General Application – Rescue Dogs Rock, NYC

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Thank you for contacting Rescue Dogs Rock, Inc., to a add a new member to your family. We would love to match you with a great rescue dog.

Please read below and then answer every question.

To adopt a dog from Rescue Dogs Rock, please start by filling out our on-line application. We will check all your references, including and landlord approval, and if all is well, we will then schedule a home visit.

The adoption fee for any puppy between the ages of:

* Puppy 5 months and younger $400 per puppy. No exceptions will be made.
* 6 months to 5 years $350
* 6 years and above – $200

All current pets in the home must be spayed/neutered – we do not adopt out to homes with unaltered pets.

You must be at least 23 years old, or if living with parents, have written parental approval.

If you think you want to adopt in the near future, get your application in early – you can be pre-approved for future foster or adoption.

By submitting the below form, you are agreeing that: I understand all of the questions and have completely read the application and understand that this puppy MUST be indoors and this puppy will not be chained/penned outside. I further understand that if for any reason I want to give up this puppy, I will email Rescue Dogs Rock and undergo a 14 day waiting period in which representative from the organization of Rescue Dog Rocks will work with me to resolve any issues with the puppy. I also understand that a representative from the organization may visit the dog to ensure that it is well taken care of; if we find that the dog has been neglected or abused in any way or for any reason, we reserve the right to remove the dog from the premises. Your form submission below authorizes us to do so as necessary, and automatically transfers ownership rights of said puppy back to Rescue Dogs Rock at that time.

Please apply to adopt a dog from Rescue Dogs Rock using the form below:

* Required

Which dog are you interested in?*

Animal ID #/Petfinder #/Shelter ID # (If not applicable, please mark N/A)*

Are you interested in adopting?*

Adopting
Would like approval for the future

If the dog of your choice is not available, would you be interested in adopting another dog? (Please be honest)*

I would be interested in adopting another dog
I would be interested in proceeding with approval for the future
I would not be interested in adopting another dog

How did you hear about our rescue group?*

Personal Information

First Name*

Last Name*

Full Address*

Street Address Address Line 2 City State ZIP Code

Email Address*

Your Cell Phone Number*

Alternate Phone*

Best time to call*

Employment*

Employment of others in the Household*

Veterinarian Information

(If you currently have a pet, vet information below is required! Also please advise your Vet's office to expect a call from one of our representatives and to release any information requested.)

Your Vet's Name*

Your Vet's Address*

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Your Vet's Phone Number*

Personal References. Please provide the name, phone number and email address of TWO personal references we may contact (Neighbor, friend, co-worker).*

Residence*

Please choose your type of residence.

If you chose other type of residence above. Please explain.

How long have you resided here?*

If you rent, please provide your landlord's name and phone number

We request this information so that we can verify you are permitted to have a pet.

Please list all people who currently live at this residence (including yourself). (Include name, age, and relationship to you)*

Who will be responsible for the care of your new dog?*

Please list all pets who CURRENTLY live in your household. (Include NAME, TYPE/BREED, AGE, GENDER, ALTERATION STATUS, HOW LONG OWNED, INDOOR OR OUTDOOR, CATS DECLAWED.)*

Please list any pet you have owned in the past. (Include NAME, TYPE/BREED, AGE, HOW LONG OWNED, WHAT HAPPENED TO PET.)*

Have you ever taken one of your pets to a shelter or given an animal away? Please explain circumstances.*

Please explain circumstances.

How do you plan to have your dog relieve itself?*

What type of exercise and activities do you plan to do with your dog?*

How many hours each day will your new dog be alone?*

Where will your new dog be kept when you are not home?*

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

Where will your new dog sleep?*

What types of training methods do you plan to use to train your new dog?*

Many shelter dogs come down with kennel cough. Do you have a way of separating our new dog from your current dogs? If so how?*

Who will care for your new dog when you are on vacation?*

Would you like a trainer recommendation?*

By checking YES you agree that if you are chosen to adopt the pup, you will review and agree to an adoption contract, which is wholly in the pup's best interests.*

Yes
No

By checking YES you agree that if you need to relinquish the animal during its life, you will contact Rescue Dogs Rock, Inc for its surrender.*

Yes
No

By checking YES we have your permission to contact these references.*

Yes
No

By checking YES you agree that all pets in your household are spayed and/or neutered.*

Yes
No

Adoption Terms

I have read all the above information carefully and have complete this application honestly. I understand that omission of information and/or failure to answer all questions and sign the application can result in this application being declined. Also, if an omission or untruth is discovered after an adoption takes place, I understand that Rescue Dogs Rock reserves the right to annul the adoption and reclaim the animal. If the application passes this review, I agree to a home and yard visit on a mutually agreed date by a Rescue Dog Rocks volunteer or a courtesy visit through another reputable rescue before an adoption decision is made.

In addition, I understand the adoption decision is dependent on many factors, including but not limited to the compatibility of the family and home to the individual animal, and other applications received on this animal. I understand it is the organization’s prerogative to decide which home is the most appropriate and that their decision is final.

Signature*

Today's Date*

Personal Information

Veterinarian Information

Adoption Terms

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