Adoption Application

Adopter Information

Page 1

Dashing Dog Rescue Name of dog you are applying to adopt?
Enter N/A if not sure, or you are applying to get the process started.

  • A Texas Driver License or Other Legal Local Identification is Required.
  • This information will be verifed in person prior to adoption.

I understand and affirm:
  1. I am 18 years of age or older and have identification showing proof of age and current address.
  2. Dashing Dog Rescue reserves the right to refuse adoption to anyone. Adoption approval or refusal decisions are made solely at the discretion of Dashing Dog Rescue. Falsifying information on the application will result in disqualification from adoption.
  3. All potential adopter’s homes may be screened for suitable placement of animals. By submitting this application, I give permission to Dashing Dog Rescue to investigate and confirm the information that is provided in this adoption form.
  4. I give permission for a Dashing Dog Rescue representative to visit my home prior to adoption to perform a home inspection, and after adoption to perform a follow-up home inspection on the adopted dog.
By digitally inputting your name you are affirming the four aforementioned statements.

  • Date and Time stamp is automatically recorded when the complete application is submitted.

I hereby give permission to my landlord, apartment complex, mobile home park, or neighborhood associations to release information to Dashing Dog Rescue concerning pet deposits and rules or regulations regarding pet ownership.

Apartment Complex or Mortgage Lender Contact Information:

Who is your current veterinarian?

I understand and affirm the above information, and agree to the Dashing Dog Rescue adoption process and requirements.

  • Date and Time stamp is automatically recorded when the complete application is submitted.

Home Information

Page 2

How long have you lived at your current address?

Do you plan to move within the next 12 months? Yes No

Do you own or rent? Own Rent

If renting, please complete the following or input N/A where not applicable.

Does your landlord require a pet deposit? Yes No Not Applicable

Enter N/A if despoit if deposit is not required.

Does your landlord set a limit on weight of dogs? Yes No Not Applicable

Enter N/A if there is no weight limit.

Does your landlord have a breed restriction? Yes No Not Applicable


Enter N/A if there are no restricted breeds.

Is the pet deposit per household or per animal?
Per Household Per Animal Not Applicable

Total number of adults (over 18) in household:

Ages of children (under 18) in in household.

Enter N/A if there is no children in household.

Do all the adults in the household concent to the adoption of this dog? Yes No

Does any individual in the household have known allergies to dogs? Yes No

Why do you want a dog? (Select all that applies)
House Pet
Outdoor Pet
Guard Dog
Watch Dog
Companion for child
Companion for pet
Gift

How many hours will this dog be:

Do you have a fenced in yard? Yes No


Enter N/A if there is no Fence.

Do you have a pool? Yes No

If you have a pool, is the pool fenced off from the rest of the yard?
Yes No Not Applicable

If you have cats, have they been exposed to dogs? Yes No Not Applicable

Have you house trained a dog before? Yes No

If this your first experience with owning a dog? Yes No

Have you considered the cost associated in adopting a pet? For example, food, veterinarian/medical, housing, damage, and boarding? Yes No

Are you familiar with heartworm disease?
Yes No

If you had or have dogs? Were or are they on heartworm preventatives?
Yes No Not Applicable


Enter N/A if not applicable.

No dog is perfect! Please check all behaviors that you are unwilling, or unable to work through?
Aggression Towards Cats or Dogs
Aggression Towards Children
Barking
Destructive Behavior or Chewing
Digging
Eliminating In House
Escaping
Food Aggression
Jumping On Furniture
Jumping On People
Mouthiness or Nipping
Pulling On Leash When Trying To Walk
Scratching On Doors
Seperation Anxiety

Enter N/A if not applicable.

Pet Ownership Information

Page 3

Total number of pets you currently own?

Enter N/A if not applicable.

Are all your pets curent with vaccinations? Yes No Not Applicable

Are any dogs in your household diagnosed with the following?

  • Heartworm Disease Yes No Not Applicable
  • Canine Distemper Yes No Not Applicable
  • Parvovirus Yes No Not Applicable

List all pets currently owned.

List all pets owned within the past 2 years, NOT currently owned. (Include deceased, lost, stolen, sold, or given away):

  1. By submitting this application, I confirm that all information in this application is correct and complete and I acknowledge that I have read, understand and agree to all the terms and conditions of the adoption contract. I authorize my landlord, veterinarian and any other parties contacted to release information confirming this application to Dashing Dog Rescue for verification. Failure to provide accurate information will forfeit the adoption fee and return ownership of this animal to Dashing Dog Rescue. Your signature will be required at the time you meet with a Dashing Dog Rescue representative.
  2. Potential adopters are screened for suitability. Dashing Dog Rescue reserves the right to refuse placement of an animal for any reason. Animals may be removed from unsuitable homes at any time base upon the discretion of the Dashing Dog Rescue Board of Directors.
By digitally inputting your name you are agreeing to the two aforementioned statements.

  • Date and Time stamp is automatically recorded when the complete application is submitted.
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