Adoption Application - Red Road Rescue
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First Name *
Last Name *
Street Address *
Apt # / Unit
City *
State *
Primary Phone *
Email *
Which animal(s) are you interested in?
Name & ages of all people in your household *
Housing *
Housing Type *
What is your household's general noise and activity level? *
Do you have a fenced yard? *
If yes, what type of fence do you have?
If you rent your home, does your lease agreement allow dogs?
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How much is the pet deposit?
What is the landlord's name?
What is the landlord's phone number?
What are the occupations of the adults in your home? *
Is someone home during the day? *
How many hours will your dog be left alone? *
Is anyone in the home allergic to dogs? *
Please list all current pets in your household, including name and type of animal (e.g. Sparky, dog)
Are all of your current pets spayed/neutered?
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Vet's name
Vet's phone number
What traits/characteristics/habits are you looking for in your new pet? *
Where will your dog live? *
How will you contain this dog when he/she is outside for bathroom breaks and exercise? *
Where will your new dog stay when alone? *
Where will your new dog sleep? *
Will you have your new dog spayed/neutered? *
Will you keep your new dog on heartworm and flea/tick prevention? *
Are you willing to housetrain your new dog? *
What is your plan for when you go on vacation or need to leave town for another reason? *
How much time do you expect to spend daily exercising your dog? *
It is common for a dog to live 10-15 years or more. Are you ready to commit to a dog for that long? *
Routine medical care for a dog can cost over $500 per year. This does not include emergency care or other expenses like food, toys, and training. Can you commit financially to a new pet? *
If the dog you are interested in is no longer available, would you like to hear about other dogs that might be a good match for your family?
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How did you hear about us? *
What are your plans for training your new dog? *
Would you like to be added to our mailing list for occasional updates? *
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