Rescue Ridge Dog Adoption Application
rescueridgeshelter@gmail.com
(732)546-8805 
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Name of the Dog you would like to adopt *
Your Name (First & Last) *
Date of Birth *
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Home address (Street Address) *
Home address (City & State)
Cell Phone Number *
E-mail Address *
Please list the names and ages of everyone residing in your home *
Type of Home Residence *
Do you own or rent your home? *
If you rent your home, please provide your Landlord's Contact Info. (Name, phone number and email)
Are there any size or breed restrictions per you HOA, Landlord or Insurance? If yes, please explain
Do you have a Fully Fenced-In Yard *
Type and Height of fencing (if applicable)
Your employer *
How many hours each day will your new dog be home alone *
Please provide us with the NAME, AGE, SEX and BREED (if applicable) of any pets currently living in your home. Please write "None" if there are no other pets in your home at this time. *
Have all of your dogs been altered, up to date on vaccinations/preventatives, and licensed in accordance to your state law? *
Have you ever owned any other dogs (other than the ones you may currently own)?
We do a vet check on all applicants. Please provide the name and phone number of your current and/or previous veterinarian or clinic.
**Please call them at the time of this application submission to give Rescue Ridge approval to speak with them.
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Please provide us with the name, cell phone number and relationship of your 1st Character Reference

Example: John Smith, 123-456-7891, neighbor
 *
Please provide us with the name, cell phone number and relationship of your 2nd Character Reference

Example: John Smith, 123-456-7891, neighbor
 *
Have you ever returned an animal to a Shelter, Rescue, Humane Society or other facility? *
If you answered yes to the previous question, please explain the circumstances that led you to return the animal to the Shelter, Rescue, Humane Society or other facility?
In the event that you are no longer able to care for your dog, who will care for the animal? Please consider this question and speak to the people you think will care for your pet. *
Do you have any additional comments, questions or concerns? Is there anything else you would like us to know?
The information contained within this application is to the best of your ability accurate and correct. I understand and agree that falsification of any of the information is grounds to disqualify my adoption application. RESCUE RIDGE makes no guarantees as to the health of the animal and makes no claims as to its behavior or temperament. RESCUE RIDGE reserves the right to deny any application to anyone for any reason. I certify that I am over 21 years of age. I authorize the release of Veterinarian Information related to current and past pets to RESCUE RIDGE.

By signing (typing) my name below, I certify that the information I have provided on this application is accurate and correct.

I HAVE READ THE APPLICATION AND AGREE TO THE ABOVE CONDITIONS:
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Today's Date *
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