Adoption Application

Please complete this application to the best of your knowledge. All questions must be answered to submit, if the question does not apply please mark N/A.

Once received, a R.u.F.F. Rescue volunteer will contact you within 24 hours to notify you of the status of your application. If you do not receive an email/phone call within 24 hours, please contact us at faith@ruff-rescue.com. Thank you for considering R.u.F.F. Rescue!

Special Instructions

1. If you have a spouse or partner, they must be included on the application as a co-applicant.

2. If you rent your home, you will be asked to provide proof that you are allowed to have a dog on the property (e.g., a copy of your lease or a letter from your landlord).

3. An underground/invisible fencing does not count as a fence. If you have an underground/invisible fence, we require proof that it is disabled.

4. For a healthy dog, costs of veterinary care (shots and flea and heartworm preventative), food, toys, and minimal boarding and grooming can cost $500-$700 per year. In addition, dogs are susceptible to some diseases that afflict humans such as allergies, cancer, heart disease, arthritis, etc.)

5. You will be asked to list all pets you have owned in the past 10 years. If none, include pets owned during your adult life and any pets residing in your home that you do not own. Please include species/breed, gender, age, spayed/neutered, and where it is now (if previously owned).

6. Any misrepresentation of facts may result in your disqualification as an adoption candidate or repossession of your adopted dog.

Return to R.u.F.F. Rescue, Inc.

Applicant Name*

First NameLast Name

Applicant Age*

Applicant Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry

Applicant Home Phone*

Area CodePhone Number

Applicant Cell Phone*

Area CodePhone Number

Applicant E-mail*

Applicant Employer/Occupation*

Applicant Work Phone*

Area CodePhone Number

Co-Applicant Name (See special instructions above)

First NameLast Name

Co-Applicant Age

Co-Applicant Address (If different from applicant's)

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry

Co-Applicant Cell Phone

Area CodePhone Number

Co-Applicant Employer/Occupation

Co-Applicant Work Phone

Area CodePhone Number

Relationship to Applicant

Desired Breed of Dog*

Name of R.u.F.F. Rescue Dog*

Dog Gender*

Dog Age*

House Training*

Pure-Breed*

No PreferencePrefer Pure-BreedRequire Pure-Breed

Why do you want a dog? (Select all that apply)*

Describe Your Home (Select all that apply)*

Do You Own/Rent? (See special instructions above)*

OwnRentOther

How long have you lived in your home?*

Is anyone living in your home allergic to dogs?*

YesNo

Does anyone living in your home have asthma?*

YesNo

Do you have a fully fenced yard? (See special instructions above)*

YesNo

If yes, what type of fence do you have?

Do you have a swimming pool or hot tub?*

YesNo

If yes, is it separated from the dog area by a fence?*

YesNo

How many adults live in your home?*

How many children live in your home? What are their ages?*

Who will be the dog's primary caregiver?*

Does the primary caregiver have experience with dogs?*

YesNo

What are your plans for exercising the dog?*

Who will supervise outdoor activities?*

Do you travel frequently?*

YesNo

Who will care for the dog while you travel? Will you take the dog with you?*

Where will the dog be when home alone?*

How long will the dog be left alone on an average day?*

Where will the dog sleep at night?*

May we visit your home?*

YesNo

Are you prepared to provide required medical treatment? (See special instructions above)*

YesNo

We require all dogs to be spayed/neutered. Do you have any reservations/questions about this policy?*

YesNoOther

Tell us about your pets! (See special instructions above)*

If you ever had a pet die at an early age (dog less than 10 yrs. or cat before 14 years), become lost, or disappear, please provide details:*

If you presently have a dog, is it current on vaccinations (rabies, distemper, hepatitis, parvovirus, and parainfluenza at minimum) and on heartworm preventative?*

YesNo

If you presently have a dog, where is it housed?*

InsideOutsideBoth

Have you ever lived with a small dog?*

YesNo

Have you ever owned a terrier?*

YesNo

Have you ever trained a dog?*

YesNo

Current/Intended Veterinarian: (Include name of practice, vet name, and phone number)*

Due to HIPA... some vet offices are unwilling to release information. Please contact your vet immediately & give permission for our volunteer to discuss your pet's vet history.

Is this veterinarian familiar with pets you have owned?*

YesNo

Please express to us why you feel you would be a great adoptive family for one of our rescue dogs:*

How did you hear about R.u.F.F. Rescue?*

Applicant Signature*

Date*

MonthDayYear

Co-Applicant Signature*

Date*

MonthDayYear

Personal Reference #1 (non-family member):

Full Name*

First NameLast Name

Relationship*

Phone Number*

Area CodePhone Number

E-mail*

Personal Reference #2 (non-family member):

Full Name*

First NameLast Name

Relationship*

Phone Number*

Area CodePhone Number

E-mail*

Personal Reference #3 (non-family member):

Full Name*

First NameLast Name

Relationship*

Phone Number*

Area CodePhone Number

E-mail*

Submit Application

Enter the message as it's shown*