Touch of Grace Rare Breed Rescue

Dog and Bird Rescue, Dog Training, Pet Sitting

Adoption Application

Adoption Application

*Touch of Grace Rare Breed Rescue reserves the right to refuse any adoption. Initial Here please *“All items must be filled out completely!” Initial Here please *Date: *Name: *Address *City, State, Zip: *Home Phone: *Work Phone: *E-mail at Home E-mail at Work *Date of Birth *Drivers License# *Exp. Date: *Who will primarily be responsible for this pet?
*How many children at home, and what are their ages?
*Do you?
Own a home?
Rent a house or apt?
Live with parents, or others
other
If living with others, please explain
*How long have you lived at this address? *Type of home (i.e.apt., condo, ranch, mobile home, farm, etc.)
*If renting: Landlord Name, and phone#
*How many hours will your dog/bird, be left alone during the day? *Where will he/she be kept when you are not home?
*How many hours per day will he/she be inside? *How many hours outside? *Where will he/she be kept when outside?
Tied outside?
In a dog Run?
In a fenced yard?
Other
If other, please explain
*Do you have a yard? If so, do you have a fenced yard? How high is the fence?
*If you have a yard. Do you have a dog house? *Have you ever owned the breed of dog/bird you are applying for in the past?
*What other experience with the breed you are applying for have you had?
*What other kind of pets did you own?
*How many pets have you owned in the last 5 years? Dogs, Cats, and Other
*What happened to them?
Lost?
Given away?
Sold?
Died?
Other
*Please explain, if they died from what and how old?
*Have you ever adopted a pet from a rescue before? If so, when and what rescue?
*Have you ever turned a pet into a rescue, or animal shelter? if so, please explain
*How many pets are now living at the above address? Also explain, what kind of pets?
*Have any of your pets had medical problems in the last month? If yes, please explain
*Name, address, and phone # of your veterinarian/vet hospital?
*Does anyone in your family have allergies? If yes, please explain
ANSWERS TO THE FOLLOWING QUESTIONS WILL HELP US SELECT AN
APPROPRIATE DOG,OR BIRD, BEST SUITED FOR YOUR INTERESTS AND LIFESTYLE.*Are you interested in (Please check all that apply)
House Pet?
Outside Pet?
Pet for Breeding?
Pet for Business?
Dog for hunting?
Pet as a Gift?
All of the above?
None of the above?
*Please explain your answer. If a gift, for whom?
*Breed(s) desired: *Sex?
Male?
Female?
Doesn't matter
*Age?
Baby?
Young?
Adult?
Senior?
Doesn't matter
*Are you planning to spay or neuter your adopted pet?
Yes?
No?
Undecided
If no or undecided, Please explain
How did you happen to hear about us?
Internet
Friend
Another rescue
Animal Shelter
If other, please explain

In initialing this application, I certify that I have answered

all questions truthfully, and that I accept the terms of this

Adoption Agreement given to me, and understand all

statements and stipulations provided by the

Touch of Grace Rare Breed Rescue.,

*Initial here *Date

Touch of Grace Rare Breed Rescue

Dog and Bird Rescue, Dog Training, Pet Sitting

Adoption Application

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