Adoption Application

Name(s) of dogs you are interested in

First Name

Last Name

Age of Applicant

Phone Number

Email

Best way to contact you?

Household information

Address

Street Address Line 2

City

State

Zip Code

Names and ages of all persons in household:

Is everyone in the household on board with getting a new pet?
YesNo
Does anyone in your home have known pet allergies?
YesNo
Will you be the primary caretaker of the dog?
YesNo
If you have children have they been around animals before and do they know how to treat them (no pulling, poking, yelling or teasing)?

What type of housing do you live in?
Single Family HomeMulti-Family HomeApartmentApartment
Do you rent or own?
RentOwn
How long have you been at your current address?

If rent, please provide landlord's name:

Landlord's phone number:

Do you have your landlord's permission to own a pet?
YesNo
Does your situation require a pet deposit?
YesNo
Do you have any restrictions in your living situation (breed, age, size)? If yes, please explain.

Do you have a completely fenced yard?
YesNo
If yes, how tall is your fence?

Hours the dog will be alone?

How will the pet be contained outside or Inside?
OutsideInside
How will the pet be contained when you are not home?
OutsideInside
How do you plan on exercising your pet?

If you are in a relationship and you separated what would happen to the pet?

How do you plan to integrate the animal into your everyday home life?

Have you ever had to relinquish or return an animal? If yes, please explain the circumstances.

If you move what will you do with the pet?

Work Information:

Are you currently employed?
YesNo
If yes, please provide the name of your employer and title

Can we contact your employer? Please provide a phone number:

Zip Code

Phone Number

How long have you worked in your current position?

In regards to supporting the financial needs of an animal, what is you annual income?

If your financial situation were to change, what would happen to your pets?

Do you have any other animals currently? If yes, please list all animals in your household including their age, gender, vaccination status, spayed or neutered?

Name of current veterinarian:

Vet's phone number

Zip Code

How long have you been using this vet?

Breed and Training Information:

Why do you want a pet?

What traits are you looking for in your new animal?

Are you financially able to purchase all the supplies and pay for all the vet bills associated with a new dog?
YesNo
The average yearly cost for a healthy dog is approximately $500-$700. Are you prepared to bear this cost?
YesNo
What would you do with an animal who required a medical teatment costing $1000 or more?

Have you educated yourself about the breed of dog you want to adopt?
YesNo
Have you owned this breed before?
YesNo
Are you interested, or will you be enrolling the dog in a training class? Note: Dogs that have gone through professional training have a lower incident and return rate than those who have not. At AAAR we strongly recommend a class to aid in the proper raising and socialization of a puppy or to mend adult dog behaviors.
YesNo
How do you plan on housebreaking your new animal?

How do you plan on crate training your new animal?

If you have other pets how do you plan to safely integrate your new animal into the house?

How will you handle any behavioral issues that arise?

Adopted dogs experience an adjustment period of several weeks to several months. What do you expect that to involve?

How do you plan on handling it?

Please read below and initial that you acknowledge the terms:

I understand that the adoption fee is NON-REFUNDABLE and is used to help reimburse the rescue for transport, care and medical expenses incurred by the dog.
YesNo
I understand that my dog will need annual vet visits. I agree to give the dog proper healthcare and keep it up to date on vaccines.
YesNo
I understand that AAAR requires puppies to be altered within 90 days of adoption.
YesNo
I understand that the dog shall not be sold, given to, or adopted to anyone else.
YesNo
I agree to return the dog to AAAR if I can no longer keep the dog. The adopter will bear any and all fees for court cost and attorney fees if the rescue has to redeem the dog.
YesNo
I understand that AAAR reserves the right to refuse any applicant.
YesNo
AAAR reserves the right to remove any animal after adoption, with or without reimbursement of a full or partial adoption fee in the case that neglect or abuse of said animal is discovered, if any information provided above is proven to be false, or if improper/lacking veterinarian care; including vaccinations. Any of the above listed may result in removal of the animal from applicant’s care. Please initial:
YesNo
AAAR makes no warranties, express or implied regarding the breed or full grown weight of said adopted animal. Majority of dogs taken in are not purebred and may contain other breeds than what AAAR expressed at time of adoption. I agree to not hold AAAR accountable for any misrepresentation regarding adopted animal, after adoption. Please initial:
YesNo
AAAR makes no explicit or implicit guarantees in reference to the heath or temperament of the dog. The dog is accepted "as is" and the adopter assumes responsibility for the treatment of all exist conditions and any other conditions or physical or temperament changes that may occur.
YesNo
Please include THREE personal references including: NAME, RELATION, PHONE NUMBER

Please electronically sign in understanding: By signing I verify that I am the said applicant, and that I have answered all of the questions truthfully. I understand that if this information is found to be false AAAR may CONFISCATE the adopted animal.