JARR Dog Adoption Application

NOTE: YOU MUST BE 21 YEARS OR OLDER TO APPLY

Application Date *

Please select the dog you are interested in from this list. *

First Name *

Last Name *

Street address *

City *

State *

Zip Code *

Home Phone

Cell Phone *

Email Address *

Occupation

Do you have children living at home full or part-time? *

If any, please list name(s) and age(s): *

How many adults live in the household? *

____________________________________________________________________________________________________________________

~ Residence Information ~

How long have you lived at your present address?

Please select your current residence type

Do you own or rent?

If you are renting, please provide your landlord's name

and phone number

Is there a pet deposit required?

Is there a weight limit?

Does your home have a pet door?

How many hours a day will your pet be alone?

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

Where will your new dog sleep at night?

When and how often are you planning to exercise your dog?

____________________________________________________________________________________________________________________

~ Other Important Information ~

Have you owned a dog before?

Have you owned a puppy before?

Do you currently have a veterinarian?

If yes, please provide the veterinarian clinic's name

and phone number

Are you currently the guardian of other dogs that live with you, either full or part time? *

If yes, please list their name, breed, gender, age, live with you part time or full time, and if they are spayed/neutered:

Are you currently the guardian of any cats that live with you, either full or part time? *

If yes, please list their name, breed, gender, age, live with you part time or full time, and if they are spayed/neutered:

How many pets have you had in the last 10 years?

What happened to the pets you no longer have?

If you currently own a dog, please provide the date of the last vaccine:

If you already have a dog or dogs, are they socialized with other dogs?

Have you ever bred a dog?

How do you plan to provide for your dog when you are out of town?

Have all the adults in the household agreed to adopting a dog?

Is anyone in your household allergic to dogs?

Who will be the primary caretaker of the dog?

____________________________________________________________________________________________________________________

~ Areas Available to the Dog ~

When would the dog be inside?

When would the dog be outside?

What areas of the house would the dog be allowed?

Will the dog have access to?

Pleas specify if any of the areas are fenced and/or gated:

Please provide details of fencing and/or gates (such as height, material type, number and lock type), if applicable:

What would you do with your pet if you had to move or relocate out of state?

Under what conditions would you NOT keep your pet?

What food will you feed your new dog?

Which brand(s)?

Can you afford regular veterinary care for your new dog AND any serious injury or illness costs?

Do you have experience with obedience training?

If yes, please detail experience:

Are you willing to attend obedience classes at your expense?

JARR highly recommends basic obedience training for all rescue dogs.

How would you discipline your dog if he/she misbehaved? What would you do if the inappropriate behavior continued?

Please tell us why you are now interested in adopting?

I agree that all the information provided on this adoption application is true and correct *

Jameson Animal Rescue Ranch RESERVES THE RIGHT TO DENY ADOPTION.

Note: Courtesy Postings serve only as a stopgap solution to the systemic problem that Jameson Animal Rescue Ranch (JARR) cannot house and place every animal in need. Because these postings are on behalf of third parties, JARR cannot guarantee the posting’s accuracy nor do we accept responsibility for any liability, injury, or damages to any person or property caused by any listed animals as well as any cause of action, claims, suits or demands whatsoever that may arise as a result of such injury or damage.