Adoption Application Route 66 Rescue

Our main goal is the successful and permanent placement of each dog we rescue into loving forever homes. We strive to make sure you adopt a dog that is an age, size, temperament and activity level match for your family and that the adoption is forever. We feel totally responsible for all dogs we rescue, and we must guarantee their well-being and future. We want every dog to go to its forever home with our blessing and knowledge that it is the best home for that dog.

Our dogs are adopted to inside homes only. They must be on leash, or inside a secure fence when outside, and must be returned to us if not kept by the adopter.

Please be sure to provide as much information as possible on your answers below. If a question is not relevant, please enter n/a so we know you didn't miss the question.

Pet you would like to adopt: *

Pet's Name

Name *

First Name Last Name

E-mail *

Address *

Street Address
Street Address Line 2
City	State
Zip Code	Country

Phone Number *

- Area Code Phone Number

Describe your home, yard, and fencing. Do you own your home? How long have you lived at this address? Will you be moving within the next 6 months? *

Describe your family composition. Include all people and pets in your home or family that share your home any part of the time. Mention ages and personalities, likes, dislikes, etc. Are your pets spayed/neutered? Are they up-to-date on vaccinations? If you have no children, are there children in your future? Do children frequently visit your home? Does anyone have pet allergies? *

Tell about your past pets. Were they kept up-to-date on the vaccinations? Were they spayed and/or neutered? *

Describe what you want this dog to do; such as go on walks, bark at strangers, play with kids, obedience, agility, etc. Who will have chief responsibility for the care of your new dogs? *

Tell about any dogs you have had that you chose to let go live elsewhere and why. *

How do you plan to control external parasites? *

Do you plan to crate train? If so, how many hours would the dog be crated? Please add additional info you think is relevant for your situation. *

Is your entire immediate family in agreement with the decision to bring a new pet into your home? If your answer is no, please explain. *

Questions/Comments

Your Primary Vet

(a vet you have a recent history with, not a vet you intend to start with on the new dog)

Vet's Name *

Vet's Address

Street Address
Street Address Line 2
City	State
Zip Code	Country

Vet's Phone Number

- Area Code Phone Number

Vet's E-mail

Any dog adopted from Route 66 Rescue Inc. may be returned at any time for any reason.

You are not at liberty to dispose of this animal in any way, except to return her/him to us. The animal may not be sold, given away, put in a shelter or euthanized without the knowledge and permission of Route 66 Rescue Inc.

Do you agree to these terms? *

Yes No

Type your name below you give your vet permission to discuss the care you provide to your animals *

Consent to contact veterinarian *

By checking this box, you give your vet permission to discuss the care you provide to your animals.

Electronic Signature *

By typing your name here, you agree your electronic signature is the legal equivalent of your manual signature on this Agreement and that the information you provided is accurate.

Today's Date *

Date

Adoption Application Route 66 Rescue

Your information

Additional Questions

References