Adoption Application

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Our application process has many steps that need to be explained. In order to match the rescue dogs’ needs with the best adoptive homes and environments, it is necessary for both the applicants and the rescue organization to complete the entire application process. Each step of the process will lead to the next if the applicant is being considered. Please take a moment to read the application process before proceeding.

Adoption Application Form
* indicates required field

ADOPTER INFORMATION

RESCUE DOG INFORMATION

A dog with behavior issues may have been so abused that he has serious trust issues and exhibits defensive behavior; he may have been left alone for long periods of time and now becomes anxious when his person is absent; he may have been starving and is protective of his food. We are extremely careful to place dogs with behavior issues into experienced homes, with families or individuals prepared to deal with them. We are always here for support and advice, and together we hope to help these special dogs overcome their histories and become loving pets.
​Special needs can be as simple as a need for daily eye drops, or as complex as blood sugar testing and daily insulin injections. A special needs dog may be missing a limb, or an eye, or be on prescription diet or on medication for thyroid or cardiac issues.. and still be completely functional, able to receive and give unconditional love.

RESIDENCE INFORMATION

RENTER INFO

HOUSEHOLD INFORMATION

REFERENCES

Please list 3 references below. At least one should not be a relative.

VETERINARY INFORMATION

COMMENTS

ADOPTION FEES

SIGNATURE OF APPLICANT

I certify that the above information is true and accurate to the best of my knowledge, and I understand that completion of this form is only the first step in the adoption process and that, should I wish to further this process, an in-home screening will follow.