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Adoption Form
"You can't buy love, but you can rescue it"
First name
*
Last name
*
Phone
*
Email
*
Address
*
What is the name of the dog you are interested in?
Is someone home at your house during the day? If no, what would you do with the dog during the day?
*
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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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?
*
Do you have children in your home? Ages?
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Is everybody in the household on board with adopting the dog/cat?
*
Please list the name and phone number of your veterinarian.
*
Where will the dog spend the day? Where will the dog spend the night?
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What is your current age?
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What are your plans for your dog/cat when you go out of town?
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Who in your house will care for the pet?
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Describe how you will train this pet.
*
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
Are you ready financially to care for a pet? (routine and emergency medical care, licensing, etc.)
*
Are you prepared for the 10-15 year commitment of owning a pet?
*
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).
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Do you have any other animals in your house? (If yes, please list type, age, size, and personality.)
Do you agree that this will be an "indoor" dog?
*
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 agree that you will return this animal to Rock Bottom Rescue if at any point you are no longer able to keep him/her?
*
Who will have financial responsibility for this pet?
*
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.
*
Please describe your experience with cats/dogs.
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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.
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Please provide veterinarian name and phone number so we may call for reference .
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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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Date:
*
Name:
*
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?
*
I certify that the information entered on this application is true.
*
Do you agree to provide licensed veterinary care for your animal?
*
Driver’s License Number (or parent's):
*
Signature
*
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