Adoption Application | rhodiesrescue

Name, Phone, Address and Email

Dog you are interested in :

Employer Name and Contact Information

Drivers License Number

How many people currently live at home, please list their ages, names, and allergies to pets

What is your current living situation ? Do you own or rent ? Do you plan to move soon ? Is it a house, apartment, ranch, etc.

If you rent please provide your Landlords Contact Information

What experience do you have with pets in the past and currently ? Please list all animals living with you today and their details ( age, sex, breed, time with you, where they stay, vet )

Tell us a bit about why you want to adopt and what the dogs life will be like. ( How long will they be alone, Who will watch them if you have to travel, what behaviors are not ideal for you, etc.)

What behaviors are deal breakers for you, that you can't accept ?

After initial investment, the average cost of feeding/caring for a dog can range from $500-$1000 or more annually. If your dog develops a medical issue are you willing to take the necessary steps to seek and provide veterinarian treatment for your dog ?

Yes

No

Not Sure

I certify all information in this application is true and correct and I understand any false information will void this application. I certify by applying I have discussed this with my family and/or those currently living with me.

I also understand that Rhodie’s Rescue may take photos, videos or recordings of their adoption events and that myself, my family and/or my adopted pet may be included in those photos, videos or recordings. I consent to having those photos,s videos or recordings published on Rhodie’s Rescue Facebook Page, Instagram, Website or any other social media and promotional items at Rhodie’s discretions. I further acknowledge that any photos taken by me and submitted to Rhodie’s Rescue becomes the property of Rhodie’s Rescue and may also be used as mentioned in the above manner.

I have read and agree to the above