Adoption Application

Thank you for your interest in the animals at Jenni's Rescue Ranch! This application helps us get to know you and determine if you are a good fit for the animal you have chosen. It is a no obligation form. We will contact you after submission. Thank you!

Animal you are interested in adopting:	Adoption Event (Dog - D2022058) Albert (Dog - D2024108) Arley (Dog - D2022112) Augustus (Dog - D2023270) Bolt 3 (Dog - D2023310) Boyd (Dog - D2024149) Canela (Dog - D2024133) Charlie (Dog - D2022027) Clifford (Dog - D2024061) Copper 2 (Dog - D2023307) Dior (Dog - D2024004) Edward Cullen (Dog - D2024110) Fitolite (Dog - D2024143) Ginger (Dog - D2024124) Jacob Black (Dog - D2024111) Jax (Dog - D2023012) Lilly (Dog - D2024134) Meta (Dog - D2023274) Mick (Dog - D2024018) Milo (Dog - D2024142) Nelly (Dog - D2024136) Ritzy Mitzy (Cat - S2022002) Sadie Mae (Dog - D2022219) Sly Cooper (Dog - D2024055) Tama (Dog - D2024033) Tena (Dog - D2024027) Tobias (Dog - D2024147) Tomy (Dog - D2024145)
Name or description of an animal if you don't see it in the drop down above:
Applicant's First Name *
Applicant's Last Name *
Street Address *
City *
State *
Apartment Number (if applicable)
Zip Code *
Phone Number *
Email Address * Please enter correctly as this is the main way we will contact you
Alternate Phone Number
Are you over 24? *	Yes No
How did you find out about us?	Petfinder Internet Search Family/Friend Staff/Volunteer Facebook/Instagram Other
Is this pet for you or someone else?	Myself Someone else
Please list the names, breeds, and ages of your current pets
Are all of your pets spayed/neutered/fixed?	Yes No N/A
Are your pets current on their vaccinations?	Yes no n/a
Are your animals current on heartworm prevention and if so, what type are you using?
List any previous pets you have owned in the last 5-10 years?
What happened to them?
Have you ever relinquished a pet?	Yes No
If yes, please explain?
Veterinarian's Name If you have never owned a pet please tell us where you would go.
Veterinarian's Address, City, State, and Zip Code Again if you have never owned a pet please list where you would go
Veterinarian's Phone Number
Please check the main reason you plan to adopt a pet:	Companion Family Pet Child's Pet Guard Dog Companion for another pet Other
If you answered "other" above, please explain here:
Please describe in detail the pet you are looking for.
Do you own or rent your home?	Own Rent Someone else owns the Home Someone else rents the Home
Please select your current residence type.	House Apartment Condo Townhouse Mobile Home Other
If you answered "other" above, please explain here:
If you rent, does your landlord and lease allow pets?	Yes No Unsure N/A
Including yourself, how many people live in your household? *
Please list the ages & relationship of those who live in your home (including yourself). *
Is everyone in your household aware that you are planning to adopt a pet?	Yes No N/A
Does anyone in your household have allergies to dogs/cats?	Yes No Possibly N/A
Employment Status	Full-Time Part-Time Retired Work from Home Stay at Home Parent Student Unemployed Other
If you chose "other" above, please explain:
If you are employed, what is your current occupation?
On average, how many hours per day will your pet be left alone?
Will this pet be predominantly living inside, outside, or both?	Inside Outside Both
Please provide a description of this pet's living conditions.
Do you have a completely fenced-in yard? If so, what kind of fence?	Wood Chain Link Electric Plastic Iron Other Other (I do not have a fenced yard)
If you do not have a fenced yard, how will you let the animal out?
How will you handle housebreaking?
How will you handle destructive behavior?
Will you keep the animal up-to-date on vaccinations and heartworm preventative?	Yes No
If no, please explain:
Are you willing and able to exercise the dog on a regular basis?	Yes No N/A
Have you ever been convicted of abuse or neglect of a child or animal?	Yes No
If yes, please explain:
If you drive a pick up truck, would you allow the animal to ride in the back/bed?	Yes No N/A
What will you do with the animal when you go on vacation?	Leave with family/friend Boarding Pet sitter Take with me/us Other
If you answered "other" above, please explain:
For what reason(s) would you consider returning/giving up the animal?
What would you do with your animal if you had to move?	Take him / her with me Give to family or friend Return to shelter Other
If you answered "other" above, please explain:
Are you willing to take responsibility for this animal for the next 10-20 years?	Yes No
If no, please explain:
Do you understand you will be receiving a call from a Texas phone number? *	NoYes
Will you allow us to perform home checks?	Yes No
Do you understand that our adoption fee is $400 and if out of state transport is necessary, the transport fee is $200. *	Yes No
I have read the foregoing and certify that the answers I have given are complete, true and not misleading in any way. I am authorizing you to contact landlords, associations and veterinarians. You are also aware that we cannot guarantee the health and temperament of the animal. *	Yes No