EmailMeForm
Rescued in SC Application for Adoption
Completion of this form does not guarantee that you will receive an animal from us. All information will be used to determine if we have an animal well suited for you. Our goal is to match the right animal with the right home. Only the adopter chosen will receive email correspondence. Please allow up to 14 days for applications to be processed. Incomplete applications will not be considered.
Name of the animal for which you are submitting an application
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Are you ready to adopt a dog this coming Saturday or at a day/time designated by the rescue?
*If you are looking to adopt several weeks/months from now, we ask that you DO NOT complete an application until you are ready to welcome a dog into your home we DO NOT keep applications, "on file" to be used at a later date.
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Yes
If not, "Yes" please read above.
Name
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First
Last
Home Phone
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Email
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Mobile Phone
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Address
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Street Address
Address Line 2
City
State / Province / Region
Postal / Zip Code
Is everyone in the household in agreement with the decision to adopt a dog?
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Yes
No
Please list all members of the household including yourself.
Name:
Relation:
Age:
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Current Employer
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Position Held
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Where do you live?
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House
Apartment
Condo
Mobile Home
Do you:
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Own
Rent
Renters, please provide landlord's name and number.
If you were to move, what would your plans be for the dog?
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Who will be responsible for the day to day care of the pet?
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Does anyone in the house have pet related allergies?
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How many animals do you currently have? Please list.
Species:
Breed(s):
Sex:
Age(s):
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Are any current animals spayed or neutered?
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Yes
No
No current pets.
If no, why?
What happened to any animals that you have had in the past 10 years?
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Still have
Gave Away - See below
Ran Away
Deceased - See Below
Other - See Below
If you have given an animal away in the past, please explain.
If you checked, "deceased" or "other," please explain.
If you currently have pet(s) what brand of food do they eat?
Please provide the name and contact information of any Veterinarian(s) used in the previous 5 years.
Please provide the contact information of your current or anticipated Veterinarian.
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What name are the vet records/pets under:
How much money are you prepared to spend should a major health issue/accident happen?
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$
Dollars
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Cents
What do you estimate the monthly expenses will be for animal care?
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$
Dollars
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Cents
Tell us what you know about heartworm disease:
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Are you committed to caring for this dog for its lifetime- this includes moving with your pet, working through training issues, managing health issues -and making this pet an unconditional lifetime family member?
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If something should happen to you what arrangements have you made for your pet(s)?
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On the average day, how many hours will the dog be home alone?
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Where will the dog spend most of its time when you are home?
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Where will the dog sleep at night?
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When you are traveling what would you do with your pet?
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Do you have a fenced yard?
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Yes
No
Fence Type
Fence Height
Are you familiar with crate-training?
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Yes
No
How do you correct unwanted behaviors in a dog? Please give an example.
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Are you willing to take this pet to training classes?
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Yes
No
Is there anything else that you would like to share to help us in our decision?
Questions for us?
I, the undersigned applicant, understand that Rescued in SC, maintains the right to contact references and to deny this application. I understand that adoptions are NOT first come, first serve, and that the best available home will be chosen for the animal. I hereby certify that all information given is truthful and accurate.
Applicant Signature.
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