Which animal are you interested in?
Choose an animal:
Coco & Nellie
Are there any other animals you may be interested in?
List the name and ages of all members of your household*
Do all members of your household agree to bringing in another pet?*
Please list all animals currently in your home. Include whether they are spayed or neutered, up to date on vaccinations, gender, age, type of animal and breed?*
Have you ever applied for or adopted any animal from any rescue, shelter or this rescue?
Are there any situations that would cause you to return or give away your animal?*
Please list all previously owned animals and what happened to them? (Gave away, accident, illness, etc)*
Where will the dog be kept when you are not home?*
Have your children lived with pets in the past?*
Do any members of your household have allergies to dogs/cats?*
How many hours a day will your pet be without human companionship? Please explain:*
What kind of housing do you live in?*
Do you own or rent?*
If you rent, we MUST contact the owner to obtain permission for this dog to live in your home. Property's owner name & phone number:
Do you plan to move any time soon?*
Do you have a fenced in yard?*
What type of fence do you have?
If no fence is installed, how will you keep the dog on your property?
Do you live near a busy road?*
If the dog/puppy is not housebroken, what methods will you use to train it?*
What methods will you use to exercise the dog?*
If you go away on vacation who will take care of your dog?*
Please list your current veterinarian including their phone number and name on account. Also, please call you vet to let them know we will be contacting them for a veterinary reference. *
Is it OK for us to contact your current veterinarian?*
How much are you willing to spend on medical bills for your dog?*
Less than $500
More than $1000
What would you do if vet bills went over this amount?*
Do you use Flea & Tick Meds and Heartworm meds? If so, what kind?*
Please list the name, phone number and email addresses of 3 personal references.*
Are you willing to have an ODAAT representative come to see where the dog will be living?*
I am willing to accept immediate & full responsibility for ownership of the pet., I agree to properly license the adopted pet(s) and follow all local and state regulations regarding pet ownership and control., I agree to provide the pet with yearly veterinarian exams and follow their suggested vaccinations, dental work, etc., I agree to keep the adopted pet up to date on vaccinations., I agree to not declaw any cat., I agree to provide the pet with a safe and loving home, food, water, shelter, and sufficient exercise., I agree to always bring my animal into my home at night or anytime I am unable to supervise it so my animal can be safe., In the unlikely event that I adopt a pet that is not already spayed/neutered, I agree to neuter/spay at no later than 7 months of age or when the veterinarian suggests., I agree to never abandon the animal under any circumstances to fend for itself., I agree to never leave any animal unattended outside., I agree to NOT keep any animal outside, including chained or in a pen/kennel., I agree to never euthanize the pet unless the veterinarian recommends euthanasia because of tremendous suffering., I agree to keep and consider this pet as a companion and part of the family; not as a disposable item., I agree to arrange for boarding and proper daily care in the absence of its owner(s), such as vacations., ODAAT has assessed the animal to the best of it's abilities, however, I understand that ODAAT has had this animal for a limited amount of time and makes no representation that the animal is free from characteristics or propensities that could be a source of danger to humans, other animals, or property., I agree to never surrender the pet to a third party without the express written approval of ODAAT., I understand that while ODAAT takes every precaution to assure the health of its animals, no guarantee can be given regarding the condition of the animal I have adopted and the adoption is a life-time commitment., I understand that I will be asked to give a non-refundable donation to ODAAT to help with the spaying/neutering and veterinary care of current and/or future rescued dogs., I agree to surrender the pet to ODAAT if, in the opinion of two ODAAT representatives, the animal is not being cared for properly, such as being neglected, abused, or not receiving proper veterinary care or any reason that ODAAT deems as being cared for properly., I have reviewed my application carefully and have read, understand, and agree to all the above conditions.*
I agree that if I MUST surrender this animal for any reason after the adoption, I WILL surrender/return the dog/cat/animal back to ODAAT President or Vice President and to no one else unless it has been authorized by ODAAT's president or Vice President. If ODAAT has to take me to court to obtain custody of said animal(s), all court fees, lawyer fees, and misc. fees will be the adopter's responsibility no matter the out come of the case.*
I agree to all of the following: I am 21 years or older. I can provide identification showing my present address. If I rent, I have the knowledge and consent of my landord. If I am adopting, I am able and willing to spend time and money neccessary to provide training, medical treatment, and proper care for a pet. If I am fostering, I am able and willing to spend the time necessary to care for a pet.*
How did you hear about us?*
I (print name) born on (Date) fully understand
and agree to assume any and all risks involved in any and all duties that I perform for One Dog At A Time, also known
as ODAAT in my capacity as a volunteer for this organization. Here in after jointly known as RESCUE.
I understand and agree to hold RESCUE harmless for any injury or injuries which I may sustain during the course of my
volunteer duties for RESCUE including, but not limited to: the risks of being bitten, scratched, injured, or frightened by
cats, kittens, dogs, and puppies or any animal under my care as a volunteer for RESCUE.
I understand and agree that RESCUE is not liable for any injuries, damages, liabilities, losses, judgments, costs, or
expenses whatsoever that I may suffer or sustain in connection with the performance of my volunteer activities unless
they are the result of RESCUE gross negligence (defined as: a carelessness and reckless disregard for the safety or lives of
others, which is so great it appears to be almost a conscious violation of other people's rights to safety) or intentional
I will indemnify, defend, and hold RESCUE harmless from and against any claims, lawsuits, injuries, damages, losses,
costs, or expense whatsoever sustained by any companion animal or any person in connection with my intentional
misconduct or grossly negligent performance of volunteer activities for the RESCUE or with my breach of RESCUE’s rules,
regulations, policies, and programs.
If I will be sheltering or providing foster care or boarding for any RESCUE animals in my home or business, I consent to
RESCUE visiting my home or business from time to time to observe the animals and their living quarters. I also agree that
these visits may be unplanned or unscheduled prior to the actual visit.
This Hold Harmless Agreement will forever prevent me from seeking any legal actions whatsoever against the RESCUE
organization or any of its representatives.
If you agree to the above please enter your Date of Birth, name and that you agree to the terms of the Hold Harmless Form.*