Adoption Application

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Fill out this adoption application and you will hear from an adoption coordinator soon. We are a 100% volunteer run organization, so please be patient. For updates on your application, please email adopt@rescuegang.org.

If there are any parts of this application that are filled out incorrectly, it will result in a delay in processing. Please read and respond to all questions carefully.

Email Address *

Which dog(s) are you interested in? *

First Name *

Middle Initial *

Last Name *

Date of Birth *

YYYY

Street Address *

City *

State *

Zipcode *

Phone Number *

Occupation *

Please list the full name (first, middle initial, last) and date of birth of all adults in the household: *

Please list the first name and age of any children in the household: *

Home Type *

Home Status *

If you rent, provide landlord's full name and phone number. If you own, enter "N/A" *

Are there currently any other pets in the home? *

If yes, please describe their age, sex, breed, and temperament. If no, enter "N/A". *

Are all pets in the home spayed/neutered? If not, please explain:
*

Please list the name AND phone number for the vet clinic that has records for your current animals. If your pets are listed under a name other than yours, please also include that information. Put "N/A" if you don't currently have pets. *

Have you called your vet to let them know that they can release your records to Rescue Gang?
*

If you have ever relinquished ownership of an animal, please explain. If not, enter "N/A".
*

Please tell us about any previous dogs you have owned. If you have never owned a dog, put N/A. *

Please describe your activity level. *

Please describe why you would like to welcome a new dog into your home:
*

Where will your animal(s) be kept when you are NOT home?
*

What will you do with your animal(s) if you move? Have children?
*

If your pet encounters a medical emergency that costs $1,000 or more, what do you plan to do?
*

Please describe the care you plan to put into your new pet as far as food, enrichment, vaccinations, heartworm testings, heartworm preventative, flea and tick preventative, etc.
*

Being that these animals may not have been in a home recently, are you willing to work on potty training, basic commands, and help work through behavior issues?
*

If you do not have any experience training or come across behavioral issues that you cannot work out on your own, are you willing to hire a professional dog trainer?
*

What behavior issues are you NOT willing to work through?
*

Do you consent to a background check? This is required for approval and we will be unable to proceed without it.
*

Do you consent to a home check so that we can be certain there will be a safe environment for the dog? This is required for approval and we will be unable to proceed without it.
*

Signature
*

Date
*

YYYY

How did you hear about us? *

Social Media

Word of Mouth

Google Search

Event

Other

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