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HOME
ABOUT US
ADOPT
ADOPTABLE PETS
>
ADOPTABLE CATS
ADOPTABLE DOGS
ADOPTION APPLICATIONS
ADOPTION GUIDE
ADOPTION CONTRACT
FOSTER
FOSTER APPLICATION
FOSTER GUIDE
DONATE
DONATE NOW
DONATE SUPPLIES
VOLUNTEER
VOLUNTEER APPLICATION
MORE
LOW COST SPAY & NEUTER PROGRAMS
SUCCESS STORIES
CONTACT US
SURRENDER ANIMALS
REPORT FOUND ANIMALS
RETURN AN ANIMAL
ADOPTION APPLICATION
Thank you for your interest in rescuing a Dog or Cat!
As part of the adoption process, we ask adopters to complete this application.
Your personal information will not be shared with anyone outside of the To The Rescue Inc.
Thank you again for completing the application!
Your Personal Information
*
Indicates required field
Name
*
First
Last
Phone Number
*
Email
*
Address
*
Line 1
Line 2
City
State
Zip Code
Country
Do you rent or own? If you rent, do you have permission to have animals? Please provide Landlords name and phone number
*
Household Occupants and Ages
*
Are you or your spouse military?
*
Yes
No
Are any members of your household allergic to pets?
*
Yes
No
Are you moving in the foreseeable future? If so where? What are your plans with the animal?
*
References (Please provide 3 references that are not family, one being your employer) Name and Phone:
*
Pet Information
Which animal are you interested in adopting?
*
Please identify your current pets (Name, Age, Breed)
*
Are your current pets fixed? Up to date on vaccines?
*
Please list name and phone number of Vet used
*
What kind of veterinary care do you plan to provide?
*
Will you use monthly heartworm and flea preventative?
*
What do you think it will cost for vet care, food, supplies and equipment, toys, training and boarding? Please explain in detail, including the food you expect to use:
*
Will this animal be indoor/outdoor or both?
*
Have you ever given up an animal, if so why?
*
For which of the following reasons would you consider giving up your dog? Please check all that apply
*
Moving
Excessive Barking
Fights With Other Pets
New Baby
Not House-Trained
Kids no longer want it
Gets too large
Financial Problems
Behavioral Problems
Messes up Furniture
None
Other: Please describe below
Other:
*
Please tell us why you would like to make this animal a part of your family!
*
Do you have a fenced yard? If yes, how high?
*
Is everyone in the household in agreement to adoption thus said animal? Yes or No (If no, who and why)
*
If the animal you listed above is no longer available do you have a 2nd and/or 3rd choice you would be interested in? You can view animals at www.facebook.com/tothrescueinc
*
How many hours will the animal be left unattended (i.e. workday)?
*
Where will the animal sleep
*
When you are home, where will the animal be kept?
*
When no one is home (i.e. at work, shopping), where will the animal stay (be specific)?
*
If the pet would survive you, what would be your plans for the pet?
*
How do you intend to house train your new animal, including potential behavior problems like barking, jumping, scratching furniture and protectiveness?
*
What behaviors present a problem for you? Would you consider training classes?
*
Have you ever had an animal lost or stolen?
*
Yes
No
Are you aware that we require all dogs/cats in a home be spayed/neutered?
*
Yes
No
Are you aware of the adoption fee?
*
Yes
No
Are you familiar with your local animal control laws?
*
Yes
No
I have read the above information carefully and have filled out this application honestly. I understand that omission of information and/or failure to answer all questions can result in this application being declined. Also, if omission or untruth is discovered after an adoption takes place, I understand that To The Rescue, Inc. reserves the right to annul the adoption and reclaim the animal. I give To The Rescue, Inc. permission to fully investigate the information provided as well as contact veterinarians and related officials. If the application passes this review, I agree to a home and yard visit by a To The Rescue, Inc. volunteer before an adoption decision is made.
In addition, I understand the adoption decision is dependent on many factors, including but not limited to the compatibility of the family and home to the individual animal, and other applications received on this animal. I understand it is To The Rescue Inc.'s prerogative to decide which home is most appropriate and that their decision is final. Therefore I will not argue with the decision. We review many applications and try to get back to everyone. If you have not heard from us in 7 days, your application was either denied or we went with another applicant we felt fit the needs of the specific animal. Please note we do not adopt to anyone outside a 60 mile radius of Springfield VA
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