iResQ Adoption Application
Please fill out this form attentively. Every question is important for the adoption process.
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Email *
Applicant's First AND Last Name *
Full Address (street, city, state, zip) *
CITY  *
STATE  *
ZIP CODE *
Email
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Phone Number
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Name of Pet, Breed, Age, Sex that you are interested in
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What type of traits are you looking for in a pet?
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Why are you interested in adopting a pet at this time?
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Who will be the primary caregiver for the pet? 
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What type of pets have you had in the past? What happened to those pets?
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What type of pets do you currently have? 
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Are your current pets Spay/Neutered?
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Required
Are your current pets up to date on vaccinations?
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Required
Is any household member allergic to pets?
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Required
Do you have children? Ages?  
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How many hours a day will the pet spend alone?
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If renting, do you have your landlord's approval? (We need an email from your landlord with approval.)
Landlord's email address or contact phone

Do you own or rent your home? 
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Is your yard adequately fenced to contain the animal you are considering? Understanding that the pet should never be left unattended until they have bonded and know to stay with you.
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Are you willing and able to provide all necessary training and exhaust every behavioral avenue before considering returning the animal, should the animal have or develop behavioral problems? 
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Have you ever relinquished a pet to another person or organization? If so, why?
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Have you researched or had previous experience with this particular breed?
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Understanding that pets can live 15+ years, if you move, start a family or your life circumstances change, are you committed to keeping the pet with you for its lifetime? 
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Are you prepared for a new pet at this time? (already have or will buy today: food, crate, leash, bowls etc?)
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Will you have or make time to properly exercise your new pet daily and as necessary to meet its needs?
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Will you have or make time to properly exercise your new pet daily and as necessary to meet its needs?
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Where will the pet sleep at night?
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What do you plan to feed the pet? Understanding that if your pet has skin issues you will be required to feed the diet recommended by the Rescue
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Do you agree that clean ears, teeth, coat and trimmed nails are really important to your pet's health and wellbeing and will thereby make sure all of these items are taken care of on a regular basis?
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How did you hear of iResQ?
By entering your name in the space below, you have created a legally binding electronic signature, equal to that of your handwritten signature.
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The Adopter hereby acknowledges the following provisions as defined:
Agree to the terms by SIGNING YOUR INITIALS or FULL SIGNATURE when prompted!!!
FEE: The NON-refundable donation is not a sale price, but requested to defer or reimburse Rescuer for any medical expenses, or any other expenses incurred by the pet or Rescuer to consider the pet for adoption. NO refunds in whole or part for any reason! *
INITIAL BELOW
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TRANSFER OF OWNERSHIP: The pet shall not be sold, given to, or adopted to anyone else, nor shall there be any transfer of ownership to any firm, corporation, or organization of other homeless animals, such as another rescue facility, research facility OR SHELTER.  Any animal adopted from Rescuer must be returned to Rescuer if for ANY reason the Adopter can no longer keep it.  Violation of this agreement will result in court costs and attorney fees payable by the Adopter for all costs necessary for the Rescuer to redeem the pet. 
INITIAL BELOW
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HEALTH PROGRAM: The pet, if adopted as a puppy/kitty shall complete the booster series of 3 shots along with a Rabies.  Adopter agrees to ensure completion of series.  All pets must have yearly booster shots  and the Rabies vaccines.  Renewal of the Rabies vaccine is required by law and therefore by the terms of this contract, unless contraindicated for health reasons.  Adopter agrees to obtain immediate medical care for the animal should it become sick or injured, even if immediately after adoption, and takes full financial responsibility for such care as of the time this contract is signed and pet is in your possession.
INITIAL BELOW
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IMPORTANT NOTICE – GUARANTEES: Rescuer makes NO explicit or implicit guarantees in reference to the age, nature, health and/or temperament of the pet. The pet is adopted "as is" and the Adopter assumes all responsibility for treatment of any and all existing conditions, or any other conditions of physical or temperament changes that may occur. Rescuer will provide the pet with the above required vaccines before adoption if the age and current health of the pet permits. While the Rescuer makes every effort to place for adoption healthy animals, rescued animals - especially puppies and kittens get sick very easily & quickly, so Rescuer cannot guarantee the health of any animal beyond what is currently observable by the Rescuer and yourself as Adopter at the time of adoption, therefore Rescuer shall not be held responsible for any medical expenses which may be incurred after animal is in the possession of Adopter. I, as Adopter, understand and agree that iResQ will not reimburse me for any expenses, including veterinary costs, even if the animal immediately becomes ill for any reason. I, as Adopter, also agree that iResQ is in no way responsible for any damage which this animal may do to any person, other animal or property and no attempt will be made to hold iResQ responsible. It is hereby expressly excluded any implied warranties of merchantability or fitness for any particular purpose, including and without limitation, any warranties regarding health or temperament, including whether the pet is housebroken/litter trained or good with other animals or children. 
FULL SIGNATURE BELOW
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ADOPTER'S ACKNOWLEDGMENT OF TERMS
Agree to the terms below using your FULL SIGNATURE
The undersigned Adopter hereby acknowledges receipt of the above described animal and therefore agrees to the following terms:
The pet will not be allowed off leash except within adequate fencing and even then, only with 100% recall of the pet to the adopter.The pet is not to live in a garage, doghouse, or any other type of secluded or outbuilding and will not be chained or tied outside to any of the same.The pet is The pet is (or soon will be) microchipped for identification and will wear a collar or harness with an ID tag reflecting the Adopter’s contact information and proof of rabies at all times AND the Adopter agrees to obtain the proper municipal license required under local law. Adopter agrees The pet is NOT to be left unsupervised with children or other animals at any time EVER for any reason!The pet is to have food, water, and shelter at all times. That includes protection from both hot and cold weather which could endanger the health of the animal.The Adopter shall refrain from any type of abuse of the animal and from otherwise treating the pet in a mean, cruel or physically rough manner.The pet will never be left alone in a car or ride in the back of a truck without proper & safe housing and restraint, with access to water and shade.
If for any reason the Adopter no longer wants or is unable to further care for the animal, the animal will be returned to iResQ, assuming there is no history of aggression, as soon as the Rescue can accommodate such transfer, which may mean Adopter will house, care for treat the animal until an appropriate open foster home has been found to accommodate the animal.


