Dog(s) Name * Date *
Adopter(s) Name/s *
Please include spouse/partner or any potential co-owner.
Home Located at:
Phone * Email *
Primary email address - Please use the address to which we should reply and confirm.
Additional Phone Numbers
Cell, work, spouse/partner's etc. Separate by commas and indicate user's name. Example: Jane's cell - 360 978-2122, Jane's work - 360 978-2000
Additional Email Addresses
Business, spouse/partner's etc. (possible back up contact) Separate by commas and indicate user's name. Example: Jane at work - firstname.lastname@example.org, John - email@example.com
Do you live in a * Type of Rental: Do you have permission in writing from the owner/manager to keep an animal? Is a pet deposit required? Does your home have a fenced yard? If "yes," location: Type of Fence: If "other," explain or describe type of fencing: Household Information:
Number of people living in the home.
Gender and Age of Children at Home
Example: 2 boys - ages 6 & 9, 1 girl - age 12
Age of Adults at Home Are there any people in your household with special needs?
For example: walks with a cane or walker, uses a wheelchair, has muscular or medical issues, etc.
If "yes," please list the disability/special need. Current Pet Info
Include how many of each kind (dog, cat, bird etc.), what breed (if important), gender and age animals live in the home?
Pets in Home:
Example: 1 female tabby cat - age 6, 1 lizard, 1 male beagle mix dog - age 9, 2 goldfish, etc.
Are your cats and dogs current on their vaccinations, rabies and heartworm protection? Are pets spayed/neutered? If not, why not? Name and Phone Number of your Veterinarian Where will your dog stay during the day? At Night? Is there a shelter/dog house outside? Please describe type of outdoor shelter: When inside, what do you have for pet's comfort? Hours Spent Alone
Avg. number of hours per day
Please supply two references that are not relatives, and a third one if you have not included a veterinarian above (separated by commas)
Name, relationship and phone number
Example: John Smith, friend, 360 978-2222 / Jane Doe....
Your adopted dog comes with an implanted microchip that will be registered to you within a week of you receiving your pup, providing the information you provided is true and correct. Please ensure all your information is clear and complete to facilitate this process.
If you do not receive an email within 1 week of that date with registration information, please email firstname.lastname@example.org. There may a need for clarifications which may be causing a delay.
For safely reasons, the pet will remain registered to God’s Dogs Rescue until all information is accurate and then the microchip is transferred to you.
How did you find out about God's Dogs Rescue?
Please check all that apply
Put the rabies tag, microchip tag and a tag you can purchase at any Petsmart/Walmart (with your dog’s name & your contact information) onto their new collar immediately! Then if the dog gets scared/bolts soon after adoption, ALL your contact information is there and the finder can contact you quickly!!! Thank you.
The following are the terms to which you have agreed for the adoption of : Dog(s) Name/s * Please read and check each of the following to acknowledge. Vetting *
I agree to take adult dogs to the vet within 30 days OR puppies within 1-2 weeks of adoption and will continue heartworm & flea prevention and /or well care.
I agree to foster this dog if there is any reason the dog is not adjusting well. I agree to foster until the dog can be rehomed and to contact Your TX Rescue Connection immediately with this issue.
I agree to release rescue organization from liability for this animal\'s care and behavior once I adopt and receive the dog/puppy.
I agree that this is a rescue dog, and most likely a stray. Therefore I understand that the rescue has no knowledge of the dog’s abilities beyond our experience with the dog in our foster homes. I also understand that the dog comes with limited medical history.
Adoption Fee *
I agree to pay the adoption fee immediately unless other terms are agreed upon. Payment is to be made to the (Rescue) appropriate Paypal address.
If I cancel adoption and transport is already in route, Rescue will refund only a portion of the adoption fee only – not the transport fee, which is determined by transport not rescue.
Cancellation Fee *
If I cancel adoption within 24 hours prior to transport a fee of $100 will be retained by rescue due to potential loss of qualified adopter.
Transport will be arranged by Rescue and communication will be continued with your adoption counselor when the dogs are on their way to you!!
Please Note: By completing and submitting this digital form, you agree to be bound by the terms stated above.
If the dog or puppy you are interested in is not available, would you be interested in hearing about another?