All Breed Rescue & Referral - Adoption and Foster Application





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Adoption Application

All Breed Pet adoptions are limited to the Washington, DC/Baltimore metropolitan areas. Applications or requests for information from outside this area will not be accepted.

Name(s) of dogs or cats you wish to adopt (include breeds and ages)
Applicant’s name
If you are 21 or younger, how old are you?
Telephone - work
Telephone - home
E-mail
Home address
City
County
State
Zip
I understand that if I live outside the application area, All Breed will not process or acknowledge my application.
Do you live in a
Do you own or rent?
If you do NOT rent your home, are you the owner of the home? Who owns the house?
You must provide the name and phone number of your landlord or condo association within 24 hours or we will move on to the next applicant.
Landlord name
Landlord phone
Applicant’s employer
Does anyone in your home have allergies to animals?
Does anyone have asthma?
What size is your yard in square feet?
*Is your yard totally* fenced in?**
Type of fence
Height of fence
Please provide SPECIFIC information for the following questions about where the dog will be kept. Tell us WHERE. If outside, where outside? If inside, where inside? Please describe in as much detail as possible about each area, and provide anything else that will help us understand exactly where the animal will be kept. Failure to provide this level of detail will result in a delay in the application being processed.
Where will the pet be kept during the day? Please provide detail. If in the house, where in the house? If outside, where outside? RESPONSE IS REQUIRED. APPLICATION WILL BE REJECTED IF NOT ANSWERED.
Where will the pet be kept during the night? Please provide detail. If in the house, where in the house? If outside, where outside? RESPONSE IS REQUIRED. APPLICATION WILL BE REJECTED IF NOT ANSWERED.
Where will the pet be kept during routine absences such as trips to the grocery store? Please provide detail. If in the house, where in the house? If outside, where outside? RESPONSE IS REQUIRED. APPLICATION WILL BE REJECTED IF NOT ANSWERED.
Do you have a pet door? If so, how is it used, how often is it used, and under what circumstances?
Do you have a kennel run? If so, how is it used, how often is it used, and under what circumstances?
Do you have a dog house? If so, how is it used, how often is it used, and under what circumstances?
Do you have a tie-out stake? If so, how is it used, how often is it used, and under what circumstances?
Do you have a crate? If so, how is it used, how often is it used, and under what circumstances?
How many adults live in your home?
How many children live in your home?
What are the ages of the children?
If you do not have children yourself, are there children who visit your home regularly (defined as once a month)? Describe the situation in as much detail as possible. Are they relatives? Are these children supervised? Please provide details. Failure to respond in detail will delay your application.
I understand that All Breed has placed limitations on the types of households in which certain dogs will be placed. For example, some dogs will not be placed in homes with young children.
I have read the description of the dog carefully and believe that my household is in compliance with the limitations placed on the dog’s placement. (For example, if the description says “no cats,” the household should not have cats.
Are you, your spouse or partner, housemate or anyone residing with you currently pregnant? What is her relationship to the applicant and when is the child due? Will the mother and child be living with the applicant following the birth?
Is anyone home during the day?
If someone is at home, how long?	in hours
Who will be home during the day?
Can they handle the animal you want to adopt?
All members of the household, including pets, must visit with the animal before the adoption is approved.
How many hours at one stretch will the pet be without humans each day?	in hours
How many hours TOTAL will the pet be without humans each day?	in hours
Who will be the primary caregiver?
What is the primary caregiver’s relationship to you?
Who will care for the animal while you are on vacation?
What will you do with the animal if you move?
Are you willing and able to provide pet care for the next ten or more years, including vet checks, vaccinations, boarding, medical care, indoor housing, etc.?
What do you think pet care costs per year, including animal vaccinations, food, toys, minimal boarding, grooming, etc.?	$
Are you willing and able to support a pet?
We require all animals adopted from us to be spayed or neutered. Do you have any questions or reservations about this policy?
Please list all pets you have owned in the past ten years. If none, then include pets owned in childhood. PLEASE LIST ANY ANIMALS RESIDING WITH YOU, EVEN IF YOU DO NOT OWN THEM.
Pet 1 Pet’s name Breed Gender Age Spayed/neutered How long owned in years What happened to the pet? If deceased, how old was the pet when the pet died and explain details of the death If deceased, in what year did the pet die?
Pet 2 Pet’s name Breed Gender Age Spayed/neutered How long owned in years What happened to the pet? If deceased, how old was the pet when the pet died and explain details of the death If deceased, in what year did the pet die?
Pet 3 Pet’s name Breed Gender Age Spayed/neutered How long owned in years What happened to the pet? If deceased, how old was the pet when the pet died and explain details of the death If deceased, in what year did the pet die?
Pet 4 Pet’s name Breed Gender Age Spayed/neutered How long owned in years What happened to the pet? If deceased, how old was the pet when the pet died and explain details of the death If deceased, in what year did the pet die?
If you have additional pets, please list their names and ages here, and provide additional information as possible.
If you have ever had a pet lost, disappear, or die at an early age, please provide details (dogs dying before age 10 or cats before age 14).
Have you ever sold, given away, or surrendered a pet?
How do you plan to exercise your dog? (provide details)
Who will supervise outdoor activities?
How will the dog be confined outside during exercise?
Have you ever trained a dog?
Are you willing to give this dog time to adjust to its new environment and family members?
How much time are you willing to give the dog to adjust to its new environment and family members?
The animal may not be housebroken. Are you willing to take the time to work with the animal?
Name of past/current vet
Phone number of past/current vet
Names of pets treated
Name of intended vet
Are there any existing circumstances (e.g., health, family, professional, financial) that could result in your being unable to take care of this dog? What are they?
Why did you choose this dog?
How did you hear about us? Or who referred you?
We require a home visit as part of the application process. Will you comply?
We require that all family members, including animals, meet the animal prior to placement. Will you comply?
We require a minimum donation of $200 at the time of placement. This money goes to fund medical care, food and shelter for all of our animals, not merely the one you are applying for. Will you comply?
Is there anything else we should know that would help us to understand your application?
A rescue representative will conduct a formal interview with you and your family prior to adoption. This interview is to answer any questions about your new pet and to alert you to problems that may arise. The rep will help you plan how to successfully introduce your new pet to your new home and to explain how to help your new pet become part of the family. Please make sure that you have answered all questions in this application. Failure to provide information necessary to complete this application may cause this application to be voided. I certify that I have answered all questions honestly and to the best of my ability. I understand that any misrepresentations of fact may result in removal of the adopted pet from my home.
Applicant’s signature
Date