Saving Dogs Lives Rescue

Dog Adoption Application

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

Dog Adoption Application

Name of pet you are applying for:
Specie
Primary Applicant Information:
MM slash DD slash YYYY
Address
Secondary or Co applicant Information:
Name
MM slash DD slash YYYY
Address
(Street number and name)
Apartment # (if applicable
Please check box: Do you currently
Landlord's name
Any plans to move in the near future?
Family/ Household Information:
Have all adults in the household agreed in this adoption?
Have the children had pets before?
Do you expect your family situation to change?
Is anyone in the household allergic to pets?
Reason for adopting an animal: Please check below.
Employment Information:
Address
Pet Information
Have you had pets in the past or you currently have pets?
If yes, please tell us about your pet(s).
Name
Gender:
Pet:
Neutered/Spayed:
Name
Gender:
Pet:
Neutered/Spayed:
Name
Gender:
Pet:
Neutered/Spayed:
Have you given an animal away or relinquished an animal to a shelter, rescue organization?
Veterinarian Information:
Veterinarian's name
New Pet Information
Are you able to afford a bill of $200 to $800 (or more) for an emergency veterinary care?
Are you committed to provide a responsible home for your pet's entire life (15 plus years or more?
Do you have a secured fenced yard ?
What would you do if your dog develops a problem with:
Please list three personal references below:
Name
Name
Name
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 :
Signature
MM slash DD slash YYYY
Signature
MM slash DD slash YYYY
Skip to content