Rescued Friends, Inc.
Canine Adoption Application
Animal you are interested in: __________________________________________
1. Are you 18 years or older? Yes No
2. Your Full Name: ____________________________________________________________
Street Address: _____________________________________________________________
City, State, Zip: _____________________________________________________________
Home Phone: __________________________ Cell Phone:
__________________________
3. How long have you lived at the above address? __________
4. Are you planning to move in the next 6 months? Yes No
5. Do you own or rent your home? Own Rent
6. If you rent, does your landlord allow pets? Yes No
7. Name and phone number of landlord:
____________________________________________
8. Where will the animal stay when you are not home?
Loose inside ____________ Loose outside ______________
Crated or otherwise restrained inside _____________ Kennel run _______
Fenced yard __________ Tied/chained outside _________
Other (describe) ________________________________________________
9. If you have a fence, what type? Chain-link wooden barbed wire hog-
wire
[Link] you have a fence, how high is it? 3 ft 4 ft 6 ft 8 ft
[Link] this pet for YOUR household? Yes No if not, is it a gift? Yes No
[Link] many people live in the adopting household? ____________
[Link] you have children? Yes No If so, what are the ages?
_________________
[Link] not, do children visit the home often? Yes No
[Link] you own other dogs or cats? Yes No
[Link] yes, please describe the breed, sex, and age of each.
Rescued Friends, Inc. Adoption Application Page 1
Breed Size Age Sex Spayed/Neuter
ed
Yes No
Yes No
Yes No
Yes No
[Link] not fixed, why not? _______________________________________________________
[Link] they current on yearly vaccinations? Yes No
[Link] they currently on heartworm prevention? Yes No
[Link] your city, subdivision, landlord have any restrictions on the number of
pets you can own? Yes No if so, what is the
limit? __________
[Link] many cats and dogs have you owned in the last 5 years? Dogs _____
Cats _____ What happened to them?
________________________________________________________
________________________________________________________________________
[Link] veterinarian’s name and phone number:
_____________________________________
[Link] no vet history is available, do you give permission for home visit(s) and/or
follow-up inquiries? Yes No
[Link] most rescued animals have unknown medical histories, are you
prepared to pay for necessary medical treatments? Yes No
Animals can be expensive to care for (estimated average cost is $750 for a
dog in one year) Are you willing and able to provide adequate food, water,
shelter, and medical care, including yearly check-ups, vaccinations, and
heartworm preventative for an adopted animal? Yes No
[Link] many hours will the animal spend alone? _______ Where will it stay when
it is alone? ___________________________ Where will it stay during the day?
____________________ Where will it stay at night?
___________________________________________
[Link] problems would make you return the animal? Barking housetraining
chewing jumping shyness shedding digging other – explain
______________________________
[Link] help resolve these problems, are you willing to:
use a crate take an obedience class do nothing
[Link] the traits that are most important to you in a pet:
Good with children Low energy
Good with dogs High energy
Rescued Friends, Inc. Adoption Application Page 2
Good with cats Won’t need obedience
training
Travels well Doesn’t chew, dig or jump
Coat length Will run with jogger owner
Purebred Appearance
[Link] what other possible circumstances would you return the animal? move
new baby divorce high cost of animal care personal illness other –
explain _________________
[Link] you agree to return the animal to Rescued Friends, Inc. if at any time
during its life, you find yourself unable to keep it? Yes No
[Link] you willing to sign a legally binding Sterilization (Spay/Neuter) Contract?
Yes No
I represent that the information I have provided on this form is the truth to the best
of my knowledge and belief. Any falsification or omission of any of the above
information will result in automatic refusal of adoption or confiscation of the
adopted animal. Rescued Friends, Inc. has the right to deny the adoption of any pet
for any reason. You understand that our objective is to assure the safety and
welfare of these animals. We will contact you if your application is approved.
Applicant: _____________________________________________________ Date:
________________
Rescued Friends, Inc. Adoption Application Page 3