Animal Shelter Adoption Application Form

Your Name (First & Last):* This field is required.

Street Address:* This field is required.

City, State, Zip* This field is required.

Phone Number:* This field is required.

Area Code

Phone Number

Alternate Phone:

Area Code

Phone Number

Employer:* This field is required.

Employer reference & phone number:* This field is required.

How do you prefer to be contacted?* This field is required.

Phone

Text

Please provide the name of the pet you are interested in, or "No Preference"* This field is required.

Please list all current pets in the household: (Breed, age, spayed/neutered)* This field is required.

Please list previous pets from the last 5 years & where they are now:* This field is required.

Are you considering adopting more pets in the future?* This field is required.

Yes

Choose which best describes your level of dog owning experience:* This field is required.

Advanced (Dog behavior & training background)

Intermediate (Always owned dogs)

First Time (Never had a dog)

Not applying for a dog

What qualities are you looking for in a companion?* This field is required.

Are you concerned with any of the following behaviors?* This field is required.

Jumping

Barking

Pulling on leash

Refusal to be handled

Mouthing

Fear/Anxiety

I am not concerned with any of these behaviors

Other

Which of these behaviors are you willing to work through, with training & support from The ARRC?* This field is required.

What activities would you like to do with your new pet?* This field is required.

Briefly describe your average day:* This field is required.

Are there any specific preferences or personality traits you are looking for?* This field is required.

What kind of food do you plan on feeding your new pet?* This field is required.

Would you consider adopting a pet with existing medical needs, that are currently being treated?* This field is required.

Yes

Maybe

If The ARRC is unable to board your animal, who will care for the animal during times you are away?* This field is required.

What do you plan to do with the animal if you move? What if there are restrictions pertaining to your pet?* This field is required.

Who will inherit the animal in the event of a death? (Please list two references with phone numbers)* This field is required.

Do you consent to a brief home visit, prior to finalizing the adoption of your new pet?* This field is required.

Yes

Are all members of your household in agreement with this adoption?* This field is required.

Yes

I Don't Know

Who will be the pet's primary caregiver?* This field is required.

Do you live in a* This field is required.

House

Apartment

Condo

Other

Do you own or rent?* This field is required.

Own

Rent

If renting, please provide name and contact number for landlord/property management:* This field is required.

Does your landlord/property management/HOA allow dogs at your residence?* This field is required.

Yes

Are there any restrictions from your landlord/property management/HOA?* This field is required.

Number of pets

Size or weight restrictions

Breed restrictions

None

Size of your backyard:* This field is required.

Small

Average

Large

Extra Large (Corner lot)

Patio (No Yard)

Do you have a fully fenced yard?* This field is required.

Yes

Height & type of fence: (N/A if not applicable or no fence)* This field is required.

Where will the pet be kept when you are not home?* This field is required.

Does your yard include a pool?* This field is required.

Yes

How many adults are in your household?* This field is required.

How many children are in your household?* This field is required.

Please list children's ages:(N/A if no children)* This field is required.

Have children in the home been around animals, before?* This field is required.

Yes

Does anyone in your home have asthma or pet related allergies?* This field is required.

Yes

Household Activity Level:

Quiet

Active

Very Active

Just Me

Other

Please list 2 personal references with phone numbers: * This field is required.

Do you currently have pets?* This field is required.

Yes

Please list all current pets: (Breed & Age included) (N/A if no pets)* This field is required.

Are your pets up to date on vaccines & preventatives? If not, briefly explain why:* This field is required.

How many of these pets are spayed/neutered?* This field is required.

Have you adopted from a rescue group or shelter, previously?* This field is required.

Yes

If yes, which rescue/shelter?* This field is required.

Have you ever had to surrender an animal?* This field is required.

Yes

If yes, please briefly explain the circumstances?

Please list any pets you have owned in the last five years & where they are now: (N/A if not applicable):* This field is required.

Which of the following would you like more information on?* This field is required.

Vaccines

Parasites

Heartworm/Prevention

Flea/Tick

Spay/Neuter

Socialization

Training

None

Do you have a vet you use, currently?* This field is required.

Yes

I would like help finding one

If so, please provide the name, address, & phone number of your vet:

Briefly explain why you are interested in adopting? (N/A for Fosters)* This field is required.

Preferred activity level:* This field is required.

High Energy/Jogging buddy

Moderate Activity

Low Activity

Couch Potato

Do you plan on crate training your new pet?* This field is required.

Yes

Have you ever potty-trained an animal before?* This field is required.

Yes

How do you plan on exercising your new pet & how many days per week?* This field is required.

How many hours each day will your new pet be home alone?* This field is required.

Where will your pet stay when your are not home?* This field is required.

Where will your new pet sleep at night?* This field is required.

How do you plan on helping your new pet best adjust to their new home?* This field is required.

What will you do if bad habits form?* This field is required.

Are you willing to utilize The ARRC's support & training tools, if any behaviors of concern arise?* This field is required.

Yes

Under what circumstances would you have to give up your pet?* This field is required.

How hear about The ARRC?* This field is required.

Google

Petfinder.com

Facebook

Petharbor.com

Instagram

Friend/Family

Other

I agree that the information I have provided is true
I understand that applying does not guaruntee adoption
I understand that a meet & greet with a dog does not guaruntee adoption

I understand that The ARRC spends a minimum of $250 in vetting costs per intake, & adoption fees are donations towards care & medical needs to continue to help each rescue dog who takes the place of an adopted one.

Please allow The ARRC team 2-3 business days to process your application. You will be contacted by phone or email, provided.

Thank You for considering an ARRC pup!