Dog Adoption Application

Adoption Application
To help ensure the best possible placement of our rescued animals, and in order to determine that the proposed adoption is in the best interest of the animal, you, and your family, please complete each of the following questions. Please be as thorough as possible. Back The Blue Pet Rescue reserves the right to refuse adoption to any application.
Name of Dog(s) of interest:*
Dog Name

You live in a:*
If "live in" is Other, describe:
Do you Own or Rent:*
If own/rent is Other, describe:
If renting, are pets allowed?*
(We will need a copy of landlord's approval of addition of pet)
Landlord's name and phone:
Do you have a fenced-in yard or patio?*
What type of fence?
If fence type "Other", describe:
Overall fence height:
in feet
Height at lowest point of fence:
in feet
Describe ground cover below any gate(s):
If no fence, what arrangement will you make for potty duties?
Describe yard / overall / coverage:
Do you have a doggy door?*
Do you have a swimming pool or spa?*
Is your swimming pool or spa fenced?
Are you able & willing to work with your new pet on how to get out of the pool/spa?
Number of adults in home:
Please enter a number from 0 to 99.
Number of children in home:*
full-time or part-time
Please enter a number from 0 to 99.
Number of children potential to visit:
Please enter a number from 0 to 99.
Age(s) of children:
Have allergies to animals been a problem to any household members?
Are all family members aware that you are wanting to adopt a pet?
If all family members are not aware, explain:

Do you own other pets?*
Total number of pets:
Pet details:*
Name Breed Male / Female Age Spayed / Neutered Years owned
Are your pets current on vaccinations?*
Have you had other pets in the last five years that are no longer with you?
If yes, had pets and no longer with you, describe what happened to them?
Have you ever given up a pet for adoption?
If yes, given up a pet, please explain circumstances:
Have you adopted from Back The Blue Pet Rescue (BTBPR) before?
Have you ever returned an animal to a rescue, shelter or county animal control facility?

Adoption Application

Dog Name

Name(s)

Name	Breed	Male / Female	Age	Spayed / Neutered	Years owned