We also need you to email us a photo of:
- Front of your home
- Back of your home showing fenced in back yard & for any dog under 25 lbs you are not required to have a fenced in yard.
- Photo of your home address on the house
- Copy of a utility bill showing your name & home address
Before we introduce you to one of our dogs, we need to review your application to make sure the dog will fit your home & environment.
If you are interested in foster care or adoption ~ please fill this form out and email back to me. I will work on getting it approved so you can become a part of our adoption/foster team! Please let every animal lover out there know about our adoption/foster program.
Thank You,
Ginger gingerluke@comcast.net
I am interested in adopting: ________________________
Part 1: Personal Inoformation
Name:
Address:
City & State:
Zip Code:
Evening phone: Day phone:
E-mail Address:
Employer Name:
Spouse’s Employer:
How did you hear about Ginger's Pet Rescue?
Would you like to be added on to my pet network list
to see all new incoming new dogs & valuable pet information?
Number of adults in household: Number of children:
Men: Ages: Boys: Ages:
Woman: Ages: Girls: Ages:
Are you expecting a child or planning a family in the near future? Yes___ No___
Are all your family members in favor of adopting/fostering a rescue dog? Yes___ No___
Is anyone in your household allergic to animals? Yes___ No ___
Type of dwelling you live in:
House______ Apartment_______ Condo/Town House_______
Trailer______ Duplex _________ Other __________________
Do you rent or own? Own________ Rent________
If you rent, do you have the landlord’s permission to keep a dog? Yes_____ No______
If you rent, please provide the name & phone number of your current landlord.
How long have you lived at your current address?
Are you planning on moving in the near future?
How many consecutive hours a day are you away from home for work, school, etc?
Will you be hiring a pet sitter if gone a long time, or are you close enough to go home during the day?
Part 2: Type Of Dog
Color Preference: None__________ Fawn__________ Black__________
Age Preference: Puppy __________ 1-6yrs old_____________
6+__________ Senior ___________ No Preference_______________
Sex Preference: Male____________ Female___________
Would you be willing to adopt two? Yes_______ No_________
Why do you want to adopt a rescue dog?
__________ Companionship
__________ Watch Dog
__________ Company for my current pets
__________ A gift for:
__________ Other please explain:
Are you agreeable in returning the dog to Ginger’s Pet Rescue, should an unforeseen circumstance arise wherein you would no longer be able to keep the?
Would you be willing to allow us to visit your home prior to adoption?
Would you consider a special needs rescue dog?
Part 3: Environmental Information:
How large is your yard approximately?
Is it fully fenced? Yes_______ No________
If yes, what kind and how tall? ______________________________________
If no, will you fence it before you adopt/foster a dog Yes_______ No ______
Do you have a pool?
If yes, is it securely fenced?
If your yard is not fenced, how do you plan to insure that the dog receives safe and adequate exercise?
Where will the dog sleep at?
Do you plan to keep the dog primarily indoors or out?
Do you plan to use a crate for housebreaking or while you are gone?
Part 4: Pet History
List All Pets You Currently Own:
Dogs:
Breed:
Ages:
Male or Female:
Spayed or Neutered:
Indoor/Outdoors:
Cats:
Breed:
Ages:
Male or Female:
Spayed or Neutered:
Indoor/Outdoors:
Is your cat declawed? Yes_________ No_____________
What activities do you plan on participating in with your dog:
Are you planning on taking your new adoptive/foster dog to obedience class? Yes______ No________
If no, why?
What brand of pet food do you currently feed your current pets?
When you’re not home where is your new adopted dog going to stay at?
Are your current pets all spayed and or neutered?
If not, why?
What circumstances, in your mind, justify giving a dog up? (please check all that apply)
____ moving (in case of divorce) ____ medical problems
____ not getting along with other pets ____ new baby
____ getting out of a fence ____ divorce
____ children lost interest ____ behavioral problems
____ too time consuming ____ shedding
____ allergies ____ housebreaking problems
Have you ever given a dog up or had a dog for a brief period of time and it didn’t work out? Yes ____ No_______
If yes, please explain the circumstances and what happened to it:
If your pet develops a medical problem that becomes expensive, what would you do?
_____ Find another home for him/her
_____ Pay whatever it takes
_____ Give him to a rescue group or shelter
_____ Other – Please explain:
List any pets you have previously owned:
Species & Breed:
How long owned:
Where is pet now?
If deceased, cause of death
Have you ever had to give up a pet? _____Yes No_____
If yes, please tell us why:
Part 5: Dog Knowledge
Are you aware of dogs health problems? Yes ____ No_________
If yes, what problems do you foresee:
Are you willing to take care of said problems should they arise even if he/she requires daily medication?
Yes _____ No___________
Are you aware that dogs can shed 365 days a year Yes ______ No_________
And if not, can you accept this? Yes________ No_________
Most dogs are companion animals they will want to be with you as much as possible.
Are you prepared for this? Yes_____ No_______
Do you realize most dogs can live up to over 14 years and are you committed to care for it that long?
Yes _____ No________
Please let us know anything else that would make you and ideal candidate for a rescue dog:
Part 6: Behavior
What type of behaviors do you expect from this dog?
What amount of time and effort, per week would you want to devote training for your dog?
None______ 3-5hrs _____ 5-7hrs _____ 7-10hrs ______10+hrs____
Are you likely to enroll your dog in obedience class? Yes_______ No _____
Which family members would be expected to assist in home training?
Who will be the primary caregiver for this dog?
Part 7: References
List three references that can attest to your suitability as a pet owner, and more specially, the owner of a rescued dog. If you own any pets now please include your current veterinarian as a reference.
Name:
Address:
Phone:
Email:
Relationship:
Name:
Address:
Phone:
Email:
Relationship:
Name:
Address
Phone
Email:
Relationship:
Vet Reference:
Clinic Name/ Drs Name:
Address:
Phone:
Email:
Terms Of Adoption/Foster
1) To keep this dog in my personal possession, and to provide proper and sufficient food, water, shelter, grooming and humane treatment at all times.
2) To procure veterinary care at once if this dog becomes sick or injured, and to keep current all vaccinations as recommended by my veterinarian.
3) To obey any and all animal control regulations governing the area in which I live, and to license this dog according to such regulations within one month of adoption.
4) Not to sell, trade ownership, abandon, or dispose of this dog in any way, but to notify Ginger’s Pet Rescue if I must relinquish custody of the dog. This includes release to family members.
5) To allow Ginger’s Pet Rescue to examine the dog and it’s living conditions, and to surrender it to said person for return if the conditions are found unsatisfactory.
6) To assume full responsibility for this dog actions, including any damage done by this dog.
7) I will microchip the dog within 30 days of adoption and mail proof to Ginger’s Pet Rescue
(If adopted only and not already done)
8) I agree to have on the adoptive dog microchip registration for the life of the animal.
All the information I have given above is true and complete. I have also read and agree with the Terms of Adoption/foster. This dog will reside in my home as a pet. I will provide it with adequate food, water, shelter, training, affection and medical care. I also understand I have 30 days from the date of adoption only to microchip him/her. (If not already done) I will need to mail proof it has been done to Ginger’s Pet Rescue. I also agree to put Ginger’s Pet Rescue as a contact person for the life of my new dog on his/her microchip registration info. I understand the temperament; health, habits and physical condition can’t be guaranteed. I understand that it is my responsibility to see and evaluate the dog for myself before agreeing to adopt it. I am in full agreement with these terms of adoption. Ginger’s Pet Rescue is in no way liable or responsible for any damage, accident or injury resulting from the placement of a dog into my household.
Applicant Signature : Date:
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