Rose Acres Rescue: Adoption Application
Please check your application for COMPLETE answers. Please make sure your vet has records on file for you or you have called about setting up a new client profile. Please make sure your references know we will be calling. If your references miss our call and do not return the call, your application will be voided. If we contact you with questions about your application, we must get a response or your application will be voided. We try our best to place our animals with the best suited adopter, and in order to do that we need to be able to go through completed applications!
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Date: *
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DD
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YYYY
Select one: *
Animal's Name:
Payment Method: *
Name: *
Do you...... *
If you rent, what's the name of the property? *
Address: *
City: *
State: *
Zip Code: *
Personal Phone Number: *
E-mail: *
Place of Employment: *
Work number: *
Spouse Name: *
Spouse Number: *
Vet Name: *
Vet Number: *
Personal Reference (please provide name, number, and e-mail): *
Personal Reference (please provide name, number, and e-mail): *
Please click each box to insert a check mark by each statement indicating your understanding:
1. I understand that this pet was rescued just prior to end of life in a shelter. It has been and is traumatized. It may take days, weeks or even months to develop a relationship with it. *
Required
2. I understand that the rescue will contact my vet as well as any of the personal references I provided. *
Required
3. I understand that this pet has been seen by the rescue’s vet and the best of knowledge is healthy, however, no guarantee is made to the health of this pet. *
Required
4. I understand the need for consistent and patient nurturing of this pet. I will ensure appropriate training including formal obedience training if needed. *
Required
5. I understand that animals and children/infirm adults and elderly need to be supervised appropriately with this pet. *NOTE: Never ever leave a child alone with any animal. *
Required
6. I understand that all animals need exercise and attention and agree to provide activity appropriate for animal breed, age and condition. *
Required
7. I agree to keep identification on this pet at all times and to obtain all licenses required where we live. *
Required
8. I agree to care for this pet in a humane manner and will provide adequate food, water, shelter, attention and medical care. *
Required
9. I understand that owning this pet can be up to a fifteen (15) year of longer commitment. I realize this pet will be dependent on me and will require time and money investments throughout his/her life. *
Required
10. I understand this pet may have medical conditions and/or behavior issues (will be discussed with adopter) and may require further medical are and/or professional training. *
Required
11. Rose Acres Rescue understands that life happens and sometimes animals need to be re-homed. I understand to notify Rose Acres Rescue immediately and mot to take animal to another rescue/shelter or society. All animals adopted from the rescue may be returned to the rescue instead of surrendered back into the pound/shelter. I also understand that the adoption fees WILL NOT be refunded. *
Required
Rose Acres Rescue is a nonprofit and operations are based on fees and donations. I understand that this pet has an adoption fee based on species, health needs, training, and socialization completed with this specific animal. I understand that my adoption fee is NONREFUNDABLE regardless of reason desired. I also understand that I will be paying a fee of.... *
Please check your application for COMPLETE answers. Please make sure your vet has records on file for you or you have called about setting up a new client profile. Please make sure your references know we will be calling. If your references miss our call and do not return call, your application will be voided. If we contact you with messages about your application, we must get a response or your application will be voided. We try our best to place our animals with the best suited adopter, and in order to do that we need to be able to go through completed applications!
IMPORTANT: By entering my name below: I affirm the information is true and correct. I am adopting this animal for our family pet. I give permission for Rose Acres Rescue to contact my vet and references. I understand I will be contacted to follow up on the animal’s wellbeing. I agree that upon completion of the adoption of said animal, Rose Acres Rescue is no longer the owner or liable for the animal. *
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