Animals Rule Rescue

Name *

Street Address *

City *

State *

Zip Code *

Age *

Home number *

Cell phone

Email Address *

What is your Occupation?

Length at Occupation.

How many days a week & hours a day do you work?

Name of Spouse, Significant other, partner, or roommate:

Select Relationship of this person: Select Spouse Significant Other Partner Room mate

Partner's Email Address:

Partners Cell Number

What is your partner's occupation?

Partner's length at occupation?

How many days a week & hours a day do they work?

Who would keep the pet if the relationship ends?

In General, why do you want a dog?

Is every member of the family in agreement to adopt this pet? Yes No

If you had to suddenly relocate or had other drastic lifestyle changes that made it hard to keep your new pet what would you do with him/her?

Under what circumstances would you NOT be able to keep your pet?

Are you prepared to make a commitment of 10-16 years? Yes No

What type of home do you have? House Condo Apartment Townhouse Duplex Mobile Home Boat

Do you own, rent or lease your home? (WE CHECK) Own Rent Lease

Landlords Name

Landlord's Phone number

How long have you lived at your current address:

Is your yard fenced? Yes No

What type of fencing do you have?

Height of back fence?

Height of Front Fence?

Do you have a pool? Yes No

Is there a fence around your pool? If yes, please provide height.

How many adults (over 21) live at this residence?

How many children (under 21) live at this residence?

If applicable, Names & ages of all children

Is anyone allergic to cats or dogs? Yes No

Do you have a dog door? Yes No

If no, will you install one?

Full name

Relationship to you?

Their phone number?

Please erase what is in this box: *

Will your dog be a: Family Pet
Home Protection
Children's dog
A Gift
Work Protection
Companion for other pet
Guard Dog
*

What kind of outside shelter do you have?

Where will your dog sleep, please be specific

Can you afford Vet care should your animal become severly ill or injured? Yes No

Can you afford a $1,000 - $2,000 Vet Bill?

Can you only afford Vet care less then $1,000?

Have you ever given up a pet before? Yes No

If yes, where did it go?

Have you ever lost a dog or had one stolen? Yes No

If yes, explain:

Do you currently have a Veterinarian? Yes No

Current vets name, address, and phone number:

How will you deal with any issues that may arise in your new dogs behavior such as fear, chewing, barking, separation anxiety, etc?

If you rescue dog is not housebroken, how will accomplish this? Be specific

Explain how commited you are to really KEEPING your adopted dog in your home should problems arise?

Do you plan to take this dog to obedience class? Yes No

Taking your current age into consideration, what would happen to your pet should it outlive you?

How many hours a day will your dog be left alone, explain

When I am home this pet will be kept... (explain)

When I leave the house or go to work, this pet will be kept... (explain)

What characteristics are you looking for in a dog? (explain)

Since living on your own, name the dog breeds you have owned.

How long did you own them and where are they now?

Do you own a dog right now? Yes No

Please list breed, sex & age of current dogs.

Are they spayed/neutered? Please Choose Yes No

Explain why your pet is not fixed.

What other pets do you have?

Are they spayed or neutered? Yes No

Explain why other pets are not fixed:

Have you ever taken your dog to the shelter (pound) and why?

If you would like to tell us more about your family that you could not convey in the application, do so here. Why should we adopt a dog to you?

How did you hear about Animals Rule Rescue or specific website?