Adoption Application
Interested in adopting a dog from OC Pom Rescue? Please fill out the following Adoption Application to be considered for the adoption of one of our rescue dogs. Make sure to submit a video home check to info@ocpomrescue.com after submitting this application. Failure to do so will result in your application being considered incomplete.
Which dog(s) are you interested in? *
Adopter's Name: *
First and last name
Adopter's Age: (You must be at least 21 years of age) *
Adopter's Email: *
Adopter's phone number: (the best number to be reached at via text and call) *
Adopter's social media USERNAME(s): (Instagram, Facebook, or Twitter) *
Add links to your social media, if possible, so that we can connect and stay updated with you!
Adopter's home address - street: *
City: *
State: *
Zip code: *
What is the Adopter's occupation? *
What is your significant other's name? *
First and last name
What is your significant other's occupation? *
What is your significant other's phone number? *
What are the names and ages of your children? *
If you have children, please describe their previous experience with dogs. *
Do you have other occupants in the home? *
Relationship to other occupants in the home? *
Do you have any current pets? (Name, Age, Sex, Breed, Personality) *
Is there anyone in your home that is allergic to dogs? *
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