Redland Rock Pit Abandoned Dogs Project Inc. Adoption Application
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Redland Rock Pit Abandoned Dogs Project, Inc.
www.redlandrockpit.org
Redland Rock Pit Abandoned Dogs Project Inc. Adoption
Application
Redland Rock Pit Abandoned Dogs Project Inc. Adoption Process
Thank you for choosing to adopt a pet! The decision to adopt a pet is an important one which we take very seriously.
Before submitting the application, please take a moment to read and carefully complete the adoption application
entirely. Please understand that if information is left unanswered, it will delay processing.
In order to adopt a pet from Redland Rock Pit Abandoned Dogs Project Inc., the applicant must be at least 25 years
old (will consider younger applicants on a case by case basis), be able to provide references, identification, consent
to a home visit and pay the adoption fee. Please visit our website www.redlandrockpt.org to see our available dogs.
All of our dogs come spayed or neutered (if they are too young, you will need to agree to a Spay/Neuter Contract
when they turn of age), up to date on vaccinations, microchip, heartworm tested, current on flea/tick and heartworm
prevention, dewormed and treated for any ailments found upon veterinary examination. Sometimes dogs are being
treated for ailments and will need continued veterinarian care. If you choose to adopt a dog receiving treatment you
agree to continue with our vet and medication. The adoption fee covers a portion of these services and makes it
possible for us to continue rescuing dogs.
An application does not obligate you to adopt and can be transferred to any dog. Please understand that due to the
volume of applications some dogs receive, we are unable to contact all applicants. If your application is considered a
good fit for the dog you are interested in or even a different dog, a volunteer will give you a call within 7-10 days. If
you would like to transfer your application to a different dog, please email us immediately and we will tell you if the
dog chosen is still available and or if it will be a good fit.
Adopting a new pet is a commitment for the lifetime of your new dog! We like to make sure that your new dog is a
good fit for your entire family including your existing pets. After a trial adoption period if you are ready to commit
we will finalize your adoption. Adoption fee(s) will be due at that time. Fees are as followed: All puppies (12 months
or younger) adoption fees will be $300, any adults (13 months or older) will be $250; excluding any toy, small or
purebred dogs which will have an adoption fee of $350.
Redland Rock Pit Abandoned Dogs Project Inc. reserves the right to deny any application. Thank you for your
patience and cooperation.
**If any of the following questions do not apply to you, please put "NA" as a response**
Contact Information
Full name: ______________________________________________________________
Occupation: ______________________________________________________________
Address: ______________________________________________________________
How long at this address: ___________________________________________________
Daytime Phone: ___________________________________________________________
Evening Phone: __________________________________________________________
Best time to call: ___________________________________________________________ Email address: __________________________________________________________
Employer
Name:
Address:
Phone
Number:
Co Applicant Contact Information
Full name: ______________________________________________________________
Occupation: ______________________________________________________________
Address: ______________________________________________________________
How long at this address: ___________________________________________________
Daytime Phone: ___________________________________________________________
Evening Phone: __________________________________________________________
Best time to call: ___________________________________________________________
Email address: __________________________________________________________
Co Applicant Employer
Name:
Address:
Phone
Number:
Family & Housing
How many adults are there in your family (their relationship to you)?
_________________________________________________________________________
How many children (ages)?
_________________________________________________________________________
What type of home do you live in single family, town home, apartment, farm, etc.?
_________________________________________________________________________Please describe your household: __ Active __ Noisy __ Quiet __ Average If you rent or have a Condo and Home Owners association, please give the rules governing pets and the landlord’s name and number: (by providing this information you are allowing RRPADP to contact your landlord AND/OR association, please inform them of this call so they will speak with us) Does anyone in the family have a known allergy to dogs? _________________________ Is everyone in agreement with the decision to adopt a dog? _________________________ Do you have time to provide adequate love and attention? _________________________ Other Pets What other pets do you have (specify type and number)? Are these pets up to date on vaccines? _________________________________________ Are they current on monthly heartworm and flea tick preventive? What preventives do you use? Are these pets spayed/neutered? If not..why?____________________________________ _________________________________________________________________________ Have you every surrendered a pet? If so, why? _________________________________________________________________________ Have you ever had a pet euthanized? If so, why? _________________________________________________________________________ Have you ever lost a pet to an accident?
_________________________________________________________________________
How do you discipline your pets and why?
_________________________________________________________________________
Have you ever surrendered pet or had to rehome a
pet?
