Bringing People & Pets Together for the Benefit of Both

HOME PHONE:

Where will you keep your pet while you are not at home?

What experience do you have with the breed of pet you are applying for?

How many hours per week does partner/spouse work per week?

DO YOU CURRENTLY HAVE PETS or have you owned pets in the last five years?

If applying for a dog, are you familiar with heart worm disease and how it is transmitted?

Under what circumstances would you give up the adopted pet or relinquish your current pet(s)?

PERSONAL REFERENCE 1:

Occupation:

Do you live in an urban or country setting?

Previous vet clinic AND years of service?

PERSONAL REFERENCE 2 location and contact info:

Do you prefer a spayed/neutered pet, or an unaltered pet that can potentially be used for breeding?

Are you familiar with crate training?

Are you able to manage your daily schedule to emotionally, mentally, and physically provide for your pet's constant needs and demands?

MOBILE PHONE:

EMAIL:

APPLICANTS NAME: *

Partner/Spouse Employer Address:

Are you able and willing to change your lifestyle, if necessary, to provide for a pet's constant needs?

What forms of discipline and training will you use to correct problem behaviors exhibited by your new pet?

Employer Phone:

WHICH PET ARE YOU APPLYING FOR?

If applying for a "bully breed" - i.e. American pit bull terrier, Staffordshire bull terrier, bull terrier, English bull dog, etc - is your family completely comfortable with the breed of dog you have selected?

Do you consider yourself a very responsible person and are you willing an prepared to take on all the responsibilities - including inherent risks - of owning a pet?

Where will your pet sleep at night?

PERSONAL REFERENCE 2:

CURRENT VET city and state:

PLEASE LIST the names AND ages of ALL people residing at your home: *

DO YOU HAVE A FENCED YARD?

Richland Animal Rescue is located in Richland, MI, between Kalamazoo and Battle Creek. Are you willing to drive that far to meet and possibly adopt your new pet?

Do you live in a mobile home park?

Additional comments:

Do you still have each pet?

If applying for a cat or dog, do you prefer an indoor or outdoor pet?

If applying for a cat, do you prefer a cat declawed just in front, all four declawed, or not declawed?

Have you applied for a pet and been denied by another shelter or rescue? If yes, please tell us why the adoption fell through or you were turned away: Note: We do work with applicants other rescues may have turned away for various reasons; such as not having a fenced yard, apartment dwellers, partner orientation, age, family origin of ethnicity, etc.

Has anyone residing at your home ever been charged with any form of animal cruelty, neglect, animal hoarding, or animal fighting?

Some pets may need training to make them an enjoyable companion and family member, are you willing to make time and able to afford a training class(es) for you and your new pet?

Have you discussed adopting a new pet with your immediate and extended family?

NAME OF CURRENT VET and years of service?

If you decided later to add children to your family, would you still want to keep the pet you are applying for today?

CURRENT VET phone:

Partner/Spouse Employer Phone:

Partner/Spouse Employer:

If a situation arose that you had to move, what would happen to the adopted pet?

On average, how many hours per day will your pet be left alone?

If applying for a "bully breed," have you called your county animal control agency to see if there are any breed bans or restrictions in your area?

Partner/Spouse Occupation:

Are you willing and able to afford yearly vaccinations along with an annual tests and monthly preventative medications?

How will you regularly exercise your pet?

If your pet will be kept primarily outside, what type of shelter do you have set up for the pet?

If your pet is ever exposed to children - of any age - will you take extra care to observe and supervise, at great length, to make sure the pet is compatible with each child and each child is respectful of the pet?

Do you rent or own your home?

Employer:

Do you consider yourself and kind and patient person?

Do you run a home daycare business?

Previous vet phone:

How many hours do you work on average per week?

Does anyone in your home have pet allergies?

Employer Address:

PERSONAL REFERENCE 1 location and contact info:

BY SUMMITTING THIS APPLICATION, YOU CERTIFY THAT ALL INFORMATION GIVEN IS COMPLETE, TRUE, AND ACCURATE TO THE BEST OF YOUR ABILITY. YOU AUTHORIZE AND RELEASE FROM ALL LIABILITY WITHOUT RESERVATION, RICHLAND ANIMAL RESCUE, AND ANY PERSON GATHERING OR FURNISHING INFORMATION REGARDING THIS ADOPTION APPLICATION. Do you certify this application?

COUNTY

Have you previously adopted from or made a donation to Richland Animal Rescue?

If applying for a dog, do you prefer a dog with cropped ears and/or tail or full ears and/or tail?

HOME ADDRESS:

What do you like about the pet you are applying for?

Where will your pet stay when you go on vacation?

Spouse/Partner Name:

Partner/Spouse Mobile Phone:

Contact . Richland Animal Rescue ~ PO Box 373 ~ Richland, MI 49083

Email Us

Adoption & Application Process

Would you like to call us?

FOR ADOPTIONS -- PLEASE FILL OUT AND SUBMIT THE ON-LINE APPLICATION BELOW

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