DOG ADOPTION APPLICATION

* MUST LIVE IN THE LOS ANGELES AREA: Unless otherwise discussed in advance, we will only consider Los Angeles area adoptions. If you do not live in the LA area please check with us before filling out an application by e-mailing us @ info@therescuetrain.org.

*MUST BE 21: Applicant must be at least 21 years old/head of household.

* IF RENTING, have the knowledge and consent of your landlord.

*ADOPTION DONATION & CONTRACT: If we approve you for adoption of a dog, we accept a minimum donation of $250 and signed adoption agreement.

*Be willing to spend the time and money necessary to provide training, medical treatment and proper care of the pet for the rest of its life.

PLEASE NOTE: Completion of this application does not guarantee adoption of a Rescue Train animal.

About You and Your Family

Name of dog you are interested in:

Your name (first and last):

Email address

Phone number(s). Best place & time to reach you:

Street address:

City & Zipcode:

What your occupation?

What is your age range?

What type of home do you live in?

House

Condo

Apartment

Other

Do you own or rent?

own

rent

If renting, do you have your landlord's permission to have a dog?

yes

no

Who shares your household?

Are you planning on having children in the future?

No

Yes

Do you have grandchildren that visit?

No

Yes (Please let us know if they will be interacting your dog and how often)

Does anyone in your household have allergies to animals?

Yes

No

Are you planning on moving or traveling in the next 12 months?

No

Yes (please explain)

If your present relationship were to change, with whom will the dog remain?

At what age do you feel a child is responsible enough to care for a dog without supervision? (i.e. walking, feeding etc?)

Will all household members be able to come and meet the dog at a scheduled adoption appointment?

Yes

No (please explain)

Your Home Environment

Do you have a completely fenced yard?

Yes

No

What kind of fence do you have (i.e. wood, chain link, block wall, wrought iron etc)?

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What is the height at the highest point of your fence?

What is the height at the lowest point of your fence (including gates)?

Do the gates have locks?

Yes

No - (are you willing to install locks prior to a homecheck?)

I don't lock my gate because:

Do you have an electric driveway gate?

No

Yes - if yes, will the dog have access to the driveway when the gate is opening and closing?

Do you have a dog door?

No

Yes - when would the door be accessible?

Do you have a pool?

No

Yes

If yes is your pool fenced?

Yes

No

Do you have a Gardener, Housekeeper, Poolman (etc) ?

No

Yes

If yes, where will the dog be while they are working?

Do you trust the workers not to let your dog out?

No

Yes - (please explain)

Other than your immediate family, who has access to your yard?

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Do you have any poisons (rodents, snail bait, plant food) where the animal will be kept?

Yes

No

Your Past Pet Experience

What is your level of experience with dogs?

If you have children, what is their experience with dogs?

List your PAST pets that you had as an ADULT - type of pet, length of time in your care, and what happened to them (gave away, died of natural causes, lost, etc.):

Please describe your current pets. Include breed, age, gender, length of time in your care:

Are your current pets spayed or neutered?

Yes

No

Don't know

Are your current pets up to date on vaccines?

Yes

No (please explain)

Have your current pets ever escaped from your yard?

No

Yes (please explain)

If your current pet is a dog have you had them obedience trained?

Yes

No

If you currently have a dog, do you walk your dog on or offleash?

Have you ever turned a dog into a shelter.

No

Yes - (please explain)

Have you ever allowed an animal to breed/have babies?

No

Yes - please explain

Do you have a veterinarian? If yes, please list name, number and how long you have used the vet:

Have you ever had a pet euthanized?

Living With A Companion Animal

Is someone home during the day?

No

Yes (Who?)

How many hours a day will the dog be alone?

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Which rooms, if any, are off limits to the dog?

Will the dog be allowed on the furniture?

Yes

No

What activity level are you looking for in a dog:

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

No

Yes (explain method of exercise)

Where will the dog be kept during the day?

Where will the dog sleep at night?

What plans would you have in place for your dog when you travel? (Ex: hired petsitter, friend who stops by to feed, dog will stay at a kennel, etc)

What type of food would you feed your dog? If commercial food, please state brand, if the food is canned, kibble, dried, raw, etc):

What kind of walking device would you use? (Ex: harness, choke chain, pinch collar, head halter, etc):

Will your dog wear a collar and identification tag?

Yes

No

Sometimes (please explain)

If you new dog gets out which of the following would you do? Check all that apply:

What method do you intend to housetrain your dog?

What discipline would you use if your dog chewed your favorite shoes?

What is a behavior that would not be acceptable to you?

Are you willing to live with a dog that is destructive at times?

How would you train or discipline a dog?

Have you and or would you be willing to train a dog in obedience class at your own expense?

Would you walk your adopted dog on or offleash? If so where and when?

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If your pet becomes ill, gets injured, needs surgery or ongoing medical care, what amount are you willing to spend on veterinary/medical care?

Would you consider getting pet insurance for this animal?

What might cause you to give up your dog? Check all that apply:

If problems arise, are you willing to hire a trainer at your expense?

Yes

No

A dog can live to be 15 to 20 years old; are you able to make this long-term commitment?

Yes

No (please explain)

Who would care for this dog in the event something happened to you or you could no longer care for your pet?

What are your reasons for adopting a dog?

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If there is anything else that you would like to tell us about you or your family, please feel free to write your comments here.

If I adopt a Rescue Train dog, I can make a donation of at least $250 to help rescue and care for other abandoned dogs. I understand that my adoption donation is often just a fraction of the cost that The Rescue Train has spent on boarding, spaying and neutering, vaccines, microchips, medical costs and dog training. I understand that my donation is a gift freely given, not a purchase price for a dog. No goods or services have been or will be provided in exchange for the donation. I understand that any donation made is not refundable.

I agree

I do not agree

I understand that a home visit is required and that a home visit does not guarantee placement:

I agree

I do not agree

I understand that submitting an application does not mean I am approved to a adopt a dog from the Rescue Train. The Rescue Train has the right to refuse adoption to any applicant for any reason. The Rescue Train is not obligated to provide a reason or explanation for refusing adoption to an applicant:

I agree

I do not agree

Thank you for your interest in this animal. You'll automatically receive a copy of this application as your confirmation.

Indicates Response Required

Allergies	Accidents in house
New spouse doesn't like dog	Financial reasons
Biting/aggression	Dog is hard to train
Dog gets sick	You get sick
New baby	Moving out of state
Move to a place that dogs aren't allowed	Expensive vet bills
Dog barks a lot	Dog growls or nips at strangers
Dog bites children	Dog loses control of bladder
Dog doesn't get along with current pet	Aggressive with other dogs
Neighbors complain about pet	Poor watchdog
Jumping on people	Not the kind of dog I thought it would be
None of the above