If any Agreement or Term is broken or ALL adoption criteria is not fulfilled by me, the Adopter, including but not limited to; paying the adoption donation, completing the adoption application & agreement, keeping spay/neuter appointments, delivering the animal to or picking the animal up from any iResQ scheduled appointment  OR if for ANY other reason I, Adopter, fail to fully and timely comply with the terms of this Agreement, I will voluntarily and immediately return ownership, custody, possession and control of the animal to iResQ, understanding that if fail to do so, iResQ will be able to enforce specific performance of this contract in addition to any other legal remedy available to iResQ.

If for any reason Rescuer determines the pet is at risk with the Adopter, the pet may be seized from Adopters home and Adopter agrees, by signing this contract, to waive the right to court action or remedy under the law, thus returning the pet to the care and possession of the Rescue and Adopter will be responsible for any and all costs associated with such action.


All donations are final and non-refundable.  However, in the event that a pet is returned, seized or withheld and by Adopter request, Rescue can provide a statement of donation which may be at some point considered for tax purposes.

Colorado state law requires all unaltered dogs/cats be spay/neutered within 90 days of adoptions and requires a deposit be taken as promise of action. In adherence to that law, and as added protection, iResQ requires a $150 check hold ($50 state deposit + $50 missed appointment fee + $50 administration fee) to be placed for any animal adopted and taken home prior to spay/neuter, in consideration as Adopter “promise to perform” to deliver the animal for sterilization as scheduled by the rescue along with approval of the Board.  iResQ also attempts to have all dogs spay/neutered within the first 2 weeks of adoption and Adopter agrees to attend ALL appointments as scheduled for the animal. This includes immediate sterilization and follow up appointments, even if not convenient for Adopter. Failure to meet the iResQ scheduled appointments will result in forfeiture of part or all of the hold, immediate seizure of the dog or both, returning it to the care and possession of the Rescuer without refund or recourse by the Adopter.

Adopter agrees that a breach by Adopter of this Agreement would damage iResQ in a way that could not be adequately compensated by monetary damages. The parties therefore agree that the breach or threatened breach by Adopter of this Agreement may appropriately be restrained by an injunctive order for Adopter to return pet to iResQ, granted by a court of appropriate jurisdiction. Adopter further agrees that the actual damages that might be sustained by iResQ by reason of breach by Adopter of this Agreement are uncertain and would be difficult of ascertainment, and that, in addition to the injunctive relief agreed to above, the sum of $1,000 would be reasonable compensation for such monetary damages and attorney's fees. Adopter hereby promises to pay and iResQ hereby agrees to accept, such sum as liquidated damages, and not as a penalty, in the event of such a breach.
FULL SIGNATURE BELOW
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CONFIDENTIALITY
This is a confidential agreement between the Adopter and the Rescuer.
RIGHT OF OWNERSHIP
The pet adopted from the Rescuer is the "sole property" of the rescue, and has been surrendered as such by private owners or animal facilities that have signed a statement agreeing that the above mentioned dog is not owned property of any other person, firm or organization. Rescuer shall not be held liable, charged, or chargeable for any misrepresentations unknown to this Rescuer.
Adopter's Signature(s): (By entering your name in the space online, you have created a legally binding electronic signature, equal to that of your handwritten signature.) *
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Date: 
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Adopter's Address CITY, STATE, ZIPCODE REQIRED: *
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Phone Number: *
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Phone Number (2nd Contact: spouse, work phone etc.): *
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Driver’s License Number and State:
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Location of Adoption: And confirmation that you received your "Puppy Pak" which includes, Vaccination Record, Insurance flyer, Rabies tri-fold, Instructions: 
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A copy of your responses will be emailed to the address you provided.
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