Red Dog Farm Dog Adoption Application

Red Dog Farm Animal Rescue Network
Dog Adoption Application

Dog(s) you would like to adopt:

Applicant's Information

First Name		Last Name		Age
Address		City
State		Zip
Home Number	- -	Cell Number	- -
Work Number	- -	Email

Veterinarian Information

Clinic Name

Phone Number

- -

Do you have children?	Yes No
If yes, what ages are they?
Have they been exposed to pets?	Yes No
If yes, explain?
Do you have pets now?	Yes No
If yes, list type of pet.
Are your pets vaccinated?	Yes No
If yes, by whom?
Where do your pets live?	Indoors Outdoor
Please explain.
What would this new dog's daily routine be like in your home?
Are your pets spayed or neutered?	Yes No
If not, why?

If you own dogs, have they been tested for heartworms?	Yes No	Results?	Pos Neg
Are they on heartworm prevention?	Yes No	Brand?

Why do you want to adopt this dog?
Please list 2 references and phone numbers:
Has each adult living in your home consented to adopting this dog?	Yes No
Where will the new pet stay?	Indoors Outdoors Both
If outdoors, how will pet be restrained?	Fenced Yard Invisible Fence Dog Lot Chain Other
Do you own or rent your home?	Rent Own (If you rent, proof of pet allowance is required)
Your type of residence?	House Apartment Townhouse Condo
Please add any other information you'd like us to consider:

Red Dog Farm Animal Rescue Network cannot assume responsibility for the temperament of the animals placed in adoptive homes. Please let us know immediately if you become worried that an animal in your care may have aggressive or unsafe characteristics. Please understand that though we will screen animals to the best of our ability, we cannot predict their actions. Furthermore, we cannot always tell whether animals are housebroken or not, so please treat all indoor animals as if they are not until they show you otherwise. Do not give a new dog access to expensive shoes or rugs - you may regret it! We highly recommend crate training for all dogs. Health/vet bills: Because rescue dogs come to us from a variety of backgrounds, we cannot certify the health of any animal in our program. All veterinary bills incurred after the date of adoption are the responsibility of the adoptive owner. Our adoption fee only covers an initial round of vaccines and spay/neuter surgery. RELEASE. In order to adopt an animal from the Network, you must agree to hold harmless and release the Network, its officers, Board of Directors, volunteers, employees and agents from any and all liability related to physical injury or property damage caused to you, your pets, your family or others by an animal that you adopt. Please use common sense and separate new pets from your animals and children until you are able to supervise safe interaction. By choosing "I Agree" below, I hereby agree to the terms and conditions set forth above and specifically to the release of liability set forth herein. I agree I do not agree

Red Dog Farm Animal Rescue Network Dog Adoption Application

Red Dog Farm Animal Rescue Network
Dog Adoption Application