First Name*

Last Name*

Address*

City*

State/Province*

Zip/Postal Code*
 - 

Email*

Cell Phone*

We must have a physical address in order to approve an application. If you listed a PO Box above, please list your physical address here. Otherwise, you may reply with "same".*

Apartment/Building/Unit Number

Phone (alternate)

Spouse/Partner Name

Your age*

Where did you view/hear about the dog(s) you are applying for today?
Choose all that apply: Facebook (Rescue Rovers page) Facebook (Shared by a friend) Our website (www.rescuerovers.org) Adoption Partner websites (adopt-a-pet, petfinder, etc) KSL Instagram Referred by a RR foster Saw us at an adoption event

Name of the dog(s) you are interested in meeting*

Are you currently employed

Name of Employer*

Spouse/partner currently employed

Name of Employer

How many hours a day will your pet typically be home alone?*

Where will the dog be while you are away during the day?*

How many adults live in your home other than yourself? Please list relationship and ages.*

How many children live in your home? Please list relationship and ages. If children visit regularly (ie., grandchildren) please list them.*

Have your children been exposed to dogs in the past? Please tell us about pets your children have been around and your philosophy regarding children and animals. Do you have any concerns about your children being around dogs? How would you deal with an issue between a new pet and your child?*

Is anyone in your home allergic to dogs?

Are ALL members of your household aware of and in agreement with this adoption? If anyone has concerns please list their name and the nature of their concern or objection.*

Do you currently Own or Rent your home? *Please be advised, we verify ownership with county records. False information may result in denial of application. If we are unable to access the county records at an event due to internet issues, proof of ownership will be required.*

Is your home

How long have you been at your current residence?*

If you do not own your home, does your residence allow pets? Please provide the landlord/property management/apartment complex/homeowner contact information (name and phone number) *

Have you been prescribed an Emotional Support Animal by a physician? If so, be advised that we will need to be emailed a copy or to verify with your landlord that they have seen a copy and are acting in compliance.

Do you plan on moving in the foreseeable future? If yes, please describe.*

Please describe your yard *

If your yard is fenced, please describe your fence *

Have you previously adopted from Rescue Rovers? If so, when?*

Please provide a list of past pets. Include type and age, how long you had them and why they are no longer with you.*

Please provide a list of current pets. Include type and age as well as where you obtained them.*

Are your current pets spayed or neutered?

If not, please explain

Are your current pets up to date on vaccinations?

If not, please explain.

Is the pet for

Are you planning to adopt a dog

What are you looking for in a pet?*

What type of dog do you feel would be a good fit for your home and family?

What is your preferred level of exercise with a dog?

Describe the exercise your dog will get*

Where will your pet be during the day?

Please describe*

Where will your pet be at night?

Please describe*

What are your preferences in a dog?

Additional Preferences*

What do you consider to be routine vet care?*

What is your estimate of the annual cost of routine vet care for the pet you adopt?*

Do you currently have a veterinarian? If so, who?*

How would you handle a vet care emergency or chronic illness?*

What type of training are you prepared to do with your new pet?

How do you plan to train your pet?

Who will be your new pets primary caretaker?*

Have you ever surrendered an animal (taken to the shelter, turned over to a rescue or re-homed yourself)? If so, please describe.*

If you move in the future what will you do with the pet you plan to adopt?*

What would cause you to return or give up a pet?

Please describe ANY circumstance you can see that would cause you to return or give up a pet.

If you adopt a dog from Rescue Rovers and are unable to keep him/her for their entire life do you agree to return the dog to us?

Should you need to return a dog you adopt for any reason, do you agree to house him/her until a foster home space opens up?

Do you agree that if you live out of state and can no longer keep the pet you have adopted from Rescue Rovers that it is your responsibility to return the dog to us at your cost?

Electronic Signature*