RRUS Adoption Application

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Email *

Your Name *

Street Address *

City *

State *

ZIP Code *

Home Phone

Cell Phone *

Your Age *

Please list the names, ages and relationship to you of every person who lives with you. *

For example, "Sally, mother, age 65"

Please list all the animals who CURRENTLY live in or frequently visit your home. List the type (cat, dog, etc.), Breed, Age, Spayed/Neutered, Source and Years Owned: *

For example: "Fido, Lab mix, 5 years old, neutered, adopted from local shelter, owned for 2 years."

Please list all the animals you have owned in the past. List the type (cat, dog, etc.), Name, Breed, Age, Spayed/Neutered, Source, Years Owned, and Reason the animal is no longer with you. *

For example: "Shadow, Boxer mix, 12 years old, neutered, adopted from local shelter, owned for 10 years, died of cancer."

Please describe your reasons for choosing the Rhodesian Ridgeback as your preferred breed. *

Have you previously owned a Ridgeback? If so, please describe the experience. *

Please describe your reasons for choosing to adopt a rescued Ridgeback. *

What makes you a good pet owner? *

Have you ever bred dogs? If so, please describe the circumstances and breed. *

Have you ever shown dogs? If so, please describe the experience and breed. *

Please describe any previous dog training you may have done. *

Please list any resources where you may have read about Ridgebacks, dog training, or dogs in general. *

Where will this Ridgeback sleep? *

Do you plan on using a crate? Please explain why or why not. *

Please describe the feeding routine you plan to use. *

How many hours per day will the Ridgeback be alone? *

Please describe how an adopted Ridgeback might be expected to spend its days in your home. If you work, what will your dog do while you're at work? *

Please describe how an adopted Ridgeback might expect to be exercised. *

Please describe your fence *

Who will be the primary caregiver of the Ridgeback? *

Are you financially prepared to provide regular veterinary care? *

Yes

Other:

Please describe the activity level of your home. *

Will you keep the Ridgeback on heartworm medication year round? *

Yes

Other:

What types of behavior traits would you be willing to work on correcting? *

What types of behavior would you NOT be willing to work on correcting? *

In your absence, who will care for the Ridgeback? *

Do you plan on taking the Ridgeback to obedience classes? Please describe why or why not. *

Have you ever given up a dog in your care to a shelter or other rescue group? If so, please describe the circumstances. *

Are you willing to care for the Ridgeback for 10 or more years? *

Yes

Other:

One of the provisions of our adoption contract is that all dogs will be spayed or neutered prior to placement (when age appropriate). Are you in agreement with this policy? Why or why not? *

In the event that you were unable to care for your Ridgeback, what provisions would be made for the Ridgeback? *

How soon are you looking to adopt? *

Gender Preference (all dogs are spayed/neutered prior to adoption, if age appropriate): *

Male (neutered)

Female (spayed)

Other:

What age of dog is your preference? *

Puppy

Young, up to age 2

Adult

Senior

Required

Would you accept a ridgeless Ridgeback? Please explain. *

Would you accept a mixed-breed Ridgeback? Please explain. *

Would you be willing to adopt a Ridgeback with special needs? Please explain. *

Where did you hear about us? *

Please list your Veterinarian as your first reference. *

Please list name, clinic name, address, email and phone number. If you do not currently have a veterinarian, please list an alternative reference and indicate why you do not have a veterinarian.

If this reference is not your veterinarian, please indicate why you do not have a veterinarian.

Please list someone not related to you as a second reference. *

Enter the person's name, phone number, address, email address and relationship to you.

Please list someone not related to you as a third reference. *

Enter the person's name, phone number, address, email address and relationship to you.

I (WE, THE ABOVE-NAMED APPLICANT(S)), HEREBY AGREE TO RELEASE, INDEMNIFY, DEFEND, AND HOLD RIDGEBACK RESCUE OF THE U.S., ITS OFFICERS, DIRECTORS, VOLUNTEERS, AND THEIR SUCCESSORS AND ASSIGNS, HARMLESS FROM AND AGAINST ANY LIABILITY, CLAIM, DAMAGE, INJURY, COST, OR EXPENSE WHATSOEVER RELATING TO THE ADOPTION OF ANY DOG FROM RIDGEBACK RESCUE OF THE U.S. (WWW.RRUS.ORG). *

Please type your full name to electronically sign.

Your state of residence *

A copy of your responses will be emailed to the address you provided.

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