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ADOPTION APPLICATION
Please use tab between the fields, do not press enter until you are done filling out the form.
Applicants must be 21 years of age.
All fields are required, incomplete applications will NOT be processed. If something does not apply to you, Please put N/A in the field.
First Name:
Last Name:
Age:
E-mail *
Occupation
Partner's First Name:
Partner's Last Name:
Partner's Age:
Partner's E-mail:
Partner's Occupation:
Street Address:
City:
State:
Zip:
Home Phone and best time to call
Cell Phone and best time to call
Are all adult family members in agreement to adopt a rescue dog?	Yes No
If there is a specific dog that you are interested in adopting, please fill in the name of the dog, it will make the processing of your application faster.
Name of specific dog and/or bred that your are interested in adopting?
Are you willing to adopt an older dog?	Yes No
How many hours a day will the dog be home alone?
Where will he/she be kept during that time?
Is your yard securely fenced in?	Yes No
If No, how do you intend on safely exercising and relieving your dog?
If Yes, please provide a description of fence (chainlink, wooden privacy fence, etc)
Do you have an in-ground pool?	Yes No
If yes, is the pool surrounded by a separate fence or does it have a pool alarm?	Yes Neither
If yes, describe the fence or the pool alarm.
If neither, please describe how you plan to protect the rescue dog from falling into the pool?
Are there any children in your home?	Yes No
Please list names and ages of children and any other adults living in the home:
Do you rent or own your home?	Own Rent
If you rent, please provide your landlord information (Name, address, and phone)
Note: Verification of pet rules for renters is a condition of your adoption, so you must provide this information.
NOTE: If you or your vet refuse to release your vet information to CRA, your application will be rejected!
Please list your current vet's name, address, phone number, and hours of operation
Please list your past vet's name, address, phone number, and hours of operation
Please list all current pets that are living in your home. Please include name, type, breed, age, and size of pet?
Are all current pets spayed or neutered?	Yes No
If No, please explain why they are not altered
Please list all other pets owned within the past 5 years not currently living in your home and provide information on what happened to them
Have you ever given an animal away?	Yes No
If Yes, please explain the circumstances that lead to your decision and how you placed the animal.
Have you ever adopted a rescue animal before?	Yes No
If so, please advise what rescue you adopted from and the current status of the rescued animal.
Do you understand that rescued animals may have been abused, neglected, mistreated and/or abandoned?	Yes No
We do not guarantee that our dogs are housetrained or that they can successfully be housetrained.
Are you willing to accept accidents for the life of the dog?	Yes No
Are you still committed to providing a forever home if the dog is never housetrained?	Yes No
Please explain your views on crate training dogs.
Are you agreeable to a home visit?	Yes No
Note: Home visits are a requirement of adoption. If you answer NO, your application will not be processed.
We know that at times circumstances arise in a family that affect their ability to keep their dog.
Do you understand that, if for any reason, you are not able to keep the dog - you are contractually required to return the dog to us at your expense?	Yes No
Our dogs are fostered throughout the United States. We do allow adoptions throughout the country.
If the dog and adopter are not located near each other, it is the responsibility of the adopter to arrange and pay for transportation of their new dog's transportation home. We will not allow our dogs to be shipped as cargo.
Are you agreeable to this?	Yes No
How did you find us?
By submitting this application via e-mail, I hereby certify that all the information provided is accurate, to the best of my knowledge. I understand that by typing in my name below, along with the date, Chris' Rescue Angels accepts that, and I agree to its use, as an acceptable substitution for my written signature.
Full name of applicant:
Today's Date
Chris' Rescue Angels reserves the right to refuse adoption to any applicant, at any time, without reason or explanation. We believe it is our obligation to protect the long term welfare of the animal entrusted to our care. While we strive to process and complete applications in a timely manner; our adoption process is in place for the protection of our dogs - not the convenience of our adopters.
In addition, while we can provide you with the vetting history and the pertinent information since the dog came into rescue, we cannot make any claims or guarantees regarding it's past history and/or any possible future problems. You agree that by submitting this application, you release Chris' Rescue Angels from any liability regarding possible future behavioral problems, including - but not limited to, aggression towards other animals, agression towards humans (including biting), and property damage.