Adoption Form | Crystal's Clefts: Dog Rescue
Official adoption application for Crystal's Clefts: Dog Rescue located in Northeast Ohio
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Crystal's Clefts: Dog Rescue is an all-volunteer, non-profit, animal welfare organization dedicated to the rescue and rehabilitation of animals. Crystal's Clefts is completely funded through fundraising efforts and public donations. All of our pets are cared for by foster homes and receive complete medical care, which includes worming, vaccinations, and microchipping prior to their adoption. Thank you for your interest in one of our special needs animals! Please fill out this form as accurately as possible. If a question does not apply to you (example: not having a work phone number) please respond with "N/A". Please note that we will contact you whether your are chosen or not. If you end up getting chosen, please know that we REQUIRE a home check to make sure the environment is safe for all our rescue animals. Please allow us a minimum of 1 week to review all applications and get back to you. All adopting parties are required to complete this form prior to adoption. Crystal's Clefts: Dog Rescue reserves the right to deny any adoption based on answers to this questionnaire and / or interviews prior to adoptions. Thank you!
How did you hear about Crystal's Clefts? *
Full Name *
Age *
Street Address *
City, State, Zip Code *
Phone Number - Home *
Phone Number - Cellular *
Phone Number - Work *
Employer *
Character Reference Name and Phone Numbers. Please List Two, preferably not family members. *
Name of the animal(s) you are interested in *
Are all members of your household in agreement with this adoption? *
Who will be the pet's primary caregiver? *
What type of home do you have? *
Do you own or rent? *
If renting, please provide name and phone number of landlord. *
If applicable, does your landlord allow dogs? *
Are there any restrictions from your landlord or subdivision? *
Required
Do you have a fully fenced yard? *
Height and Type of Fence *
Do you have any of the following? *
Required
How many adults are in your household? *
How many children are in your household? *
If children, what are their ages? *
Have your children been around animals before? *
Does anyone in your home have allergies to dogs or have asthma? *
List any pets you own or have owned in the past five years, and their ages. *
How many of these pets have been / are spayed or neutered? *
If any of these animals are still living, where are these animals now? *
Have you adopted from an animal welfare group or animal rescue of some sort before? *
If yes, what organization? *
Have you ever given up or surrendered a pet? *
If yes, what were the circumstances? *
Please provide the name and phone number of your current and / or previous veterinarian and animal clinic. *
What type of personality do you want your pet to have? (i.e. calm, energetic, protective, couch-potato) *
Are you aware or familiar with crate training? *
Have you ever house-broken a dog or puppy before? *
If the dog has an "accident" in your home, what type of correction do you plan to use? *
How many hours each day will your new pet be home alone? *
Where will your new pet sleep at night? *
How will you supervise the dog's outdoor activity? *
Where will your new dog stay when nobody is home? *
What length of time will you allow your new pet to adjust to his / her new home? *
Are you willing to work through your new pet's issues, if any? *
Are you aware that a new environment is stressful for any pet, and they may exhibit uncharacteristic behavior? *
Do you understand that a dog can be an 18 year commitment, and can cost $300 - $500 per year to care for? *
Do you plan to take an obedience class with your dog? *
If yes, where are you considering going for training? *
If not, please explain. *
Are you aware that a large breed dog takes about two years to mature? Is this something you're prepared for? *
What circumstances, if any, would lead you to give up your new dog? *
If you had to give up your dog for any reason, what would your plan be to do with him / her? *
Are there any specific concerns you have about adopting the animal you are applying for? *
I understand that Crystal's Clefts requires a home inspection before the adoption process. *
Required
I understand that Crystal's Clefts has the right to deny any adoption based on answers to this questionnaire and / or interviews prior to adoptions. *
Required
If I get selected to adopt the pet I am applying for, I agree to follow up with a veterinarian after adoption within the first two months to establish a relationship with a doctor, and make sure my pet continues to get the basic health care necessary. *
Required
I understand if my application gets chosen to move forward, I must fulfill a 2 week trial period with this pet in my home to see how the pet responds to it's environment.  *
I understand that I assume full responsibility for the welfare of this pet from the date of adoption. *
Required
Date of application for this adoption. *
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