Are you a US Resident? If No, explain:
Name of Employer (if applicable):
Please list members of your household, relationship and ages (include self): *
In what type of home do you live?*
Do you own or rent your home?*
If you rent, have you received the approval of your landlord to have a pet?
Have you or will you pay any and all applicable pet deposits?
If you rent, please enter your landlord's name and phone number:
Name of Current Pet #1
Current Pet Age:
Please check all applicable boxes for Pet 1
Name of Current Pet #2
Age Of Animal:
Please check all applicable boxes for Pet 2
Please list any additional pets you have owned in the past 10 years and indicate if cat/dog, spayed/neutered and if living/deceased. If deceased please list cause of death.
List the name and phone number of your veterinarian(s).
May we contact your vet for a reference?
List the name and phone number of two individuals for pet references:*
What type of pet are you interested in adopting?
Choose all that apply:
Which pet are you interested in?
Choose an animal:
If your first choice is not available, who is your second choice?
Choose an animal:
Other animals you are considering:
How long have you been thinking about getting a pet?
Who in the household will care for the pet?*
What traits are you looking for in a pet?
Where will the pet spend the majority of the time?*
Mostly Inside with some outside time
Inside and outside equally
Will the pet be the only pet in your home? Explain:
Where will the pet be kept when you are home?*
Where will the pet be kept when you are not home?*
How much time will the pet spend alone during the day?*
Where will the pet sleep?*
Describe how you will train the pet:*
Check any of the following reasons you would give your pet away:
Have you ever given up a pet? If yes, please explain*
Have you ever adopted a pet from a rescue group or humane society? *
If yes, when and which group did you adopt from?
How did you hear about us?*
A well cared for pet may live over 12 years. Does your lifestyle, career and family plans allow you to make this commitment?
Owning a pet is a serious financial responsibility. Are you prepared financially to spend a MINIMUM of $500 per year for veterinary care (vaccinations, flea/tick and heartworm preventative) IN ADDITION to the cost of food, toys, training and treats?
Is your yard fenced?*
Yard Partially Fenced
Yard Completely Fenced
What type of fence?
What is the height of the fence?
For cats only: Are you planning to declaw?
Would you have any objections if a RUFF volunteer made a follow-up call or visit after the adoption?