EmailMe Form - Dog Adoption Application

Dog Adoption Application

Welcome to Rain City Rescue. We review your application for the best match for your home and lifestyle. We work on only the most urgent cases. We try to set it up to be the most successful match for both you and your dog. Adoption fees go 100% to the medical expenses, spay, neuter, vaccinations, micro-chipping, training, boarding and transport of our foster dogs. Thank you for saving a life!

*To ensure a successful submission, please use a PC or MAC as some users have experienced issues when filling out the form with a cell phone or tablet. Also make sure all fields marked with an asterisk are filled in.*

Name of dog you would like to adopt: *
Your Information:
Name *
First Last
Address *

Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country / Region
County *
Cell Phone *
### - ### - ####
Email *
Age *
Must be 21+ years to adopt
Do you work? *
Yes
No
Employer Name/Profession *
Spouse's Employer/Profession *
List gender and age of all people living in the home *
How would you best describe your families' activity level? *
Does anyone in the home smoke? *
Yes
No
If yes, which habits apply?
In the house
In the car
Only outdoors
Only in one dedicated room of the home
Your Home Information
Do you rent or own your home? *
Rent
Own
If rent, please provide landlord name and phone number:
If rent, please attach proof of landlord approval in writing.
Including landlord name, phone and email.
What type of home? *
House
Apartment
Condo/Townhouse
Mobile Home
Other
Length of time lived in home: *
Do you have a yard? *
Yes
No
Is it fully fenced? *
Yes
No
If yes, what height and what kind of gate? *
If no, enter N/A
Please attach at least two photographs of your home/yard.
Second photograph
Desired Dog's Information
Who are you adopting this animal for? *
Self
Relative
Child
Other
If other, please describe.
Why do you want a dog?
(Check all that apply) *
Companion
Guard Dog
Hunting
Exercise Partner
Service/Therapy
Agility/Show
Other
If other, please describe.
Desired Age Range
(Check all that apply) *
Puppy
Youth (1-3 yrs)
Adult (3-6 yrs)
Senior (7+ yrs)
What size of dog are you looking for? *

Please specify approximate weight range.
Would you consider adopting...
Bonded Pair
Special Needs (ie deaf/blind)
Shy or Insecure
Would you consider short term fostering after your dog has settled in? (please keep in mind, if the pet you are applying for did not have foster, he or she would not have been saved).
Yes
No
What is your philosophy of disciplining and training? *
Where will the dog be kept during the day? *
How many hours will the dog be alone during the day? *
Where will the dog sleep? *
Do you plan to use a crate? *
Yes
No
Will they spend more time indoors or out? *
Current Pet Information
Have you ever given a pet up? *
Yes
No
If yes, please explain the circumstances. *
If no, enter N/A
Please list pets owned over last 10 years, dog/cat, their breed, age, length of ownership and what happened to them if they are no longer with you. *
If none, enter N/A
What brand of pet food have you fed your animals or presently feed them? *
If no past pets, enter N/A
General Dog Information
How will your pet be cared for during your absence? (vacations, medical emergency, unexpected travel) *
For what reason(s) would you return your pet back to us? (check all that apply)
Moving
Not getting along with other pets
Getting out of fence
Children lost interest
Allergies
Medical problems
New baby
Divorce/breakup
Behavioral prob/aggression
Shedding
House training problems
High cost
Too time consuming
There is no reason I would part with my pet
How much do you anticipate spending annually for pet food, veterinary care and supplies? *
How many hours do you anticipate spending daily on training and other activities with your pet(s)? *
Why do you think you would be a good dog owner? *
References
Please list two references of people who know you well and/or can attest to your suitability as a dog owner, at least one being a non-family member. Emails provided are for reference purpose only and not solicitation.
Name *
First Last
Cell Phone *
### - ### - ####
Email
Relationship *
Name *
First Last
Cell Phone *
### - ### - ####
Email
Relationship *
Current or Former Vet Reference
Please list the name and phone number of all vet clinic used for all pets listed above. This reference will be checked to assure pets were kept current on vaccinations.
Vet Clinic Used *
If more than one vet please email raincityrescue@gmail.com
Phone *
### - ### - ####
Agreement
Adoption fees cover only a portion of the costs incurred with rescue (e.g. vaccines, spay/neuter, micro-chipping, medical expense, training, boarding, transport and pulling fees from shelters). On average we spend $600 or more on each of these precious dogs. Adoption fees and additional donations all go towards helping the next urgent animals we need to save, therefore the adoption fee is non-refundable. The adoption fee is to be paid upon signing the final adoption contract. Adoption fee varies per dog.

The information provided in the Dog Adoption Application is true and correct to the best of my knowledge. I understand that any false or missing information may result in the denial of this adoption.
Signature *
Clear
Signature Typed *
Date *
MM / DD / YYYY
Address

Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country / Region

Your Information:

Your Home Information

Desired Dog's Information

Current Pet Information

General Dog Information

References

Current or Former Vet Reference

Agreement