Dog Adoption Application
Thank you for your interest in adopting a rescue dog from Ruff Tales Rescue. By choosing adoption, you are
saving a life. You will find that as a rescue group, we are pretty cool people to deal with. Like you, we just care
about our dogs. Please be patient and understanding when we have to be so thorough in our efforts to find the
right home for each dog. Thank you and we look forward into making you a member of our "family".
Ruff Tales Rescue is an all-volunteer organization. Most of our volunteers work full-time jobs, have children,
their own animals and have a very busy schedule. So if your phone calls or emails are not answered by a
live person right away, please allow us up to 24 hours to respond.
All information will remain confidential. If you have any questions please call us at (508) 657-4102 or
email us at [email protected].
Please allow up to two weeks for processing. These dogs are well worth the wait! Thank you for your interest in
saving a shelter dog!
Name:
Co-applicant and/or Spouse:
Home Street Address:
City:
State:
Zip:
Home phone:
Cell phone:
Best time to call:
Email Address:
Alternate Email:
Number of People in Household:
Occupation (optional):
Unemployed
Retired
Student
Please list two personal references and their relationship to you:
Personal References (Please list one relative not residing at same address as you and one non-relative, if
possible).
Name:
Relationship:
Phone:
Best time to contact:
Email:
Name:
Relationship:
Phone:
Best time to contact:
Email:
Your veterinarian:
Current or past name of Vet Clinic (Please notify your Vet’s office that an application has been submitted
for adopting an animal for Ruff Tales Rescue. Give them permission to release general information about you
and your pet care history to a Ruff Tales Rescue representative. In addition, your signature below will also
serve as giving your permission to release the aforementioned information (required by some Vets)
Clinic Name and Veterinarian’s Name:
Phone:
Client/Guardian Name on file:
Client for how long?
Pets seen there:
Experience with this species?
Emergency Clinic Name:
Phone:
Pets seen there:
Experience with this species?
Please describe the kind of dog you are interested in adopting:
Name of specific dog you are interested in: ______________________________
Age: _______ Sex: ______ Size: ________ Breed/Mix: ______________________________
Reason for adopting:
Preferred energy level:
Companionship
High
Watch dog
Medium
Other
Low
Why do you want a dog:
Why do you like the breed/mix you are interested in:
Have you had this breed/mix before:__________ For how long: _____________
Can you commit to care for the dog for its whole life: _________________________________
Have you ever surrendered an animal? ____ Yes
If yes, why?
____ No
Yes
No
Yes
No
Pet Information
Do you currently live with other pets?
Yes
Name, Species, Breed of all pets currently
living in your home (add attachment if
necessary)
No
Age /
Sex
Have these pets lived with other dogs before?
No
Spayed/Neutered
Yes
No
No
If none, have your owned any dogs in the last 10 years? _____ Yes _____No
Breed/Mix: _________________________________ Ages: ________________ Sex:________
What happened to them?
Do your dogs have any physical or behavioral problems?
Are your animals on heart worm preventative and flea/tick preventative: ____ Yes ____ No
What kind? __________________________________________________________________
Your family:
Do you have children: ____ Yes ____ No Number: ______________ Ages: _____________
Have they had dogs: _____ Yes ____ No
Was it successful: ____ Yes ____ No
Are all members of your household in agreement about adopting a dog? ____ Yes ____ No
Are any members in your household allergic to dogs? ____ Yes ____ No ____ Unknown
Who will be the primary caregiver for this dog? _______________________________________
Would all members of the family be willing to meet the dog prior to adoption? ___ Yes ___ No
Describe your household activity level:
Inside/Outside
Inside
Outside
Inside
Yes
No
Outside
Inside
Yes
No
Outside
Inside
Yes
No
Outside
Inside
Yes
No
Outside
Are these pets current on vaccines, heartworm and flea/tick
Yes
No
prevention (if it applies)?
Yes
Are these your pets?
Personality
Yes
Who will care for the dog when you travel?
In the event of an emergency, who would care for your dog?
How many hours per day would the dog be left alone? ____________________________________________
Where would he/she be left?
________________________________________________________________________________________
Your home:
Own or rent:________________
Landlord permission to have a dog: ____ Yes _____ No
Landlord/Condo Association Name: ___________________________________________________________
Phone: ______________________
Is it: _____ Apartment ____ Duplex ____ Townhouse ___ Single family home
_____ Condo ____ Other Please explain: __________________________
Any community restrictions on pets:
Is there a yard? _________ Size: __________ Fence?: _________ Fence Height: ______
How will your dog spend its days?
How will your dog spend its nights?
Are you prepared for an extended adjustment period for you and your new pet? ____Yes ____No
* The adjustment period is the time it takes for a dog to adjust to a new environment (your home), new people (you and your
family) and new rules. It can last anywhere from 2 hours to 2 months or more. Please ask Ruff Tales Rescue’s adoption team
if you are not sure what the adjustment period entails.
Do you agree to allow us to visit your home by appointment as part of this application process?
____ Yes ____ No
New pet:
Under what circumstances would you allow your dog off-leash?
What circumstances might justify surrendering a dog?
If your dog has behavioral issues, would you be willing to pay for and participate in obedience classes?
____ Yes ____ No
Dog habits/behaviors that I will not tolerate:
When it comes to relating to dogs, I consider myself:
____ Stern: a strong leader, dog must follow my rules
____ Lenient: easily coerced
____ Somewhere in between
If for some reason you had to move and could not take your dog, what would you do with him/her?
Is there anything else you would like share was about bringing a new dog into your family?
Foster families are the backbone of our work. Would you be interested in temporary short-term fostering?
____ Yes ____ No ____ I don’t know, but would be interested in learning more!
I have filled out this application honestly and to the best of my ability. I understand that an omission of
information and/or failure to answer all questions on this application can result in a declination for adoption. I
understand that Ruff Tales Rescue can rescind and reclaim the animal if omissions or untruths are discovered
after the adoption.
Applicant Signature: __________________________________________ Date: ___________________
Printed Name: ___________________________________________________
Co-applicant Signature: _______________________________________ Date: ____________________
Printed Name: ___________________________________________________
Please send completed applications to our Adoptions Team by:
Email: [email protected]
Fax: 877-293-6368
Mail: Ruff Tales Rescue, PO Box 501, Bellingham, MA 02019