Dog Adoption Application - Redemption Rescue
Upon completing this application, please allow 2-3 business days for us to process this. We are a volunteer ran organization and have to complete all of our verification checks during our lunch breaks. We will contact you within 2-3 business days with a status of your application or follow up questions we will have.

Note: All information provided below should be filled out completely and accurately. If any information is falsified application will be terminated immediately. In order to properly process this application you must:

1. You must be 18 years or older.
2. Have your landlord’s and/or parent(s) contact information/consent if you rent or live at home.

General Information
Name of dog you are applying for *
Your answer
Why are you adopting this dog? (check all that apply) *
Required
Who are you adopting for *
Required
Primary Adopter's Information
First Name *
Your answer
Last Name *
Your answer
Street Address *
Your answer
City *
Your answer
State *
Your answer
Zip Code *
Your answer
Home Phone Number
Your answer
Cell Phone Number *
Your answer
Email Address *
Your answer
Are you employed, retired, student, or other? Please Explain. *
Your answer
If employed, please provide us with the name and number of your employer. *
Write "N/A" if this does not apply to you.
Your answer
Secondary Adopter's Information
If there is no secondary adopter for this application, please fill N/A for the required fields.
Secondary Adopter's First Name *
Your answer
Secondary Adopter's Last Name *
Your answer
Are you over the age of 18? *
Relationship to Primary Adopter. *
Your answer
Secondary Adopter's Cell Phone Number *
Your answer
Secondary Adopter's Email Address *
Your answer
Household Information
What do you currently live in *
How long have you lived at your current address? *
Your answer
Do you have any pet restrictions? *
Do you... *
If renting, please provide your landlord’s name and number. *
If you do not have a landlord, please type N/A.
Your answer
How many adults are living in the household? *
Your answer
How many children are living in the household? *
Your answer
Please list the ages of any children living in the household *
If you do not have any children living in your household, please type N/A.
Your answer
Does anyone in the household have allergies? *
If you answered yes to the allergies question, please explain. *
If you answered no and this does not apply to you, please type N/A.
Your answer
Do all the members in the household know you plan on adopting a pet? *
What is the longest period of time the dog would be left home alone on an average day? *
Your answer
Where will the dog stay when you are not home? *
Check all the apply.
Required
Does your home have a fenced yard? *
If you answered yes to having a fence, what type of fence do you have and is it fully fenced in? Please explain. *
Your answer
Dog Adoption Questions
Are you familiar with crate training? *
Are you willing to crate train? *
How have you disciplined your dogs in the past? What type of action was taken? *
If you have never had a dog before, please type what you would do if you for discipline if you had a dog.
Your answer
What will do you if this pet is destructive while left alone? *
Your answer
Do you keep your dog on a heartworm preventative all year long? *
How will the dog be let out to relieve itself? *
Pet History
If you have not had a pet previously then you will need to answer each required question with N/A.
Have you filled out an application with another rescue? *
If you answered yes above, were you denied? *
If you answered yes to filling out an application with another rescue, can you explain the details. *
Type N/A if you have not filled out an application for another rescue.
Your answer
As an adult have you ever owned a pet? (past and/or present) *
If you answer no to this question, make sure that you answer N/A for all the rest of the questions under Pet History.
Have you ever given your pet away to someone else or a shelter? *
If you answered yes to giving away a previous pet, please explain. *
If you answered no, please type N/A.
Your answer
Were all your pets both past and present up to date on shots? *
Name and Phone Number of veterinarian.
If your animals are no longer with you, list the one used last. Type N/A if you have never had a pet.
Your answer
Current and Past Animals
Please list any animals you have owned in the past 5 years. All information will be verified. If you do not have any animals, please type N/A in the required fields below.
List any current animals living in your home. Be sure to state their name, age, species, and whether they are spayed/neutered. *
Type N/A if you have not had any animals in your care in the last 5 years.
Your answer
List any animals that are no longer with you within the last 5 years. Be sure to state the animals name, age, species, spayed/neutered, and why they are no longer living with you. *
Type N/A if you have not had any animals in your care in the last 5 years.
Your answer
Adopted Pet Questions
What amount of time do you think is reasonable for your dog to adjust to you and your new home? *
Your answer
Under what circumstances would you not be able to keep this dog? *
Please check all that apply.
Required
What will you do with this pet when you go on vacation? *
Your answer
The minimum cost of owning a pet can be over $500 per year. Are you able to assume the financial responsibility of veterinary care and basic needs for this animal? *
References
Name of first reference *
Your answer
Phone number or email of first reference *
Your answer
Name of second reference *
Your answer
Phone number or email of second reference *
Your answer
Acknowledgement Statment
I/we do hereby acknowledge that any false or knowingly omitted statements on this application may constitute a rejection. I also give Redemption Road Rescue of Michigan permission to maintain contact with me by a home visit, emails, and/or telephone calls. I understand that this application is the property of Redemption Road Rescue of Michigan and has the right to deny my request to adopt. This application can be reviewed at any time for follow up procedures and in the event information provided above is false then Redemption Road Rescue of Michigan reserves the right to seize the animal and the adopter forfeits all fees acquired at the time of adoption (total adoption fee varies for different animals). *
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