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  • ADOPTION APPLICATION

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  • SSRR serves the States of Alabama, Arkansas, Florida, Georgia , Kentucky, Louisiana, Maryland, Mississippi, North Carolina, Oklahoma, South Carolina, Tennessee, Texas and Virginia ONLY. We do not adopt to any states other than those we serve as we have no resources in those states.

  • I. Personal info:

  • EMERGENCY CONTACT:

  • II. Dog Choice: 

    We do everything possible to ensure that our Rotties end up in the best home possible for both the dog and the family.  Some of our Rotties get multiple applications. An adoption is not approved, and should not be considered approved, until a congratulations letter is sent to the Adopter.

  • III. Children living at home:

  • IV. Your residence:

  • V. Care and Responsibility:

  • Are you prepared to deal with any of the behavioral/training issues listed below?

  • Please take a few minutes and think of all possibilities prior to answering the following question. It is extremely important that this question is answered as honestly as possible so we can be sure that the Rottie you have selected or that we pair you up with will be a perfect fit for your family.

  • VI. History of Pet Ownership:

  • a.  How Many Dogs/Cats Do You Currently Have?

  • b. Dogs:

         List ALL dogs currently living in your home.

  • c. Prior Dogs:

         Please list all prior Dogs that you no longer have (within past 10 years):

  • The Reason that you no longer have this Dog:

  • The Reason that you no longer have this Dog:

  • The Reason that you no longer have this Dog:

  • d. Cats:

         List ALL cats currently living in your home.

  • VII. References:

    Please list the names and telephone numbers of 3 references, with no more than 1 being related to you please. If you have not had any pets within the past 2 years, please provide a 4th reference.

     Applications without references will not be processed.

     

  • By signing below, Applicant certifies that the above information is true and understands that, prior to being approved for adoption, this information will be carefully scrutinized, including a background check, in order to verify.

    Once your veterinarian and person references have been contacted, a home visit will be scheduled. All members of the household must be present.

    Applicant certifies that he/she is financially and physically able to care for the animal.

    Applicant understands that proper food and vet care can be costly and is prepared to meet these requirements.

    The adopted Rottweiler will be spayed/neutered, current on vaccinations and on heartworm preventive medication prior to placement.

    Approved adoptions require a signed Adoption Contract.

    SSRR reserves the right to make random visits, if necessary, to ensure the adopted dog is being properly cared for, and if it is not, to remove the dog from the premises without refund.

    SSRR reserves the right to decline any application.

     

    "I/we hereby state that neither I/we nor anyone in my/our household, nor anyone who will have access to or care for this dog, has ever been charged with or convicted of any offense involving animal neglect, abuse, or cruelty, regardless of any dismissal or deferred prosecution or other expunging of the records. I/we understand and agree that if this statement is found to be incorrect, without further evidence of any other contract violation, the Rescue may immediately obtain return of all animals adopted to me/us, without refund of any sums paid, donated, or expenses incurred. Further, it is agreed that I/we shall pay all costs of the recovery and return of said dog(s) incurred by said Rescue."

  • Signature:

  • Should be Empty: