Posh Pets Rescue Dog Adoption Application

Thank you for expressing interest in adopting through our organization.

We will review your application upon receipt. If we feel you could be a good match for one of our animals and we wish to move to the next step of the adoption process, we will contact you.

Please know that we can not respond to every single application. If you understand the process from here, please fill out the application.

ADOPTION DONATION:

The donation for large adult/senior dogs range from $150 to $250.

The donation for small to medium dogs is $300.

The donation for dogs under a year-old is $450.

The donation for adult pure breed dogs is $400.

YOU MUST BE 23 OR OLDER TO SUBMIT AN APPLICATION!

Name of Dog*

Applicant's Full Name*

First NameLast Name

Co-Applicant's Name (If Any)

First NameLast Name

Age of Applicant (and Co-Applicant)*

Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry

Primary Phone Number*

Area CodePhone Number

Secondary Phone Number

Area CodePhone Number

E-mail Address*

Facebook/Instagram account link*

Occupation and Employer*

Work Address*

Co-Applicant's Occupation, Employer, and Work Address

Do you work from home?*

Do you attend school?*

Names and Ages of Adults in Your Home*

Names and Ages of Children in Your Home*

Is anyone in your home allergic to animals?*

If yes, explain:

Is everyone in your home in agreement about adopting a pet?*

If no, explain:

Who will be responsible for the grooming, housebreaking, and training of this pet?*

Does anyone in your home fear animals?*

If yes, explain:

Are you familiar with animal regulations in your area?*

Do you own or rent your home?*

Please list management company's or landlord's name, address, and phone number:*

Are you planning to move in the near future?*

Please briefly describe your home: *

Do you have a yard?*

If yes, is it fenced? How high is the fence?

If you don't have a fenced-in yard, how will your dog use the bathroom and get exercise?

Do you have an outside dog run?*

Tell us briefly, in your own words, why you want to bring a pet into your home:*

How long have you been looking for a pet?*

Do you already have a pet(s) in your home?*

If yes, what kind and how old?

Are all your current pets spayed/neutered?*

If no, explain:

How did you hear about Posh Pets Rescue?*

Is the pet you are applying for, going to be a gift?*

Where will your new pet be kept during the day and night?*

If no one is home, where will the pet be kept?*

How many hours during a typical day will the pet be left alone?*

Will you be getting a dog walker or using daycare?*

If you can no longer care for pet , who will contact our rescue to return pet? Please include their name, address, and phone number.*

Should your adopted pet develop special needs over time, will you still keep this pet, get proper veterinary care and follow your vet's guidelines, including whatever treatments/medications/special foods are required?*

Will you assume all financial responsibilities for the pet you adopt, including inoculations, regular veterinary care, good quality food, licensing, ID tag, dog bed, leash, collar, etc.?*

Are you willing to hire a professional trainer to correct any behavioral issues that arise?*

Have you had pets in the past?*

If yes, please tell us about them:

How many years did you own your pet(s)?

Have any of your pets ever gotten lost?:*

Have any of your pets ever been poisoned?*

Has any pet in your care ever been hit by a vehicle?*

Reason for no longer owning pet(s)?*

Have you ever given a pet to a shelter?*

Have you ever given a pet away to someone?*

If you've given away a pet in the past, please explain:

Please provide names, phone numbers, and relationship of two (see vet reference note) people not related to you:*

Vet's name, address, and phone number: *

If you do not have a vet, please include three personal references above.

I agree that if I am permitted to adopt, I will have the adoptive dog checked by my own

veterinarian within 7 days of said adoption, and will provide medical care, at my own

expense, for any conditions previously unknown to Posh Pets Rescue, as well as routine

yearly exams for as long as I own the dog.

I understand and agree that giving false information in response to any of the questions

above will disqualify me from adopting a pet from Posh Pets Rescue, and will nullify all

adoption(s) and/or adoption agreements between the applicant and Posh Pets Rescue.

Signature:*

Date:*