COMPLETE AN

Adoption Application

I Am Dog Rescue Adoption Application

Our goal is to place each of our rescued dogs in permanent, loving homes. Please complete this application and contract so that I Am Dog Rescue INC may assist you in finding a special, compatible companion to join your family. With this information, I Am Dog Rescue INC may minimize the risk of a failed adoption. We do not adopt dogs on a “first come, first served” basis, but rather make every attempt to match families with the most compatible pets.

WE RESERVE THE RIGHT TO DECLINE ANY APPLICATION FOR ANY REASON.

Our customary adoption fee is $175. These fees help to defray the costs of spaying/neutering, testing, vaccinating, and micro-chipping our pets, but rarely, if ever, cover all expenses. Therefore, additional tax deductible contributions are welcomed. All our dogs are heartworm tested and on heartworm preventative. Payment will be expected upon approval of application and prior to trial period. (Must be at least 18 years of age to adopt and show proof in the form of a drivers’ license; preferred age of 21+).

Note: Due to the nature of our adoption process, our fosters are usually only able to consider forever families within a reasonable driving distance of the Dallas-Fort Worth metroplex. A vet reference is required, and a trial period will be completed before finalizing the adoption. Thank you for your understanding.

Dogs You're Interested In

Name of dog(s)(Required)

If known, enter the name(s) of the dog(s) you're interested in

Breed/Description

If known, enter the breed and/or description of the dog(s) you're interested in

Dog Gender Preferred(Required)

Male

Female

No preference

Will this dog be for you or a gift?(Required)

For me

A gift for someone else

About You

Name(Required)

Full Name

Date of Birth(Required)

MM slash DD slash YYYY

Email(Required)

Primary Phone(Required)

Your Employer

Typical Work Hours/Schedule

Do you currently have other pets?(Required)

Yes

Have you ever had other pets in the past?(Required)

Yes

Your Residence

Residence Type(Required)

Single-family home

Multi-family home (apartment, duplex, townhome or condominium)

Other

Address(Required)

Street Address Address Line 2 City State ZIP Code

Do You Own or Rent?(Required)

Own

Rent

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If renting, how long have you been at this location (years)?(Required)

Does your lease allow pets?(Required)

Yes

Not sure

Does your lease specify any breed, weight or size restrictions?(Required)

Yes

Not sure

What breed, weight or size restrictions are specified in your lease?(Required)

Does your lease require you to pay a pet deposit?(Required)

Yes

Name of Rental/Property Manager(Required)

Phone Number of Rental/Property Manager(Required)

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Do You Have a Fenced Yard?(Required)

Yes

Fence Type & Height(Required)

e.g., 6 foot wood, 4 foot chain link

Other Residence Features

Select all that apply

Dog door

Swimming pool

Stairs (to 2nd level)

Does your pool have a fence around it?(Required)

Yes

Other Residents in Your Home

Do you live alone or with someone else?(Required)

Live alone

Live with others in my home

Others in your residence (including children/grandchildren)(Required)

Enter the name, age and relationship (e.g., spouse, child, friend, roommate, etc.) for each additional person residing in your home. To add more people, click the plus (+) icon on the right side of the first row

Name

Age

Relationship

Do you have children or grandchildren who do not live with you?(Required)

Yes

How often do they visit(Required)

Everyday or nearly everyday

Once or twice per week

A few times per month

Once per month

A few times per year

Once per year

Less often than once per year

Do you or anyone in the home have allergies?(Required)

Yes

Not sure

Is the allergy related to animal dander?(Required)

Yes

Not sure

Do all adults in the home agree to owning/caring for this pet?(Required)

Yes

Not sure

Other Information

How many hours per day will this dog be left alone?(Required)

Less than one hour per day

1-3 hours

3-5 hours

5-8 hours

8 hours or more

When alone, where would the dog stay?(Required)

How often do you or your spouse/partner travel?(Required)

Never

Less than once per year

A few times per year

Monthly

A few times per month

Every week

What will you do with the dog when you travel?(Required)

Where will the dog ride in your vehicle when transported?(Required)

Are you willing/able to purchase and use a crate if needed or advised?(Required)

Yes

Not sure

Are you willing and able to commit to behavior and/or dog obedience training, if needed?(Required)

Yes

Not sure

Describe how would you handle the dog’s daily potty needs(Required)

Have you house trained a dog before?(Required)

Yes

Describe the house training method you used(Required)

Describe how the dog would get regular exercise(Required)

Where would the dog sleep?(Required)

What will you do with this dog if you have to move?(Required)

