Dog Adoption Application

Complete & Submit both the Adoption Application and Adoption Contract

Saving Dogs' Lives Rescue

A nonprofit (501 )(c)(3) animal rescue organization

EIN: 99-1073319

Ca. Entity ID: 6052139

96 Springstowne Center Suite B Vallejo, Ca 94591

96 Springstowne Center Suite B Vallejo, Ca 94591 Phone # (707)319-7345, (408)205-6544

Dog Adoption Application

"*" indicates required fields

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Dog Adoption Application

Name of pet you are applying for:*

First

Specie*

Dog

Cat

Primary Applicant Information:*

First Name Last Name

Date Of Birth*

MM slash DD slash YYYY

Address*

Apartment City State Zip Code

Work*

Email Address*

Secondary or Co applicant Information:

Name*

First Last

D.O.B*

MM slash DD slash YYYY

Address*

Street Address

(Street number and name)

Apartment # (if applicable)*

Street Address City State / Province / Region ZIP / Postal Code Country

Cell Phone #*

Home #*

Work #*

Email address*

Please check box: Do you currently*

Own

Rent

Landlord's name*

First

Cell Phone #*

How long have you lived on this address?*

Any plans to move in the near future?*

Yes

How did you find out about the animal you are interested?*

Family/ Household Information:

Number of adults in the household*

Have all adults in the household agreed in this adoption?*

Yes

Relationships*

Number of children in the household*

Ages*

Have the children had pets before?*

Yes

Do you expect your family situation to change?*

Yes

Is anyone in the household allergic to pets?*

Yes

Reason for adopting an animal: Please check below.*

Companion for self

Companion for child

Watch dog

Gift

Companion for another pet

Companion for another member in the household

State other reason (s) please*

Employment Information:

Employer*

Position Held*

Address*

Street Number and Name City State Zip Code

Work Phone*

Length of employment with the current employer*

Pet Information

Have you had pets in the past or you currently have pets?*

Yes

If yes, please tell us about your pet(s).

Name*

First

Gender:*

Male

Female

Pet:*

Dog

Cat

Age*

Neutered/Spayed:*

Yes

Name*

First

Gender:*

Male

Female

Pet:*

Dog

Cat

Age*

Neutered/Spayed:*

Yes

Name*

First

Gender:*

Male

Female

Pet:*

Dog

Cat

Age*

Neutered/Spayed:*

Yes

Where are they?*

Have you given an animal away or relinquished an animal to a shelter, rescue organization?*

Yes

If Yes, please state when, where and the circumstances*

Veterinarian Information:

Veterinarian's name*

First

Phone #*

UntitledWhen was your pet's last vet visit and why?*

New Pet Information

How long have you been looking for a pet?*

What will you feed your new pet?*

How often will you feed your new pet?*

How much time are you prepared to allow your new pet to adjust to your home?*

Are you able to afford a bill of $200 to $800 (or more) for an emergency veterinary care?*

Yes

How much do you expect to spend on maintenance for your pet in a year?*

Are you committed to provide a responsible home for your pet's entire life (15 plus years or more?*

Yes

If you have to move, what is your plan to do with your pets?*

Where will the pet be kept during the day?*

Where will the pet be kept during the night?*

Who in the household will be the pet's primary caregiver?*

When you are out of town, who will be your pet's primary caregiver?*

How many times per day do you plan to take your dog outside?*

In case of an emergency, who will care for your dog?*

How do you plan to house train your pet?*

Do you have a secured fenced yard ?*

Yes

If Yes, what size and type?*

How many hours per day will your dog be left alone?*

What would you do if your dog develops a problem with:

Digging*

Barking*

Chewing*

Separation Anxiety*

Aggression*

Resource Guarding*

Please list three personal references below:

Name*

First

Relationship*

Phone*

Name*

First

Relationship*

Phone*

Name*

First

Relationship*

Phone*

By signing below, I certify that the information I have provided is true . I understand that the organization reserves the right to deny my application for any reason .1 further authorize the investigation of all the statements in the application.

