Animal You Are Interested In Adopting

Please list the name(s) of the animal(s) you wish to adopt (include breeds and ages if known).

Please remember that we cannot guarantee or hold animals for you. The pet you name may have been adopted by the time your application is approved, or may already be scheduled to meet his/her new family. If this should happen, we can continue with the application process and pre-approve you so you would be ready for the next potential new family member that interests you.

Your Contact Information

All fields must be completed.  We can not process incomplete applications.

Information About Your Home

Which of the following best describes your current residence? (Check one)
Home  Townhouse  Apartment Condominium Duplex Mobil Home Other 

Do you own or rent? Own Rent

If you do NOT rent your home, are you the owner of the home? Who owns the residence?

If you live in a rental or are subject to condo association or home owner's association regulations please complete this section.  This information MUST be provided at the time application is submitted or we will be forced to move on to the next applicant.

Does  anyone in the household have any known allergies to animals?Yes No  If yes, please explain.
 

Does anyone in the household have asthma?  Yes No 

Are you aware that most pets are active, very intelligent, shed and require a lot of exercise and interaction with their family?
Yes No 

What size is your yard in square feet?

Do you have a fence?  No  Yes  Type of Fencing
Fence Height    Type of Gates
Is fence solid & secure?  No  Yes  Can children open gates?  No  Yes

Is your yard totally fenced in?  No  Yes  Other 
Comments on Fencing

Information to Match You With The Right Furry Family Member

Please provide SPECIFIC information for the following questions about where your potential new furry family member will live. 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 what sort of life we can expect for this animal. 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?

Where will the pet be kept at night? Please provide detail. If the animal will sleep inside the house, where in the house? If outside, where outside?

Where will the pet be kept during routine absences such as trips to the grocery store? Please provide detail. If inside the house, where in the house? If outside, where outside?

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?

Please list the people that currently live at your residence.
(Please list their relationship to you & age.  We do not need the children's names.)

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 may delay the processing of your application.

I am aware and understand that J and J's Homeless Pet Rescue 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.
Yes No 

I have read the description of the animal I am interested in adopting 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.)
Yes No 

Have you owned a dog or cat before? If so, please give us a brief description of your history with current and previous pets . Include any experience with training or special activities. 

How long have you been considering this adoption?

Why have you decided to adopt now and why, specifically, this animal?

Please describe all your plans or expected work with this dog (for example, pet, guard, obedience, agility, search and rescue, companion, any plans for special training or activities, etc).

If the animal you are interested in has already been adopted, or in the process of being adopted, do you wish to continue the application process to be pre-approved for another dog, or one that may be joining later? We recommend continuing with the application process towards pre-approved status.  Yes No

Please tell us what kind of pet you want to adopt... your preferences with regard to breed, size, gender, age, color etc:

All members of the household, including other pets, must visit with the animal before the adoption is approved

Approximately how many hours at one stretch will the pet be without humans each day?

Approximately how many hours total will the pet be without humans each day?

If someone is regularly home during the day, please list who?

Can they handle the animal you want to adopt? Yes No

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, housing, etc.?  Yes No

What kind of food do you plan on feeding this animal?

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 for the remainder of their life?  Yes No

We require all animals adopted from us to be spayed or neutered. Do you have any questions or reservations about this policy?
Yes No

Current & Previous Pets

Please list all current pets.  Include all animals residing with you, even if you do not own them. If you do not currently live with any pets, please describe pets owned in the past.

If you have additional pets, please list their names and ages here, and provide as much additional information as possible.

Are all the above animals current on vaccinations & heartworm preventative? Yes  No

Are all the above animals spayed or neutered? Yes  No

Are all the above animals friendly with other animals? Yes  No

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? (Please provide details.)

Have you ever had any complaints about your pets?  Yes  No If yes, please explain.

How do you plan to exercise your new pet? (Please provide details.)

Who will supervise outdoor activities?

How will the dog be confined during outdoor exercise?

Have you ever trained a dog? Yes  No

How much time are you willing to give the new pet 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?
Yes  No

Do you have a veterinarian you have used before & plan to use with your new furry family member?  Yes  No

If you do not have a current vet, who is the vet you intend to see?

Please describe any circumstances (e.g., health, family, professional, financial) that could result in your being unable to take care of this pet.

Why did you choose this particular pet?

How did you find out about J and J's Homeless Pet Rescue?  Or who referred you? (Please be as specific as possible - Vet, Shelter, Friend, Newspaper, Internet, Other)

Agreements

We require a home visit as part of the application process. Will you comply? Yes No

We require that in most cases, all family members, including animals, meet the animal prior to placement. Will you comply? Yes No

We require a minimum adoption fee of $150 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? Yes No

Is there anything else we should know that would help us to understand your application?

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