Describe your plan if this dog were to outlive you(Required)

Have you ever applied to adopt an animal and been declined?(Required)

Yes

Please explain the reason you were previously declined as an adopter(Required)

Have you ever given up or surrendered an animal?(Required)

Yes

Please explain the reason you gave up or surrendered the animal(Required)

What did you do with the animal/where the animal went(Required)

What qualities are you looking for in a pet? (Please be specific)(Required)

What traits or characteristics are you sure you do NOT want? (Please be specific)(Required)

Which option below best describes the energy/activity level you're looking for in a pet?(Required)

1 - Very low energy/activity level

2 - Low energy/activity level

3 - Moderate energy/activity level

4 - High energy/activity level

5 - Very high energy/activity level

Any energy/activity level

How did you hear about I Am Dog Rescue and/or the pet you are applying for?

Any additional information you’d like us to know?

In-home visit/home check permission?(Required)

Do you give permission for an I Am Dog Rescue representative to visit your home prior to adoption to do a home check and to do follow-up check, if necessary?

Yes

Pet Ownership History

How many pets do you currently own?(Required)

Enter the names of up to three of your current pets(Required)

How many pets have you previously owned?(Required)

Enter the names of up to three of your previous pets(Required)

Pet History - Pet #1

Enter the information below for one of your current or previous pets:

Pet 1(Required)

Pet Name

Type/Breed

Age

Weight

Length of Ownership (in years)

I currently own this pet

How did you acquire this pet?(Required)

e.g., found, adopted, purchased, etc.

Male vs. Female(Required)

Male

Female

Is/was this pet spayed/neutered?(Required)

Yes

Not sure

Is/was this pet on heartworm preventative?(Required)

Yes

What brand/kind of heartworm preventative do/did you use for this pet?(Required)

Date of last heartworm preventative(Required)

MM slash DD slash YYYY

Is/was this pet current on all shots?(Required)

Yes

If not, please explain(Required)

Where does/did this animal sleep?(Required)

Where does/did pet stay while you're away from home (e.g., at work)?(Required)

Does/did this pet have any health or behavioral problems or conditions?(Required)

Yes

Please describe any health/behavioral problems or conditions(Required)

Describe what happened to this pet(Required)

Pet History - Pet #2

Enter the information below for another one of your current or previous pets:

Pet 2(Required)

Pet Name

Type/Breed

Age

Weight

Length of Ownership (in years)

I currently own this pet

How did you acquire this pet?(Required)

e.g., found, adopted, purchased, etc.

Male vs. Female(Required)

Male

Female

Is/was this pet spayed/neutered?(Required)

Yes

Not sure

Is/was this pet on heartworm preventative?(Required)

Yes

What brand/kind of heartworm preventative do/did you use for this pet?(Required)

Date of last heartworm preventative(Required)

MM slash DD slash YYYY

Is/was this pet current on all shots?(Required)

Yes

If not, please explain(Required)

Where does/did this animal sleep?(Required)

Where does/did pet stay while you're away from home (e.g., at work)?(Required)

Does/did this pet have any health or behavioral problems or conditions?(Required)

Yes

Please describe any health/behavioral problems or conditions(Required)

Describe what happened to this pet(Required)

Pet History - Pet #3

Enter the information below for another one of your current or previous pets:

Pet 3(Required)

Pet Name

Type/Breed

Age

Weight

Length of Ownership (in years)

I currently own this pet

How did you acquire this pet?(Required)

e.g., found, adopted, purchased, etc.

Male vs. Female(Required)

Male

Female

Is/was this pet spayed/neutered?(Required)

Yes

Not sure

Is/was this pet on heartworm preventative?(Required)

Yes

What brand/kind of heartworm preventative do/did you use for this pet?(Required)

Date of last heartworm preventative(Required)

MM slash DD slash YYYY

Is/was this pet current on all shots?(Required)

Yes

If not, please explain(Required)

Where does/did this animal sleep?(Required)

Where does/did pet stay while you're away from home (e.g., at work)?(Required)

Does/did this pet have any health or behavioral problems or conditions?(Required)

Yes

Please describe any health/behavioral problems or conditions(Required)

Describe what happened to this pet(Required)

Release for Veterinary Reference: (to be completed by potential adopter) if you have a current vet

Consent

I hereby give permission for any veterinarian providing service to me to release medical information on any/all of my animals to I Am Dog Rescue Inc

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Veterinarian Name(Required)

Veterinarian Address(Required)

Street Address Address Line 2 City State ZIP Code

Veterinarian Phone(Required)

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