What qualities are you looking for in a dog/cat? Example: playful, laid back, social, quiet, etc.
Date: *
Name of Pet Desired:
Address: *
Apt:
City, State, Zip:
Cell Phone:
Other Phone:
Driver's License State and #:
Marital Status:
Spouse/Partner Name:
Are you 21 years or older:
Email *
1. How did you hear about us?
2. Would you allow one of our representatives to visit your home?
How long have you lived in your current address?
If you chose Other, explain here:
6. If you rent, Name and Phone of Landlord:
9: Does Landlord/Lease have restrictions: (Example: Weight, size)
10. If you live in a condominium or have home owners association, please name of complex/association:
11. How many adults live in your home? Ages
12. How many children (18 years or less) live in your home? Ages
13. Do you have a fenced yard? Type of fence
14. Have you ever been convicted of animal neglect/cruelty? If yes, explain:
15. Have you ever surrendered an animal to an animal shelter or rehomed a pet you owned?
If yes, explain:
16. Does it matter if the pet is housebroken?:
17. Is there anyone home during the day?
If yes, who?:
18. Has anyone in the household ever had an allergy to animal hair?
19. How many pets have you owned?
If you no longer have these pets, what is the reason?:
20. How many pets are currently in your home?
a. Breed/Sex of dogs:
b. Breed/Sex of cats:
c. Other Pets:
d. Are they spayed/neutered? Vaccines UTD: ________ Heartworm Preventive:
f. Do your dogs/cats live indoors or outdoors?
21. Would your new pet be living indoors or outdoors?
22. Where will your new pet sleep?
23. Where will your new pet be when no one is home?
24. What is your daily rutine?
25. Where will your pet be while you are at home?
26. Does everyone in your home want a new pet?
27. If you relocate, are you willing to restrict housing only to places allowing your pets?
28. Where will the new pet stay when you go on vacation?
29. How do you control fleas and ticks on your pets?
30. Who is your veterinarian? (now or in the past)
Phone of veterinarian
31. Are you aware of the adoption fee?
CARETAKING - SAFETY - EXERCISE - FOOD - ETC. 1. What family member will be responsible for the primary care of the new pet?
2. What steps will you take to keep your pet safe?
3. How much quality time can you offer your new pet and what type?
4. What type of excercise and social time can you offer your new pet?
5. How will you show your pet when they do something right?
6. How will you show your pet when they do something wrong?
7. Are you aware that the life expectancy for dogs is 12-18 years and cats are 18-22 years?
8. Are you prepared to adopt for life?
If no, explain:
**Pets need preparation training for life changes such as moving, a new baby, divorce, etc. Are you committed to working through these changes with your new pet?
If no, explain why not?
I certify the information I have given on this application is correct and true. I understand my failure to provide complete, accurate and truthful information will be grounds to deny or withdraw my application. Printed Name and Date:
Additional Comments:
Important Note: Eddy’s Dogs aka Eddy’s K9 Rescue takes care of the animals we save. We spay/neuter, vet, transport, feed, etc until adopted. A donation will be required. This enables us to keep rescuing more fur babies and get them fur-ever homes We have the right to do a home check before the animal is adopted and placed in a home. We reserve the right to do sporadic follow ups/home visits to check on the animal’s health and wellbeing. I authorize the investigation of all statements in this application. I understand that submitting an application does not guarantee approval. Eddy’s Dogs has the right to approve or deny this application based on our policies. Our animals are not transferrable. If for any reason you can no longer take care of the pet you adopted from us, we require that the animal be returned to us. If the owner finds another person or family to adopt the pet, Eddy’s Dogs aka Eddy’s K9 Rescue must approve the new adoption, a new application should be filled out by new adopting party and a home check done. Disclaimer Although our rescued dog(s) is/are behavior tested and rescuer strives to ensure that the dog(s) is/are well adjusted and non aggressive, a guarantee on the personality of any dog cannot be given. Eddy’s Dogs aka Eddy’s K9 Rescue releases all legal responsibility of any rescue dog(s) to the adopting party. The animal being adopted came to us as a stray, owner surrender, abandoned by previous owners or rescued from neglect . Some of their history prior to being rescued is unknown. Accordingly, the Adopter or third party organization agrees to hold the rescue group Eddy’s Dogs aka Eddy’s K9 Rescue harmless from any claim related to the animal. The adopter or third party organization further understands that animals can be unpredictable and hereby acknowledges and agrees that Eddy’s Dogs aka Eddy’s K9 Rescue and their President, Vice President, Directors, Respective Agents and Volunteers have not made any warranties regarding temperament, personality or conduct of the animal being adopted. The adopter or third party organization hereby accepts the animal “as is” and agrees to assume all risk and responsibilities associated with ownership of an animal, including bites. The adopter or third party organization further agrees to release, indemnify, and hold harmless the rescue group Eddy’s Dogs aka Eddy’s K9 Rescue and their respective officers, president, vice president, directors, volunteers and instrumentalities from any and all liability, losses, or damages including attorney fees and cost of defense, as a result of any claims, demands, suits, causes of actions or proceedings of any kind or nature, whether known or unknown, arising out of, relating to, or resulting from the adoption, care, ownership, maintenance, retention, temperament or conduct of the animal. Release of Liability and Indemnification for Adoptions In consideration of Eddy’s Dogs dba Eddy’s K9 Rescue allowing me/us to adopt this animal, I/we agree to be solely responsible for this animal and to indemnify and hold harmless Eddy’s Dogs dba Eddy’s K9 Rescue and its officers and volunteers from any liability by myself/ourselves or third parties for the conduct and health on or after the day of adoption. The undersigned further agree(s) and intend(s) that this Release of Liability and Indemnification shall apply to any damages resulting from my/our adoption, ownership or control of such animal. This document incorporates all the information provided in the Adoption Application and Contract. I/we have read the foregoing and agree with all the provisions and stipulations stated herein. This is a binding contract, enforceable by civil law. If the above statements are found to be fraudulent or untrue, we reserve the right to repossess the dog and all liabilities are waived. **Must be signed by all adults in household responsible for this dog.** Dog's Name: *
Name (Print): *
Date: *
Signature: *
DL #: *