Adoption Application
Completion of this application is non-binding and does not guarantee adoption. You must be at least 18 years old to apply. Before applying, please note that we are searching for serious adopters that are ready to make a commitment to adopt a pet and keep the pet for life. Please email this application to rescueangelssomd@gmail.com or mail to PO Box 51, White Plains, MD 20695. Our current listings of adoptable animals are at http://rescueangels.rescueme.org. Please allow at least a week for us to process your application. We are volunteers and do not operate first-come first-serve and reserve the right to refuse/deny any application at any time.
Email address *
What type of animal are you interested in? *
What pet(s) are you interested in? *
Your answer
Are they male or female? *
Required
How did you find out about this cat/dog?
Your answer
Would you be interested in fostering this cat/dog with intention to adopt? *
What is your first name? *
Your answer
What is your last name? *
Your answer
What is your occupation? *
Your answer
Are there children at the residence (with ages)? *
Your answer
Address: *
Your answer
City: *
Your answer
State: *
Your answer
Zip: *
Your answer
Phone: *
Your answer
Do you live in a *
How long have you lived at this address? *
Your answer
Do you *
If you do rent do you have your landlord's permission to have a pet?
Landlord's Name, Phone Number/Email:
Your answer
Landlord's Name, Phone Number/Email:
Your answer
Will the cat/dog primarily live indoors or outdoors? *
How many hours will the pet be left alone daily? *
What area(s) of the house will the cat/dog be allowed in? *
Your answer
For Dog adoptions: Do you have a fenced yard?
For Dog adoptions: Do you have experience with crate training?
For Dog adoptions: Will you be able to walk/exercise/play with your dog daily?
For Dog adoptions: Will you provide obedience and behavior modification training as needed?
Who will be responsible for taking care of the pet and do all members of the household agree to adopting a pet? *
Your answer
Do you have a backup plan for ownership and care of your pet should something happen to you? *
Your answer
Do you or anyone in your household have allergies to pets? *
Does anyone in your household have allergies? *
Your answer
Do you have a veterinarian? If so, vet's name? *
Your answer
Name of Clinic:
Your answer
Clinic Phone Number:
Your answer
Clinic Address:
Your answer
If you currently do not have a vet, would you like us to recommend one to you?
List all pets you have owned in the past 10 years: Please specify name, animal type, male/female, if they have been spayed or neutered, age, how long you have had them, indoor or outdoor, and where the pet is now.
Your answer
Why are you interested in adopting? *
Your answer
Do you agree to a home check during your adoption processing? *
Have you ever been denied adoption? If so, please explain. *
Your answer
Are you able to make a long term commitment to care for the pet as a family member for its entire life span, which could be as much as 10-20 years? *
If behavioral problems arise, such as aggression, biting, clawing furniture, chewing, or urinating outside of litter box, what steps will you take to find a solution, and are any of these things a dealbreaker for keeping the pet? *
Your answer
Have you ever surrendered, sold, given away, or abandoned an animal? If yes, please explain. *
Your answer
Have you ever committed and/or been convicted of animal abuse? Have you ever lived with someone that has been a threat to you and your family? *
Your answer
Please provide the name, phone number, and email for two references (coworker, neighbor, vet, pet sitter, etc.): *
Your answer
All animals must live inside only. Cats cannot be declawed. *
Required
Please sign your name below. *
Your answer
Adoption fees are $125 for one cat and $200 for two cats. Some adults/seniors are $75. Adoption fees for dogs are $300 for one dog and $500 for two dogs. Adoption fees for purebred dogs and cats may have higher fees. The adoption fee covers the required veterinary care for adoption. A portion of the fee may help provide care for other animals in the organization and is not refundable after 10 days. Rescue Angels of Southern Maryland, Inc. is a registered 501(c)(3) not-for-profit organization. *
MM
/
DD
/
YYYY
Submit
Never submit passwords through Google Forms.
reCAPTCHA
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy