Please help rescue an animal in need and adopt!

Which Animal are you interested in adopting?*

Your Name:

Your Address:

Email:*

Phone:*

Are you currently in San Pancho or nearby Please let us know where?*

How many adults in your home other than yourself? Please list names and ages:*

Are there children in your home:* Yes
No

If answered Yes, children in home, please list their ages.

Have you ever owned a pet before?* Yes
No

Does anyone in your home have pet allergies or asthma?* Yes
No

Please describe your home: ( large acreage, House, Condo, Apartment, other?)*

Is there a fenced yard?* Yes
No

What is your preferred activity level for your pet?*

Have you ever surrendered or had to re-home a pet?* Yes
No

Do you agree to License (if required) and provide regular health care for your adopted animal?* Yes
No

If answered Yes (Children in Home) Please list ages.

Current veterinarian's contact information: ( Please provide name, phone number and email address)

Where are your pets kept during the day when no one is at home?

Do you own or rent? Own
Rent

If you rent, please provide landlords name and contact number:

Is everyone living in your home agreeable to having a new pet?

List the pets you currently have in your home. ( Please include their name, breed, age, size, and gender)

Are your pets up to date on vaccinations* Yes
No
Not applicable

Adoption Agreement: Most of our dog rescues come with zero, if any training. During their time in foster care our volunteers are only scratching the surface of working on the animals manners, potty training, crate and leash training. And, possibly the most basic obedience training. Most training happens with the adopter after the dog goes home with you. By submitting this form you agree that you are prepared to potentially need to work with your new dog on potty training, chewing things, crate leash training, obedience commands and provide the structure necessary to help your new dog become a well mannered companion.