RLAR K9 Adoption Application

K9 Adoption Application
Thank you for your interest in adopting a Ruff Life Animal Rescue dog! Before completing the application, please be sure that you are trying to apply with a Fort Mill, SC area rescue. Please also note that we only do local adoptions within a 60 mile radius.

Disclaimer: Completion of this application does not guarantee adoption of a Ruff Life dog. Ruff Life Animal Rescue retains the right to refuse adoption for any reason, at any time in the adoption process. Please answer each question in as much detail as possible.
Dog Choice/Preference:*
Applicant Information
Full Name*

First NameLast Name
DOB*
E-mail*
Address*

Street Address

Street Address Line 2

CityState

Zip Code
Phone Number - Cellular*

Area CodePhone Number
Phone Number - Home

Area CodePhone Number
Phone Number - Work

Area CodePhone Number
Please list ALL people residing in your home (including yourself, children, roommates, etc.)
Does anyone else frequent the home, but not live there (for example: grandchildren, boyfriend/girlfriend)?*
Please include gender and age of frequent visitors*
How did you hear about Ruff Life?*
Who is the dog for?*
Is everyone in the household in agreement to adopt and assist in the caring of a new dog?*

YesNo
What is your experience with dogs?*

First time ownerHad growing upHave had oneHave had manyOther
If you move, what will you do with the dog?*
Do you or anyone else smoke inside the house?*
Does anyone in your household have allergies to animals?*
Who has allergies and to what animals?*
Dog's Living Situation and Lifestyle
Dog's living situation (Check all that apply)*

Dog will be house pet, living inside with familyDog will live outdoorsDog will live in garage or basementDog will be a guard dogDog house will be providedOther
Where will the dog be when home alone?*
When home with people, where will the dog be?*
Where will the dog sleep at night?*
How many hours per day will the pet be home alone without an adult Monday-Friday?*
How many hours per day will the pet be home alone without an adult Saturday & Sunday?*
Applicant's Home
Do you live in a:*
Do you:*
Please indicate landlord contact information (include name and phone number)*
Please list any weight or breed restrictions, pet deposit and pet rent*
How long have you lived at your current residence?*
Do you have a fully fenced yard?*

YesNo
Do you have a pool?*

YesNo
Please describe the type and height of fence*
Please describe the pool, depth, any pool perimeter fencing*
Describe your home's activity level*
Animals Owned
Please list ALL pets residing in your home now and in the last 10 years. Please include any pets belonging to current roommate(s).
If any pets are not spayed/neutered, current on vaccinations, on monthly heartworm prevention or are no longer in your care, please explain in as much detail as possible.
Where does each pet listed above stay during the day? Where do they stay when home alone? Where do they sleep at night?*
Have you ever adopted from another rescue organization or shelter? If so, please list which pets and which organization*
Have you ever surrendered an animal to a rescue organization, shelter or animal control facility or rehomed/given away an animal? If so, please explain*
Have you ever had any canine distemper or parvovirus or any other deadly canine or feline illness at your house?*

YesNo
Please explain (include dates, measures taken to clean, and any other important information)
If there are no animals listed above, please describe your experience with animals
References
Vet Reference

It is important that you ACCURATELY list the veterinarian information for your all vets used in the last 10 years. Use the notes portion of this section to offer any additional information.

**Please call each clinic and give them permission to speak with us!**
Any additional info about vetting you need to include (for example: records are in your spouse's name or a maiden name, other phone number attached to account, etc.)
Personal References

Please list THREE references you have known at least two years - must not be a relative, significant other, or their family!
Questionnaire
1. Why do you want to adopt a new pet?*
2. What traits are you looking for in a new dog?*
3. Who will be the primary caretaker of the dog?*
4. Are you willing and able to pay the additional costs of caring for a new pet, including but not limited to, routine and annual vet care, vaccinations, monthly heartworm prevention, emergency care, training, boarding, grooming, toys, quality food, leash/collar, etc.?*
5. Who will be financially responsible for the dog?*
6. What do you think are the most important responsibilities in owning a dog?*
7. Have you submitted, or do you plan to submit, an application with another organization at this time?*

YesNoUndecided
Which organization(s) and what is the status of your application?
8. Have you ever had an application denied for adoption or fostering of an animal from an animal welfare group/animal control facility?*

YesNo
Which organization(s) and why?
9. If a behavioral problem arises, what steps will you take to work on it?*
10. What would you do if the dog gets into trouble by ruining something you value?*
11. How would you discipline the dog?*
12. Under what circumstances would you return the dog to us? *
13. At what point would you consider euthanasia, should your dog become ill?*
13. Have you ever had a pet euthanized?*

YesNo
Please explain
If approved to adopt, when would you be ready to take the dog home?*
Please use this section to tell us anything else you would like us to know about you and the kind of home you would provide for this dog and any additional information you would like Ruff Life Animal Rescue to know when considering your adoption application
Signature
By sending this electronically and signing, I acknowledge that I have completely read this adoption application carefully and have filled out this application honestly. I certify that I am the applicant submitting the application.

I understand that omission of information and falsifying information will result in the denial of my application. I also understand that if an omission or untruth is discovered after an adoption takes place, I accept that RUFF LIFE ANIMAL RESCUE had the right to adul the adoption and reclaim the dog immediately.

I give RUFF LIFE ANIMAL RESCUE permission to fully investigate the information provided and to contact veterinarians and references listed. I give permission for my veterinarian to release medical information to RUFF LIFE ANIMAL RESCUE. I agree to provide a copy of my driver's license with operater's license number visible at time of adoption and understand I must provide the copy.
Please type your name and date*
Signature*

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