Adoption Application
Questions?  Email  adopt@caffeinatedcaninerescuetx.org  
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Check all the boxes that apply to you:
  Name of pet(s) you are Interested In:   
  Applicant Name   *
  Home Phone  
  Cell Phone:    *
  Email Address   *
  Why are you looking at adopting a dog at this time?   *
  Occupation / Employer:  
How long have you been employed at your current workplace?   
  Co-Applicant Name:   
  Co-Applicant Cell Phone:   
  Co-Applicant Email Address:
  Co-Applicant Occupation / Employer:  
  Do you have children?    *
Residential Address (full address, city and state) *
How long have you lived at your current address?    *
Do you rent your home or own it?    *
  *If you rent, please provide your landlord’s name and phone number:   
  *If you rent: Any breed or weight restrictions? If Yes, what breeds are restrictions?  
Do you have permission to have a dog at this address?   
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    *If you rent: Is there a pet deposit and/or monthly fees required?   
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Is the residence Fenced?   *
  *Describe the height/material of the fencing:    *
How do you plan to exercise your pet?    *
  Provide three (3) References with contact information (at least one should not be a relative):  

Please include their name, phone number, email address and how you know this person.
 *
What is your family’s lifestyle like? *
Required
 Due to the unknown history of rescue pet(s) and a focus on safety and stability, all adults in the home must be in agreement to the placement. Homes with children are considered on a case-by-case bases. Temperament testing and observations of the dog(s) in foster placements are used to give guidance on appropriate adoptive placements. Must list everyone in the home, including yourself. Please include EVERYONE'S name and age. *
 Who will be responsible for taking care of the dog?   *
How many hours per day will the dog be alone?   *
Where will the dog stay when no one is at home?    *
Where will the dog stay when you are at home?   *
Where will the dog sleep at night?    *
  Who will care for your dog when you are out of town (vacation, etc.)?   *
  Do kids or other dogs visit your property?    *
Current Pet Information
Please provide the following information about each of your current pets:  

Name:
Breed & Type (Cat, Dog, Other)
Age
Male/Female
Is this Pet Spayed/Neutered?
Up to date on Vaccines?
Is this pet on prevention?
If applicable, please provide the following information about any pets you have had in the last 5 years that are no longer with you. 
 
Please include: Pet Name (Breed & Type) and Explanation
Do you consent to releasing your current/past pet(s) veterinary information to Caffeinated Canine Rescue?  *
Current Veterinarian: 
Practice Name: 
Address: City, State, Zip: 
Office Number:
Email:
Vet Cell (if applicable*)  *Mobile Vets/no office. 

PLEASE NOTIFY YOUR VET CLINIC THAT A RESCUE VOLUNTEER WILL CALL AS PART OF THE ADOPTION PROCESS IF MATCHED TO A DOG  
 *
I/We have discussed the financial cost of a pet – This includes but is not limited to food, training, boarding (if necessary), regular vet care, emergency vet care, heartworm preventative and flea and tick preventative.    *
After adopting a dog do you have a place to separate the new dog from kids or other dogs in the home during introductions?   *
Do you have a crate or experience with crate training?    *
Do you have experience with housetraining a pet?   *
How will you deal with behavioral issues that may come up such as; separation anxiety, chewing personal property; digging outside or leash reactivity?    *
 Under what condition(s) would you give up your dog?   *
Do you have a trainer?    *
  *If YES contact information for dog trainer is:  
  
Contact information for dog trainer is:
    Name: 
    Business Name: 
    Location of training (city/state): 
    Phone Number:
    Email or website: 
Volunteer acknowledge foster dog(s) belong to Caffeinated Canine Rescue. Fosters are given first option to adopt, at the discretion and approval of the board with a current and approved adoption application on file. If a foster feels that they are unable to care/handle the dog(s), they will contact the rescue to arrange transfer to another foster. Dog will be kept inside, safe from harm until transferred. All medical needs must go through the RESCUE and dog only taken to an approved Vet clinic as arranged by the rescue.  Foster agrees to administer prevention medications as directed. 
 Please READ the following pet ownership expectations  and by check marking each term you acknowledge you understand the terms and expectations as listed below.  *
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