Adoption Application – RAD Rescue, Inc.

Date*

Name*

First Last

Occupation:

Dog you are interested in:*

Name and short description (ie. black puppy, brown chihuahua, white medium)

Are you over 18?*

Preferred Phone Number 1*

Preferred Phone Number 2

Do you give permission to be contacted by text message?*

Email*

Primary Living Address*

Street Address Address Line 2 City State ZIP Code

Facebook

Do you own or rent your home?

Please provide your landlords or apartment managements information.

If you rent, what are the animal restrictions?

Quantity, breed, size, ect.

Describe your yard.*

Size, type of fencing, height of fencting.

Please list all of the people that live in your household, and their ages.*

Please list all of the pets that currently live in your household, their ages, temperament, and any health concerns that need to be considered.*

What is your expectation for the relationship between your new dog, other animals, and people who live in the home?*

Who is your current veterinarian?

Where do your pets primarily stay?

Indoor
Outdoor
Both indoor and outdoor

Are your pets current up to date on vaccines?

Are your pets spayed or neutered?

If either of the answers on the last two questions were 'no', please explain.

Where will your new dog be kept when you are home?*

Where will your new pet be kept when you are out of the house for work, errands, ect?*

Where will your new dog be kept if you are gone for over 24 hours?*

What are the deal breakers that would cause you to return your new dog?*

Are you willing/able to administer medication if needed?*

Have you ever rehomed or returned a dog? What were the circumstances?*

Have you ever lost a dog? What were the circumstances?*

Is there anything else we should know?

Consent*

I voluntarily enter into this adoption agreement to provide a forever home as a caregiver to the animal(s) RAD Rescue, Inc. places in my care. I agree:

1. I am 18 years of age.
2. To pay a rehoming fee as means of adoption for my new Dog.
3. I am assuming full responsibility for the care and expenses of Dog is the adoption approved and I accept Dog as is, assuming all risks associated with the ownership of Dog. I fully and completely release, indemnify and hold harmless finder from any claim, cause of action or liability of any sort or nature in connection with the adoption, care, ownership, maintenance, temperament, or condition of Dog.
4. I am adopting Dog for myself and I agree not to give away, sell, or trade Dog.
5. I will not take Dog to any shelter or abandon Dog and I agree to notify RAD Rescue, Inc. without delay if I can no longer care for or keep Dog.
6. I will provide a humane environment, regular exercise and companionship for Dog.
7. Dog will be maintained in a securely enclosed area or on a leash at all times. Dog will not be allowed to roam at will and at no time will be maintained as a yard dog or on a chain, tether or pulley system.
8. To have Dog vaccinated annually, as well as licensed as required by law, and to abide by all animal control laws.
9. To provide RAD Rescue representatives access to my home and property for a home/yard inspection if requested prior to adoption approval.
10. I understand that RAD Rescue provides no guarantee to the health of Dog, its medical needs, socialization problems and/or behavior requirements.
11. I agree that my typed signature below is equivalent to a binding handwritten

Name*

First Last