If you selected "Other", please explain:
* Sex preference for adoption:
* Age preference for adoption:
* Size preference for adoption:
Breed preference for adoption (if applicable):
Name of pet you’re interested in adopting (if applicable):
* How did you learn about TRP and our animals available for adoption?
If you selected 'Other Event' or 'Other', please explain:

Your Home

* I (we) live in a:
* Do you own or rent? OwnRent
* How long have you lived at this address?
* Do you plan to move in the near future?
* If you rent, do you have your landlord’s permission to own a pet? YesNoNot Applicable
Landlord's name:
Landlord's phone:
* Do you have a securely fenced yard? YesNo
* How long will the animal be left alone (hours)?

Your Family

* How many household residents?
* How many children?
* Ages of the children?
Family status: MarriedSingleRoommatesOther
* Do you or any of your family members have any ongoing medical conditions (including allergies) that may interfere with properly caring for your pet? YesNo
Please explain:

Employment

You

Spouse / Partner

* Employer: Employer:
* City: City:
* Phone: Phone:
* Position: Position:
* Hours Per Day: Hours Per Day:

Pet History

* Have you owned a pet in the last 5 years? YesNo

Please list up to four of your most recent pets.

Pet 1

Name:
Type of Pet & Breed:
Temperament:
Age:
Is this animal still living in your home? YesNo
If not, please describe what happened to them. Please be specific.
Spayed/Neutered: YesNo
Vaccinated: YesNo
Heartworm Preventative (brand/type used):

Pet 2

Name:
Type of Pet & Breed:
Temperament:
Age:
Is this animal still living in your home? YesNo
If not, please describe what happened to them. Please be specific.
Spayed/Neutered: YesNo
Vaccinated: YesNo
Heartworm Preventative (brand/type used):

Pet 3

Name:
Type of Pet & Breed:
Temperament:
Age:
Is this animal still living in your home? YesNo
If not, please describe what happened to them. Please be specific.
Spayed/Neutered: YesNo
Vaccinated: YesNo
Heartworm Preventative (brand/type used):

Pet 4

Name:
Type of Pet & Breed:
Temperament:
Age:
Is this animal still living in your home? YesNo
If not, please describe what happened to them. Please be specific.
Spayed/Neutered: YesNo
Vaccinated: YesNo
Heartworm Preventative (brand/type used):

Adoption & Animal Care

* Who will be responsible for caring for this pet?
* Where will the pet be kept? HouseGarageBasementKennelOutdoors
* Describe a typical day in the life of your adopted pet with you in your home:
* Why have you decided to adopt a pet?
* What concerns do you have about adopting a new pet?
* Will you crate train your pet?
* Will you attend obedience classes?
* What behavior would cause you to return a pet?
* How would you reprimand your pet for chewing, digging, scratching, house training/mistakes, not using a litter box, etc.?
* If you have adopted from a rescue before, where do you adopt from and what type of pet/breed did you adopt?

Veterinarian Info

Even if your pet has passed, we would appreciate your last vet’s info below.

* Do you have a regular veterinarian? YesNoNot Applicable
Vet Clinic Name: Doctor Name:
City and State: Phone:
Date of Last Visit (approx):

References

Please list two character references unrelated to you.

* Reference 1 - please include name, relationship and a phone number:
* Reference 2 - please include name, relationship and a phone number:

Conditions

I certify the information submitted is complete and accurate to the best of my knowledge and provide my permission for this information to be verified. I understand The Rescue Project has the right to deny any application. I acknowledge that, upon completion of the adoption process and delivery of the animal, I assume sole responsibility for the well-being of the animal including all veterinary care and related expenses. I agree that if I am unable to keep the adopted animal for any reason during the term of its life, I will contact The Rescue Project to assist with placement in another home. Under no circumstances will I ever place the animal in an animal shelter, pound, pet store, or advertise to sell or give away via the internet.



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The Rescue Project will not accept or consider any application with false or misleading information.