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Name *

First

Last

Email *

Street Address

City

State

Zip Code

Country

Phone Number

1. Name of dog you are interested in adopting

2. Please describe in detail the dog you are looking for

3. Are you applying for your first dog?

• Yes
• No

4. Have you adopted from TRI in the past?

• Yes
• No

a) If yes, when?

5. Please list your current pets

6. Are your pets spayed/neutered?

• Yes
• No
• N/A

7. Are your pets current on vaccinations?

• Yes
• No
• N/A

8. Have you ever turned your pet into a shelter?

• Yes
• No

a) If yes, explain:

9. Have you ever had a pet euthanized?

• Yes
• No

a) If yes, why?

• Age
• Illness
• Aggression
• Other

10. Are you willing to have your current pet(s) meet your potential new dog?

• Yes
• No

a) If no, why?

11. Was your last dog obedience trained?

• Yes
• No
• N/A

12. If you are interested in adopting a bully breed, does your city have Breed Specific Legislation?

• Yes
• No
• N/A

13. Will your new dog be covered by insurance (homeowners, renters or other policy?

• Yes
• No

a) If no, why?

14. Why do you want to adopt this dog? (Check all that apply)

• Companion for yourself
• House dog
• Guard dog
• Protection
• Companion for current pet
• Watch dog
• Hunting
• Other

15. Do all members of your family agree about adding a new dog to the family?

• Yes
• No

16. How many adults are in your family?

detail to and

17. How many children?

a) Please list children's ages

18. Does anyone in the household have allergies to dogs?

• Yes
• No

19. How long would the dog be left alone each day?

20. Do you live in a

• House
• Apartment
• Condo
• Mobile home
• Other

21. Do you rent or own?

a) If renting, please list Landlord's name and phone number

22. Do you have a completely fenced yard?

• Yes
• No

a) What type of fence? Height?

b) Is there a gate?

• Yes
• No

c) If you have no fence, how will you handle bathroom breaks?

23. Are there times when the dog will be tied up?

• Yes
• No

a) If yes, how long and where?

24. Will this be an inside or outside dog?

25. Do you have a pool?

• Yes
• No

a) If yes, is there a fence around it?

• Yes
• No

26. Are you willing to take the time to housetrain your dog?

• Yes
• No

27. Will you keep your dog up to date on vaccinations?

• Yes
• No

28. Who is your current veterinarian? Phone Number? (Required)

29. Will you be able to exercise your dog on a regular basis?

• Yes
• No

a) By what method?

30. If you must move, will you take your dog with you?

• Yes
• No
• It depends

31. What traits are you looking for in a dog? (check all that apply)

• High Energy
• Outgoing/Confident
• Reserved/Quiet
• Dog Friendly
• Cat Friendly
• Active/Playful
• Friendly/Affectionate
• Low Shedding

Submitter Full Name *

First

Last

Date

Submit

By submitting this form online, I certify that all information on this application is true.  I also agree to below:

​I hereby fully and forever waive, release, hold harmless, indemnify and defend, The Rescue Inn, Inc., (hereby known as TRI) and their respective employees, volunteers, agents, officers, board members, trustees, successors and assigns, together with their insurance carriers from and against any and all actions, claims, demands, causes of actions, lawsuits, expenses or damages of every nature whatsoever, which I may have now or in the future against TRI, for any and all personal injuries, property damage, injuries to other pets and other damages, known and unknown, arising out of or attributable to my participation or attendance at an TRI event or activity or my viewing, handling or otherwise having contact with any animals, including without limitation, dogs of TRI or otherwise, whether on my own premises or some other location.

I understand that as a result of my involvement in viewing, handling or otherwise having contact with dogs of TRI or other animals, I may be exposed to certain risks, including but not limited to bites, scratches, infections or other injuries related to the viewing, handling, contacting and proximity to animals.  By my signature below, I voluntarily agree to assume and/or incur all risks of loss, impairment, damage or injury of whatever kind, including death, that may be sustained or suffered in connection with my involvement with TRI whether or not due to, in whole or in part, the acts, omissions, negligence or other fault of TRI.

I am aware that the behavior of animals, especially shelter and rescue animals, may be unpredictable.  I am aware that, although TRI makes every effort to ensure the safety of persons coming into contact with our animals, TRI cannot guarantee my safety in viewing, handling or otherwise having contact with TRI animals or other animals.  In addition, TRI cannot guarantee the safety of my other pets in the presence of TRI animals or other animals.

I, the above signed, have read this waiver and release and understand all of its terms, and I execute it voluntarily and with full knowledge of its significance.