Applicant's (Legal) First Name *
Applicant's Last Name *
Co-Applicant/Spouse Full (Legal) Name (if applicable)
Street Address *
Unit/Apartment (if applicable)
City *
State *
AL
AK
AZ
AR
CA
CO
CT
DE
FL
GA
HI
ID
IL
IN
IA
KS
KY
LA
ME
MD
MA
MI
MN
MS
MO
MT
NE
NV
NH
NJ
NM
NY
NC
ND
OH
OK
OR
PA
RI
SC
SD
TN
TX
UT
VT
WA
WV
WI
WY
Zip Code *
Email Address *
Co-Applicant Email or Alternate Email Address
Telephone Number *
Alternate Number
Are you 18 years or older? *
Are you 70 years or older? (applicants over 70 who adopt a dog 7 years or older receive a discounted adoption donation)
Select
Yes
No
Are you active or retired military? *
Select
Yes
No
Please list the name(s) and breed(s) of the RTR dog(s) you are interested in adopting (if applicable)
Will this be the first dog you own (not including any family pets as a child)? *
Select
Yes
No
Do you currently own any pets or are there any pets living in the home? *
Select
Yes
No
If yes, please list their names, species, breeds, ages, and genders
Are all of your pets spayed/neutered?
Yes
No
Not applicable
If no, why not?
Is your pet current on their rabies vaccine? If no, why not?
Is your pet current on other vaccines? If yes, which ones?
Is your pet currently on heartworm and flea/tick preventatives? If so, which ones?
If you do not currently have pets, have you owned any in the past ten years (not including previous family pets)? *
No Yes
If yes, what kind and happened to them?
Please list the clinic name and phone number for your veterinarian if you currently own a pet or have owned one within the past ten years -- PLEASE call this vet and give them permission to speak to Ruff Tales Rescue
Have you ever surrendered or re-homed a pet? *
Select
Yes
No
If yes, what happened?
How many people total live in the home? *
If there are children living in the home, please list their ages
If you do not have children in the home, do you have children who visit often?
Select
Yes
No
Describe the activity level of your home (active, busy, etc.) *
Who will be the primary caregiver for this dog? *
Who will care for the dog while you are traveling or during an emergency? *
How many hours per day will the dog be home alone? *
Where will the dog be left while you are out? *
What type of home do you live in? (Single family, condo, apartment, etc.) *
Do you own or rent your home? *
Own
Rent
If you live in a condo or townhome, please provide the name and phone number for the condo/homeowners association
If you rent your home/apartment/etc., please provide the name and phone number of your landlord and/or property management company
Do you have a yard? *
Select
Yes
No
Do you have a fence (not required)? *
Select
Yes
No
If yes, what height and material type is your fence?
Are you prepared for an extended adjustment period for you and your new pet? *
Select
Yes
No
Do you agree to allow us to visit your home by appointment as part of this application process? *
No Yes
Please indicate the type of Home Visit you prefer:
Select
In Person
Virtual
Under what circumstances will you allow your dog off-leash? *
Under what circumstances would you consider it justifiable to surrender your adopted dog? *
What habits/behaviors will you not tolerate? *
If your dog has behavioral issues, would you be willing to pay for and participate in obedience classes? *
Select
Yes
No
If for some reason you had to move and could not take your dog, what would you do with him/her? *
Please list the name of a personal reference (cannot live in the home) *
What is their relationship to you? *
Please list their phone number *
Please list the name of a personal reference (cannot live in the home, must be non-family member) *
What is their relationship to you? *
Please list their phone number *
Is there anything else you would like to share about bringing a new dog into your family?
How would you prefer we contact you?
Select
Phone
Email
Either phone or email
*
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 references, landlords, associations and veterinarians. You are also aware that we cannot guarantee the health and temperament of the animal. I understand that submitting an application does not guarantee I am first in line for any specific dog.