Name
*
First Name
Last Name
Address
Address 1
Address 2
City
State/Province
Zip/Postal Code
Country
Phone
(###)
###
####
Email
*
Age
Name of the dog you wish to adopt.
Why do you want to adopt this dog?
How long have you been thinking about adopting a dog?
What qualities are you looking for in a dog?
Please provide the name and phone number for your veterinarian.
May we contact your veterinarian for a reference?
Yes
No
List the name and phone number of two additional pet references.
Do you own or rent your home?
Own
Rent
If you rent, does the owner permit the type, number & size of dogs you will have?
Yes
No
If you rent, have you or will you pay any and all applicable pet deposits?
Yes
No
If you rent, please provide the name and phone number of landlord.
Estimate your average time away from home.
Someone home all day
Out part-time
Away 7-10 hours daily
List all the members of your household, their ages & whether they agree with getting this pet.
Do you currently have any pets in the home?
If so, please indicate the type of pet(s), age, whether they are spayed or neutered (if applicable), and if they are current on vaccines.
Do you have a fenced yard?
Yes
No
What type of lifestyle do you want your pet to live?
Will the pet be kept inside, outside or both?
Inside
Outside
Inside and Outside
Where will the pet stay while you are not at home?
Where will the pet sleep?
What rules will you establish for the pet?
What form of discipline will you use on the pet?
Have you ever adopted an animal from a rescue group or humane society?
Yes
No
If so, when and which one?
Have you ever given away or euthanized a pet?
Yes
No
If you answered yes, why?
Prior to an adoption, an ABARC volunteer will do a home visit and reference checks. Do you have any objections to this?
Yes
No
Would you have any objections if an ABARC volunteer made a follow-up call or visit after the adoption?
Yes
No
There is always the possibility of illness or emergency care with pets. Can you commit to this financially?
Yes
No
We encourage all our adopters to get annual check-ups and vaccines for their pets. Is this going to be a problem for you?
Yes
No
Pets in the Southeast need to be on monthly Heartworm Preventative and Topical Flea and Tick Medications. Is this a commitment you are willing to accept?
Yes
No
How did you find out about All Breed Animal Rescue?