Adoption Application
When filling out this application please make sure it is complete. Time is precious to our volunteers and we just don't have it to devote to hunting down information vital to be approved to adopt. We will not consider incomplete applications and you just might lose out on that perfect dog for you! Please call your vet and OK that information be given to us! Thank you and we look forward to helping you make that perfect dog part of your family! As of 11/20/06 ARRF no longer accepts personal checks for adoption fees. If approved to adopt the fee must be paid in cash only. GENERAL INFORMATION Name: Address: City, State, Zip: Phone: Cell Phone: (optional) Email: Do you own or rent your home? Rent Own If you rent please give landlord's name and phone number: EMPLOYMENT INFORMATION Employer #1: Work Phone: Work E-Mail: (optional) Employer #2: (optional) Work Phone: (optional) Work E-Mail: (optional) ADOPTION INFORMATION Dog’s Name or Breed you are applying for: If you are not applying for a specific dog, do you wish for a: Male Female Doesn't Matter Do you wish for a specific color: Your main reason for adopting a dog (for pet, hunting, guard duty, agility, etc.): How long will the dog be alone each day?: Where will the dog sleep?: How many dogs have you owned in the last 3 years and what breeds are/were they?: What happened to them if you no longer have them?: VETERINARIAN INFORMATION Current vet’s name: Address: City, State, Zip: Phone: Previous vet’s name, address, phone: (optional) Do you own any other pets? If so, what are they?: Are they spayed/neutered?: PERSONAL REFERENCE Name:(not a relative or someone living with you) Phone: E-Mail: Years of Acquaintance: Keep current license and ID tags on dog at all times?: Yes No Provide timely health care for dog?: Yes No Return dog immediately to ARRF Rescue if you can no longer keep or care for dog?: Yes No Allow ARRF Representative to visit your home prior or subsequent to adoption?: Yes No Are you financially able to care for this dog?: Yes No I understand the adoption fee is non-refundable. If for some reason this adoption does not work out within the first 2 weeks, an ARRF Representative will work with me to find a suitable replacement for me and me/my family. Yes No The information contained in this application is true. Should any information be found false my application will be declined. Should any information be found false after adopting a dog from ARRF I will relinquish the dog to ARRF immediately without refund of my adoption fee. Yes No Signature (typing my name is the same as a signature): Date:
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