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Adoption Form
"You can't buy love, but you can rescue it"
First name
*
Last name
*
Phone
*
Email
*
Address
*
Do you currently have any other pets in your household. If yes, please describe. Are they friendly with other animals? If no, have you ever owned a pet before? How many animals have you owned in the past?
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Is someone home at your house during the day? If no, what would you do with the dog during the day?
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Do you have a fenced yard?
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Do you own or rent?
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Are you willing to put in the time to potty train a puppy/dog?
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Do you live in an apartment/condo, townhouse or house?
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Do you have children in your home? Ages?
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Driver’s License Number (or parent's):
*
Please list the name and phone number of your veterinarian.
*
Is everybody in the household on board with adopting the dog/cat?
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What is your current age?
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Please provide veterinarian name and phone number so we may call for reference .
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Who in your house will care for the pet?
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Where will the dog spend the day? Where will the dog spend the night?
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Are the animals in your house current on:
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Monthly Heartworm prevention (dogs)
Flea/tick prevention (dogs)
FIV/Felv (cats)
Spayed/nutered
What are your plans for your dog/cat when you go out of town?
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Do you have a specific Rock Bottom Rescue dog/cat in mind? If so, what is her/his name?
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Yes
No
Are you prepared for the 10-15 year commitment of owning a pet?
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Describe how you will train this pet.
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Do you have any other animals in your house? (If yes, please list type, age, size, and personality.)
Are you ready financially to care for a pet? (routine and emergency medical care, licensing, etc.)
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How many hours will your dog be alone on a daily basis?
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Less than 2 hours
2-4 hours
4-6 hours
6-8 hours
More than 8 hours
Do you understand that once spay/neuter is completed, verification needs to be sent to Rock Bottom Rescue in a timely manner? (no more than 6 months after adoption).
*
Who will have financial responsibility for this pet?
*
Do you agree that this will be an "indoor" dog?
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Please describe your experience with cats/dogs.
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Do you agree that you will return this animal to Rock Bottom Rescue if at any point you are no longer able to keep him/her?
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Spay/neuter is REQUIRED for all dogs/cats adopted through Rock Bottom Rescue. Do you agree that if the adopted dog/cat is not already spay/neutered, you will have this done BEFORE the 1st heat cycle for females or by the age of 6 months for males?
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As all our animals are rescues, we cannot guarantee any breeds that are included or excluded in the DNA makeup of our dogs. We can also not guarantee adult sizes, although we do try our best to be as accurate as possible in the listings.
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Do you agree to provide licensed veterinary care for your animal?
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I certify that the information entered on this application is true.
*
Dogs and puppies may not be taken to dog parks, pet stores, schools or other public places while they are being fostered. Please acknowledge that you will not take any Rock Bottom Rescue animal in your care as indicated above until the adoption is final.
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Date:
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I understand that an adoption is not finalized until an adoption contract is completed AND full adoption fee is paid.
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This animal will reside in my home as my pet. I will provide it with quality dog/cat food, plenty of fresh water, indoor shelter, affection, annual physical exams, and vaccinations under the supervision of a licenced veterinarian.
*
Name:
*
Signature
*
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