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Date of Birth of Primary Applicant *
Primary (Home/Mobile) Phone Number
Email *
Address *
What county (not COUNTRY) do you live in? *
If Primary Applicant does not work full-time, please provide information for Co-Applicant or other explanation of your capability to financially support the dog you are applying to adopt.
What is the Primary Applicant's occupation? *
How did you learn about Recycled Doggies *
When will you be ready to adopt a dog (including bringing the dog home with you)? If you are not ready now, please let us know your plans. *
Which dog are you interested in? *
Why do you want to adopt a dog? *
Where will the dog primarily be kept? *
Where do you plan for the dog to sleep? *
How many hours will the dog you're applying to adopt be left alone each day? When they are alone, where will he/she be kept? *
If you have or have had a dog in the last 5 years, what brand of heartworm prevention do/did you use and where did you purchase it? *
Have you ever had to give up a pet? If yes, please tell us why and where the pet went. Please also explain what efforts, if any, you made to try to keep the pet. *
Since our dogs come from shelters and were often not kept inside the home prior to coming to our rescue, many of our dogs are not fully housetrained. If the dog you adopt is not housetrained, how do you plan to housetrain the dog? *
Do you feel capable of handling and helping to mitigate behavioral problems like marking, separation anxiety or fearfulness, with or without assistance from a vet or trainer? *
Please describe any obedience training experience or past personal experience with behavioral or medical issues. *
If unexpected circumstances were to force you to give up your pet(s), where would they go/would care for them? *
Please provide the phone number of the person who would be responsible for your pet(s) during any temporary or permanent circumstances.
Address of Vet Clinic *
Phone Number of Veterinarian *
If records to confirm that your current and/or previous pets were kept up to date on vaccinations, spayed/neutered, and heartworm tested are available at a different vet office, please provide that vet clinic's name and phone number below.
Please list all of the people (full names) living in your home and their ages.
I agree that the animal is being adopted for myself and will not be sold, adopted or given to another party. *
I agree that the animal not be allowed outdoors without proper supervision. This includes not leaving the dog outside while the adopter is away from the home (such as at work). *
I agree that this dog is to be a companion animal and not a guard dog. *
I agree that this dog is to be a companion animal and not a guard dog. *
I agree that the animal will live inside my home as a member of my family, and not outdoors or in a business location. *
I agree to care for the animal in a humane manner and to be a responsible pet owner. This includes supplying adequate good quality food, water, shelter, love, attention, exercise, and medical care. I understand that a typical annual vet visit for routine vaccines, heartworm testing, and heartworm/flea prevention may be several hundred dollars. I hereby confirm that I am financially capable of providing appropriate veterinary care for the animal I am applying to adopt. I understand the important of regular, routine preventive veterinary care and agree to ensure that the dog I am applying to adopt receives all routine vaccinations, heartworm testing and heartworm prevention as well as any urgent or emergent medical care the dog may need as recommended by my veterinarian. *
VERY IMPORTANT – I agree that if at any point I cannot keep the animal, I will not offer the animal for sale or give the animal to any other person or shelter without the prior written consent of Recycled Doggies. If consent is not given, I will return him/her to Recycled Doggies without requesting a refund of the adoption fee. *
I understand that Recycled Doggies gets its adoptable animals primarily from local animal shelters where the animals usually come in with no history or background information, and that the information provided by Recycled Doggies is their best estimate as to age and health based on the best information available to Recycled Doggies. *
I understand and agree that Recycled Doggies does its best to assess and provide accurate information about the animals in its care, but that Recycled Doggies makes no guarantees about the animal's temperament, age, breed or health and is not responsible for future damages or injuries caused by the animal or veterinary bills incurred in the treating the animal. I further agree to hold Recycled Doggies and its officers, directors, volunteers and agents harmless from any and all claims, damages, injuries, losses or suits, including attorney fees, arising out of or in connection with my adoption or any home visit or trial adoption of the dog I am applying to adopt. *
I give Recycled Doggies permission to visit or call my home at any reasonable hour to assure that the animal is being properly treated and cared for. *
I agree to contact Recycled Doggies immediately if the dog I am adopting is lost or missing. I further understand that my failure to contact Recycled Doggies immediately is a breach of this agreement and cause for Recycled Doggies to take possession of the dog without return of the adoption fee or other reimbursement to me. *
I understand that there will be NO REFUNDS of the adoption fee under any circumstances. *
