3 DOGS RESCUE ADOPTION APPLICATION

Please review the FAQ section of our website, 3 Dogs Rescue , for a breakdown of adoption fees.

Submission of an application does not guarantee adoption, but merely alerts the rescue to a serious inquiry and begins the approval process.

Applications are held onfile for 90 days.

Name of dog you are interested in: *

ADOPTER INFORMATION

Applicant's full name: *

Applicant's email address: *

Applicant's PHYSICAL address: *

City, State: *

Zip code: *

Applicant's MAILING address: *

City, State: *

Zip code: *

BEST contact phone number: *

Alternate contact/secondary phone number: *

Best time to call: *

Applicant's date of birth: *

Co-applicant's full name, if applicable:

Co-applicant's email address:

Co-applicant's phone number:

Co-applicant's PHYSICAL address:

City, State:

Zip code:

REFERENCES

Application will NOT be processed unless TWO references are able to be contacted and have knowledge of applicant's handling and care of animals.

Current Vet Name (Please contact your vet and provide permission for them to speak with the rescue): *

Name vet records under:

Current pet names: *

Vet address: *

Vet phone number: *

Personal reference name (not a relative, significant other, or co-applicant): *

Best phone number for personal reference: *

If NO vet reference, a second personal reference may be listed:

Best phone number for second reference:

HOUSEHOLD

Number of adults in home: *

Number of children under 18: *

Ages of children under 18:

What type of home do you live in (single family, multi family/shared, with extended family, townhouse, apartment, working farm, etc.)? *

Please describe your household activity level: *

Do you or anyone in your household have, or have ever had (you may choose more than one): *

None listed below

A known allergy to dogs

Fear of dogs

An unfavorable experience with a dog. Explain: An unfavorable experience with a dog. Explain:

Is everyone in the household in agreement with the decision to adopt a rescue dog? *

Yes

No

Do you currently own dogs? *

Yes

No

Name, breed, age, gender, and personality of current dog(s), or "no current dog": *

Are all current dog(s) spayed or neutered?

Yes

No. Reason No. Reason

Are all current dog(s) on monthly heart worm preventative?

Yes

No. Reason No. Reason

Are your current animals tested annually for heart worm? *

Yes

No

If no, please explain reasoning:

Do you currently own cats? *

Yes

No

Number of cats (please include their name(s):

Cats are:

Inside only

Outside only

Both inside and outside

Current cat(s) are (you may choose more than one): *

Are dog(s) and cat(s) on monthly flea/tick preventative?

Yes

No. Reason No. Reason

Have you ever surrendered or euthanized a pet? *

No

Yes. Reason Yes. Reason

Short example of how you would discipline or correct unwanted behaviors of your pet(s): *

Every effort is made for dogs adopted through 3 Dogs Rescue to be spayed or neutered prior to adoption. Adopters shall be advised if an animal is NOT spayed and must agree to do so as outlined on the adoption contract and per state law. Do you have any reservations with this policy? *

Yes

No

Do you own any other small pets (hamsters, guinea pigs, ferrets, rabbits, etc.)? *

No

Yes. List Yes. List

Where and how are small animals contained?

Do you have fowl or livestock on your property?

Yes

No

If yes, please list:

Where and how is the fowl or livestock contained? *

Are all your current pets vaccinated per state law? *

Yes

No. Reason: No. Reason:

Use this space for vetting notes and explanations (if necessary):

Do you own your home? *

Yes

No

Application will NOT be processed unless current landlord or managemnt company are able to be contacted and have knowledge of applicant, property and lease/rental agreement (if applicable).

If you rent, do you have permission from your landlord to have a dog? *

Yes

No

NA/Own home

Have you insured there are no size or breed limitations on your homeowners or renters insurance, homeowners association, lease, rental agreement, or with your management company? *

Yes

No

Landlord or management company name:

Landlord or management company phone number:

Landlord or management company email address:

FINDING YOUR DOG

Have you adopted with us before? If yes, when? *

Is this dog being adopted as a 'gift' for a family member, child(ren), parents, etc? *

No

Yes. Whom Yes. Whom

Traits of an ideal dog:

Breed(s) you would NOT adopt:

Are you willing to adopt (you may choose more than one): *

Is your yard completely fenced? *

Yes

No

Describe Fence - height, type, etc.

What are your plans to exercise and contain a dog? *

Would you rather adopt a: *

Female dog

Male dog

No preference

What age dog are you seeking to adopt? *

What is a typical day/night for a dog in your home? *

How many hours daily will the dogs spend alone? *

Who will have primary responsibility for this dog's daily care? *

What are your plans for continued training and socializing your dog with other dogs and people? *

Use this space to note anything you would like to add to this application:

By entering your name in the signature block below, you attest that the information provided herein is accurate.

-You are also granting permission for vet checks on current and past pets, as well as personal reference checks.

-You understand that the adoption fee is nonrefundable and based on age as follows: puppy to one year $550.00, one to eight years $500.00, over eight years $300.00. The adoption fee covers all vetting appropriate to the age of the dog. The adoption fee funds medical care, shelter, transport, and food costs. This fee is not solely for the dog you are applying to adopt but for all the animals in the rescue.

-You consent to the scheduling of a home visit as part of the adoption application process.

-You understand that if falsified information is discovered your application will be denied.

-You understand that should you adopt from 3 Dogs Rescue this application becomes part of the contract and file of adoption.

Signature: *

Date: *

No cat	Cat thinks it's a dog	Dog friendly	Dog savvy
Dog cautious/curious	Afraid of dogs	Dog aggressive	Example Example

Outgoing dog	Dog in need of regular medication	Dog in need of extensive grooming
Timid/shy dog	None of the above	Other Other

Baby/Puppy up to 4 months	Puppy/Young 4 months to 1 year
Adult dog 1 to 8 years	Senior dog over 8 years
Special needs dog