Adoption Application

Applicant

* First Name: * Last Name:
* Age of Applicant: * Address:
Home Phone: * City:
* Cell Phone: * State:
* Email: * Zip:
* How did you learn about TRP and our animals available for adoption?
If you selected 'Other Event' or 'Other', please explain:

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):

Your Home

* I (we) live in a:
* Do you own or rent? OwnRentLive with Relatives
* How long have you lived at this address?
* Do you plan to move in the near future?
If you are renting, you must provide your landlord’s contact information or we will be unable to process your application.
* Are you permitted to own a pet? YesNo
* Landlord Name: * Landlord Phone:
* Pet Deposit: * Weight Limit:
Complex Name:
* Do you have a securely fenced yard? YesNo
What kind of fence do you have?:
Other (please specify):

Your Family

* How many household residents?
* How many children?
* Ages of the children that live in the home?
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

* I am: I am:
* 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
For any pets owned in the past 5 years, were any:
* Lost/Ran-away: YesNo
* Hit by a car: YesNo
* Rehomed: YesNo
Please explain why you chose to rehome your pet, including the approximate date of rehoming:

Please list up to four of your most recent pets.

Pet 1

* Name:
* Type: DogCat
* 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
* Current on rabies vaccination? YesNo
* Current on FVRCP vaccination? YesNo
* Current on DA2PP or DHPP vaccination? YesNo
* Current on heartworm preventative? YesNo
* Heartworm Preventative (brand/type used):

Pet 2

Name:
Type: DogCat
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
Current on rabies vaccination? YesNo
Current on FVRCP vaccination? YesNo
Current on DA2PP or DHPP vaccination? YesNo
Current on heartworm preventative? YesNo
Heartworm Preventative (brand/type used):

Pet 3

Name:
Type: DogCat
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
Current on rabies vaccination? YesNo
Current on FVRCP vaccination? YesNo
Current on DA2PP or DHPP vaccination? YesNo
Current on heartworm preventative? YesNo
Heartworm Preventative (brand/type used):

Pet 4

Name:
Type: DogCat
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
Current on rabies vaccination? YesNo
Current on FVRCP vaccination? YesNo
Current on DA2PP or DHPP vaccination? YesNo
Current on heartworm preventative? YesNo
Heartworm Preventative (brand/type used):

Adoption & Animal Care

* Who will be responsible for caring for this pet?
* Why have you decided to adopt a pet?
* What concerns do you have about adopting a new pet?
* Where will your pet be kept when left alone? (identify all that apply)
House (free to roam): YesNo
Enclosed Room: YesNo
Garage: YesNo
Basement: YesNo
Kennel: YesNo
Outdoors: YesNo
* How long will the pet be left alone during the day?
* How will your pet get exercise?
* Describe a typical day in the life of your adopted pet with you in your home:
* Will you crate train your pet?
* Will you consider training or behavioral classes?
* What is unacceptable behavior to you?
* How would you reprimand your pet for unacceptable behavior?
* What behavior would cause you to return a pet?
* Have you adopted from The Rescue Project before? YesNo
If you have adopted from a rescue before, where do you adopt from and what type of pet/breed did you adopt?

Veterinarian Info

We request that you complete this section if you have had a pet in your home in the last 5 years (even if that pet is no longer living). We contact all vet references to verify routine vaccinations. If your vet requires your approval to release vetting information to us, please provide authorization to your vet in conjunction with submitting an adoption application.

* Do you have a regular veterinarian? YesNoNot Applicable

Vet 1

* Vet Clinic Name: * Vet's Name:
* City/State: * Phone:
* Name on Account at Vet Clinic:
* Date of Last Visit (approx):

Vet 2

Vet Clinic Name: Vet's Name:
City/State: Phone:
Name on Account at Vet Clinic:
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.