Are there any regular visitors to your home, human or animal, with which your new pet must get along? If
yes, please
describe:
Veterinarian
Do you have a regular veterinarian? __ Yes __ No
Veterinarian’s name: _______________________________________________________
Clinic Name: _______________________________________________________
Clinic Address: ________________________________________________________
Clinic Phone: ________________________________________________________
(Providing RRPADP with this information you are allowing RRPADP to call your vet. Please call your vet and ask
them to authorize the release of information to RRPADP.)
About the Dog You Wish to Adopt
What is your idea of an ideal dog and why?
Desired age: __________ Desired Size: _____________________________________
Desired breed: _______________________________________________________________
Breed you would not adopt:_____________________________________________________
Desired sex: _ Spayed Female _ Neutered Male _ No preference
Willing to adopt: __ outgoing/hyper dog __ shy dog
__ dog that needs regular medication __ dog that needs training
__ dog that needs grooming __ None of theseWhere will the dog spend the day? (describe)
_________________________________________________________________________
Where will the dog spend the night? (describe)
_________________________________________________________________________
Number of hours (average) dog will spend alone? _________________________________
Who will have primary responsibility for this dog's daily care? _______________________
Who will have financial responsibility for this dog? ________________________________
Do you agree to provide regular health care by a Licensed Veterinarian? __ Yes __ No
Are you planning to move within the next 6
months?
What will happen if you move
unexpectedly?
Do you agree to keep the dog as an indoor dog? __ Yes __ No
When the dog goes out, how do you plan to supervise
it?
Do you have a fenced back yard? If so, please add height of
fence.
Does your gate have a lock/secured latch, if not, could one be put
in?
If there is no fence, how will you exercise your
dog?
What type of vehicle do you own?
If you have a truck, how will your dog be
transported?
What will you feed your
pet?
What kind of behavior do you find unacceptable?
If your pet has problems with behavior, are you willing to hire a
trainer?
Please tell us why you would like to adopt a
pet?
I am adopting this pet for (check all that apply):
Myself Spouse Children
Gift Other Is there a member of your household who is allergic to animals, If yes which type? Are there any children that visit your home frequently? If yes, ages: Do you agree to contact RRPADP if you can no longer keep this dog? __ Yes __ No Are you be willing to let a representative of RRPADP visit your home by appointment? __ Yes __ No How did you hear about RRPADP? _____________________________________________________ Would you be interested in fostering? __ Yes __ No __ Would like to know more Personal References Please list someone who is familiar with both you and your pets. Name: Address: Phone: Relationship (relative, neighbor, friend, etc.): Name: Address: Phone: Relationship (relative, neighbor, friend, etc.): Name: Address: Phone: Relationship (relative, neighbor, friend, etc.): All of the information I have given is true and complete. This dog will reside in my home as a pet. I will provide it with quality dog food, plenty of fresh water, indoor shelter, affection, annual physical examination and vaccinations under the supervision of a licensed Veterinarian. I/We certify that the above information is true and understand that false information may result in nullifying this adoption. I/We further understand that my signature below permits a representative from Redland Rock Pit Abandoned Dogs Project, Inc., to contact references provided and perform a home visit and inspection. If approved, I/We understand that Redland Rock Pit Abandoned Dogs Project, Inc., reserves the right to perform up to 3 surprise check‐ins to ensure the welfare of the adopted animal. I/We understand that Redland Rock Pit Abandoned Dogs Project, Inc., reserves the right to reclaim the adopted animal if the welfare of said animal is at any time in jeopardy and all
adoption fees and donations will be forfeited by me.
I/We must notify Redland Rock Pit Abandoned Dogs Project, Inc., of any phone number or address change within 14
days of moving.
I/We must notify Redland Rock Pit Abandoned Dogs Project, Inc., within 24 hours if my pet is lost, stolen, or
otherwise goes missing. I/We will provide my pet with highly nutritional food, fresh and clean water and a clean,
comfortable, indoor living environment AT ALL TIMES. I/We will provide proper veterinary care including, but not
limited to up to date vaccines and heartworm preventative.
If at any time I/We become unable or unwilling to care for my adopted pet, it will IMMEDIATELY be surrendered to
Redland Rock Pit Abandoned Dogs Project, Inc., and I forfeit any and all adoption fees and/or donations.
WE RESERVE THE RIGHT TO REFUSE AN ADOPTION FOR ANY REASON.
If adoption application is denied, all deposits will be returned to applicant.
___________________________ _________
Print Name (Date)
Signature (Date)
Co-Applicant Print Name (Date)
Co-Applicant Signature (Date)
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