ADOPTION APPLICATION

Looking for your next “fur”ever family member? Kindly fill out the Adoption Application and an adoption coordinator will be in touch with you shortly. Please note, we are a non-profit organization comprised solely of volunteers. If you should have any questions, you may email us at adoptions@rugazrescue.com.
Unable to adopt? You can still save a life by donating below:

donate

*Spayed/Neutered
*All prior surgical needs (Palate, Nair's, Tumors etc)
*Microchipped (Registration & Lifetime Update)
*Current age appropriate Vaccinations.
*Heartworm Negative or Undergoing Treatment.
*Current month of Flea-Tick-Heart Prevention
*Fully Groomed and Nails Trimmed ( Normal cost of $45+ per professional grooming of little dogs I.e. Poodles - Shitzu's etc)
*Temperament Evaluated with in-home details.
*House/Crate/Basic training on-going.
-***Adoptions: $500 for all dog’s outside XL/XXL or Brachycephalic Syndrome*** *Breeds. Those dogs are $650 due to extensive medical for weight/size and anesthesia risks.*

… and a life-time of cuddles, kisses, and LOVE!!!

Please FILL OUT the form below. SOMEONE WILL BE IN TOUCH WITH YOU SHORTLY.

What dog/s did you fall in love with?

List any of the dogs you would like to adopt.

Name

First Name

Last Name

Phone

(###)

###

####

Would you like to receive email updates about Rugaz Rescue?

Your information is secure and will never be sold to a third party.

Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Joint Applicant

First Name

Last Name

Joint Applicant Phone

(###)

###

####

Does the Joint Applicant live with you?

Emergency Contact

First Name

Last Name

Emergency Contact Phone

(###)

###

####

Do you currently Own or Rent?

If renting, provide landlords contact information below. Note - if this is not provided your application will be rejected.

Landlords Name

First Name

Last Name

Landlords Number

(###)

###

####

Are there any breed restrictions where you live that would prevent you from adopting?

Are you currently employed?

How long have you been employed/unemployed?

How many hours a day are you away?

Where will this pet be kept when you are not home?

How many adults currently live at your home?

How many children (under 18) live at your home?

If you have children, what are their ages?

Check all that apply

Baby/Infant/Toddler (ages 0–2 years)

Pre-schooler (ages 3–5 years)

School-aged child (ages 6–12 years)

Adolescent (ages 13–17)

Are all adults knowledgeable and accepting of the type of breed you are interested in?

What forms of exercise will your new pet get?

What forms of training/correction do or will you use with your dog(s)?

Do you have any experience with the type of breed you are interested in?

If you answered No above, are you willing to go through Educational Responsible Owner courses?

Do you currently have any pets?

Check all that apply. If yes, please provide details in the next section.

Dog/s

Cat/s

Pocket Pet/s (Hamsters, Ferrets, etc.)

Aquarium Pet/s (Fish, Snakes, etc.)

No other pets

List Pet Details Below: Species (dog/cat/etc.), Breed, Age, Gender (M/F), Spayed/Neutered?

Have you recently lost any pets?

Do you have a fenced yard?

Will you be taking your new pet to a dog park?

Do you understand adopting a dog is a life-long commitment?

Have you ever been arrested for animal cruelty or negligence?

Name of your Primary Veterinarian

If you do not currently have one, put "N/A" below.

First Name

Last Name

Veterinarians Office Phone

(###)

###

####

Veterinarians Website

How many years have you been taking your pets to this Veterinarian?

Do you give Rugaz Rescue, Inc permission to contact your veterinarian to verify this information?

How did you hear about Rugaz Rescue, Inc?

What are your expectations of a "rescue" dog and why are you choosing to adopt?

Please leave any comments or questions you may have below: