Which animal are you interested in*
Choose an animal:
*Foster To Adopt*
In what type of home do you live*
Do you own or rent your home*
If you rent, what is your apartment number?*
How long have you lived at your current residence?*
If you currently rent your residence or own a condo or co-op apartment, please provide your Landlord or Management Company's contact information so we may verify the pet policy at your current residence: (If you checked "Own" in the previous question, please type in N/A in the fields below)
Landlord’s Name/Landlord's Number*
Is there a Co-Applicant (IE: romantic partner, spouse, roommate, etc)?*
If Yes, what is the name of the Co-Applicant?
What is your relationship to the Co-Applicant?*
What is your co-applicant's email address?
What is your co-applicant's phone number? (if applicable)
What is your Date of Birth?*
What is the age of every person in your household?*
Are you authorized in your household to make decisions concerning pet ownership?*
Does anyone in your household have allergies?*
Is this pet a gift? If yes, for whom?*
Which of the following best describes your reasons for wanting this pet? *
How many hours will your pet be alone each day?*
Where will your pet be kept when no one is home?*
Where will your pet be kept at night?*
Do you have a fenced-in yard?*
If so, what type and how high is your fence?*
Do you have other pets?*
If you currently have pets, are they up to date on their vaccinations?*
Are they currently licensed?*
Do you have a regular Veterinarian? *
If further required by Rescue City, will you execute a release form allowing Rescue City to contact your current veterinarian for verification purposes? PLEASE UNDERSTAND, FAILURE TO EXECUTE THE RELEASE MAY RESULT IN DENIAL OF ADOPTION*
Vet's Name/Phone Number*
Please list all of the pets you have had in the last 10 years including current pets, and those you no longer own:
Type/Breed/Age/Gender/Spayed/Neutered/What happened to him/her?*
Under what circumstances would you not keep your pet?*
I like pets that are:
Please describe the temperament and activity level you are looking for in a pet. Check all that apply:
I prefer a pet that…
When it comes to my treatment of pets, I tend to be more:
Someone in my home is nervous or unsure of dogs/cats…
I would prefer a dog that:
The noise/activity level in my home is usually:
My ideal pet would:*
Bad pet habits that I just cannot tolerate are: *
Please provide the names, emails and phone numbers of two personal references we may contact.(Neighbor, friend or co-worker) *
Name/Phone Number/Email Address*
Legal Background: Please answer truthfully and note - an affirmative answer to any of these questions will NOT automatically preclude you from adopting an animal.
Has either applicant or co-applicant ever been served an eviction notice or been asked to vacate a property, whether through foreclosure proceedings or otherwise? *
If yes, when and why?*
Has either applicant or co-applicant ever been charged with or convicted of a violent crime against people or animals, including, but not limited to: battery, assault, murder, manslaughter, child abuse or neglect, spousal abuse or animal cruelty? If yes, when and what crime?
If yes, when and what crime? *
How long have you worked at this company?*
Co-Applicant's Employer/Co-Applicant's Title/ How long has the Co-Applicant worked at this company?*
Do you understand the expenses you will incur while owning a pet for the entirety of its life?*
If necessary, will you provide Rescue City with the name and contact information of your current supervisor for employment verification purposes? PLEASE UNDERSTAND, FAILURE TO DO SO MAY RESULT IN DENIAL OF ADOPTION*
Are you prepared to cover any and all medical treatment or training sessions necessary for it's entire life?*
Does either applicant or co-applicant have any outstanding financial commitments that could potentially hinder his/her ability to pay for adequate dog care?*
If yes, please explain.*
Why are you looking to adopt a pet/How long have you been looking for a pet?*
How did you hear about Rescue City?*
Do you have any immediate upcoming travel plans? Once approved, how soon are you able to finalize the adoption? *
Please provide any other relevant information you would like us to know: *
In order for your application to be processed and reviewed you must submit the $10 Application Fee here: https://rescuecity.kindful.com*
I UNDERSTAND THAT THE DECISION OF WHETHER OR NOT TO ALLOW ME TO ADOPT A RESCUE CITY ANIMAL LIES SOLELY WITH RESCUE CITY AND I SHALL HAVE NO FURTHER RECOURSE IF I AM DENIED ADOPTION.
I UNDERSTAND THAT FALSIFICATION OF ANY INFORMATION CONTAINED HEREIN WILL RESULT IN MY BEING DENIED ADOPTION OF AN ANIMAL, OR IF AN ANIMAL HAS ALREADY BEEN ADOPTED TO ME, THE RETURN OF THAT ANIMAL TO RESCUE CITY, AT MY SOLE EXPENSE.
I UNDERSTAND THAT THE INFORMATION PROVIDED BY ME IN THIS APPLICATION WILL BE INCORPORATED INTO ANY ADOPTION CONTRACT I ENTER INTO WITH RESCUE CITY AND BY VIRTUE OF THE SAME, ANY FALSE INFORMATION SHALL BE TREATED AS A BREACH OF CONTRACT AND MAY SUBJECT ME TO LITIGATION.
I UNDERSTAND AND CONSENT THAT RESCUE CITY MAY MAKE ONE (1) VISIT TO MY HOME PRIOR TO MY ADOPTION OF ANY ANIMAL. FURTHERMORE, AFTER THE ADOPTION IS CONSUMMATED, I UNDERSTAND THAT RESCUE CITY MAY MAKE UP TO THREE (3) FOLLOW UP VISITS TO MY HOME TO CHECK ON THE WELL-BEING OF THE ANIMAL AND I CONSENT TO THE SAME.
I UNDERSTAND THAT I WILL NOT BE ABLE TO ADOPT ANY ANIMAL UNTIL A DONATION TO RESCUE CITY IS MADE AND AN ADOPTION CONTRACT IS SIGNED BY ME AND RESCUE CITY. FURTHERMORE, I UNDERSTAND THAT THE DONATION AMOUNT IS BASED ON THE SCHEDULE BELOW. THIS DONATION WILL BE TAX-DEDUCTIBLE AND IS NON-REFUNDABLE.
I UNDERSTOOD EVERY QUESTION ON THIS APPLICATION AND DECLARE UNDER PERJURY OF LAW THAT THE INFORMATION PROVIDED BY ME HEREIN IS TRUE AND ACCURATE. Checking the box below signifies that you have read and agree to the above "Applicant's Affidavit"
By typing my FULL NAME, I am providing an electronic signature certifying that all the above information is correct*