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ADOPTION APPLICATION

First Name:
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Last Name:
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Phone Number:
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E-mail Address:
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Date of Birth:
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Street Address:
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City:
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Zip Code:
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Are you interested in a certain type of dog?
  • - select a option -
  • Yes
  • No
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If yes, which type of dog are you interested in?
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Do you rent or own?
  • - select a option -
  • Rent
  • Own
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If you own, please attach a copy of your homeowners insurance:
Upload your documents...
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Which do you live in?
  • - select a option -
  • Single Family Home
  • Apartment
  • Condo
  • Other
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Square Footage of Home:
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Please list all human members of your household and their ages:
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Does anyone in your home have pet allergies? Please Explain:
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Is your backyard fenced?
  • - select a option -
  • Yes
  • No
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If yes, please list the type of fencing and height:
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Where will the dog be kept during the day?
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Where will the dog be kept at night?
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How long will the dog be home alone (without human supervision)?
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Please list your current veterinarian's name and phone number:
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What is the atmosphere of your home?
  • - select a option -
  • Quiet
  • Moderate
  • Busy
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What is your personal activity level?
  • - select a option -
  • High
  • Moderate
  • Low
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How much exercise will the dog get per day and what will that exercise consist of?
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Are there any other pets living in the home? If yes, list type of animal, age, gender, and if they are altered):
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Explain your experience with dogs:
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What is your desired size of dog?
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What is your desired activity level of dog?
  • - select a option -
  • Low
  • Moderate
  • High
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What is your desired age of the dog?
  • - select a option -
  • Puppy (birth - 1.5 years)
  • Adolescent (1.5 - 4 years)
  • Adult (3 - 8 years)
  • Senior (8+ years)
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Is everyone living in the household in agreement to adopting a dog?
  • - select a option -
  • Yes
  • No
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What behavioral issues are unacceptable to you? (these behaviors would make you surrender the dog back to RDR):
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Additional Comments:
Do you have any questions, or is there anything else you would like to mention?
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Read our terms and conditions carefully and sign below:

I hereby certify that I agree with and will follow Resilient Dog Rescue's terms and conditions. SacRDR will conduct a home-check prior to the adoption of the dog, for all potential adopters. The dog you are applying for is to be released back to SacRDR given the adopters can no longer care for the dog. The dog you are applying for cannot be given to anyone other than those whom we adopt the dog out to.
Applicant's Signature:
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Today's Date:
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HELLO

LET’S BE BEST FRIENDS

YOUR NAME
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E-MAIL
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SUBJECT
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HOW CAN WE HELP?
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