Applicant's Printed Name :*

First

Signature*

First

Date*

MM slash DD slash YYYY

Signature*

First

Date*

MM slash DD slash YYYY

Adoption Contract

Name*

First

Spouse/Partner:*

First

Address*

Street Address City State / Province / Region ZIP / Postal Code

Home Phone:*

Cell Phone:*

Email Address:*

Driver's License #:*

Car License Plate #:*

Expiry Date*

MM slash DD slash YYYY

Adoptive Parent's Agreement:

I (adoptive parent's name),*

Agree to provide care from this day forward to my new pet. This includes adequate food, water, exercise, veterinary care and lots of love. The pet will be kept inside the house and will not be tethered outside. I agree never to sell, trade or surrender the pet to any agency without giving prior notice to Saving Dogs' Lives (SDL). I agree not to transfer ownership of the pet to any individual without notifying SDL; such transfer of ownership is subject to SDL discretion. I agree that SDL have the first option of reclaiming the pet. I agree that the adoption fee is non refundable. There is no reimbursement if the adoption does not work out, unless agreed by SDL in terms listed below:

I agree that the expenses incurred after I take possession of the pet will be my sole responsibility. SDL is released of any and all liabilities whether financially or other. Any information shared by SDL, is of its own experience with the pet and SDL makes no warranties of any kind concerning the pet.

Adoptive Parent's signature:*

Date*

MM slash DD slash YYYY

Pet's Information:

Animals Options*

Dog

Cat

Gender*

Male

Female

Date Of Birth"*

MM slash DD slash YYYY

Assumed Age:*

Color: Primary*

Color: Secondary*

Breed Description:*

SDL and the adoptive parent(s) have agreed upon the sum of $ as the adoption fee.*

Residential Information of Adoptive Parent(s):

Address*

Street Address City State / Province / Region ZIP / Postal Code

Is this the address where the pet will live with you?

Please state reason:*

Yes

How long have you resided at this address?*

Previous address if less than two years*

Please check the box

Do you*

Rent

Own

House / Apartment*

House

Apartment

Condominium / Mobile Home*

Condominium

Mobile Home

What happens to the pet if you move?*

If renting what is your landlord's name?*

First Last

Phone #?*

Have you received permission from your landlord to have a pet(s)?*

Yes

If yes, please provide a letter of permission from your landlord allowing you to have a pet(s), signed and dated.

SDL at its discretion will do yard and fence check, meet and greet with the with the other pet(s) in your household and family members.

There will be phone calls to be made by SDL and its authorized representative. Visits will be arranged. This is to ensure that the communication between SDL and the pet owner is maintained and when future assistance is needed. Our goal is to establish a long lasting relationship with our adopters, this relationship does not end after the adoption. Photos and videos will be requested from time to time. Pictures and videos will be published in our website upon permission by the pet owner. If there is a change in your address, phone number, email address please contact us by calling:
(707) 319-7345
(408) 205-6544
OR send an email to:
mvcdmd@comcast.net

Please sign and date:

Signature:*

Date*

MM slash DD slash YYYY

Adoption Contract

Name:

First

Spouse/Partner:

First

Address

Street Address City: State: Zip Code:

Home Phone:

Cell Phone:

Email Address:

Driver's License #:

Car License Plate #:

Expiry Date

MM slash DD slash YYYY

Adoptive Parent's Agreement:

I (adoptive parent's name),

First

Adoptive Parent's signature:

Date

MM slash DD slash YYYY

Pet's Information:

Animals Options

Dog

Cat

Gender

Male

Female

Date Of Birth"

MM slash DD slash YYYY

Assumed Age:

Color: Primary

Color: Secondary

Breed Description:

SDL and the adoptive parent(s) have agreed upon the sum of $ as the adoption fee.

Residential Information of Adoptive Parent(s):

Address

Street Address City: State: Zip Code:

Is this the address where the pet will live with you?

Please state reason:

Yes

How long have you resided at this address?

Previous address if less than two years

Please check the box

Do you

Rent

Own

House / Apartment

House

Apartment

Condominium / Mobile Home

Condominium

Mobile Home

What happens to the pet if you move?

If renting what is your landlord's name?

First Last

Phone #?

Have you received permission from your landlord to have a pet(s)?

Yes

If yes, please provide a letter of permission from your landlord allowing you to have a pet(s), signed and dated.

SDL at its discretion will do yard and fence check, meet and greet with the with the other pet(s) in your household and family members.

Please sign and date:

Signature:

Date:

MM slash DD slash YYYY

Dog Adoption Application

Complete & Submit both the Adoption Application and Adoption Contract

Saving Dogs' Lives Rescue

A nonprofit (501 )(c)(3) animal rescue organization

96 Springstowne Center Suite B Vallejo, Ca 94591

Dog Adoption Application

Adoption Contract

Adoption Contract

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