Douglas County Canine Rescue
ADOPTION APPLICATION
ADOPTION REQUIREMENTS: REVIEW PRIOR TO APPLYING
- We require an application, references, as well as an adoption contract regarding the care and treatment of the dog.
- If you rent, we’ll need a letter from your landlord stating you’re allowed to adopt this dog. Their contact information needs to be on the letter. We expect that you will pay your pet deposit and pet rent if applicable.
- If you own your home, we may verify this with the county. If your name is not on the county's records as the owner, we will need a letter from the property owner stating you're allowed to keep the dog in the home.
- We expect that the entire family has agreed to adopt and is ready to bring the dog into the family.
- We do not ship our animals. You must be within reasonable distance to the Castle Rock, CO area.
- The applicant must be over the age of age of eighteen.
- DCCR does not reimburse for any cost or expense that you have incurred for the dog after adoption, but may at its discretion pay its approved veterinarians directly for necessary treatment or care for the first 14 days if you notify it of any health issue and it is able to do so.
- We reserve the right to deny any adoption application without providing a reason.
Additional Expectations:
-Youwillkeepyouradopteddogonaleashorinsideafenceanytimeit isoutdoors.
-Youwillprovideproperintroductiontootheranimalsinthehousehold or animals met outside the household.
-Iftheadoption isnotworkingout,youwillcontactDCCRtoreturnthe animal andyou willnottakeitanywhereelse, rehome it or give it away.
-If you rent, it is your responsibility to verify any size or breed restrictions with your landlord.
-You are responsible for verifying city, county or state laws regarding the keeping of dogs, including the legal number of dogs allowed, licensing requirements and whether certain breeds of dog are banned or restricted in your community.
I______,havereadthroughtheadoption requirements and would still like to apply to adopt a dog. I understand DCCRreservestherightto deny this application without explanation.
xDate
ADOPTION APPLICATION:
Please fill out the following application completely. Failure to complete or providing false information will result in a denial.
Applicant’s name______
Occupation______
Address______City/State/Zip______
Phone home/cell______
Email______How did you hear about DCCR? ______
Will you be willing to execute an adoption contract regarding the care and treatment of the dog if this application is approved? Yes No
Own ______Rent ______Lease to own______Living with family______
If not own, do you have permission from your landlord to adopt this dog? ______
How long at present address?______
Are you willing to have a representative of Rescue come to see where the pet will be living?Yes No
If there are children in your home what are their ages? ______
Are you, your spouse or significant other currently enlisted in the military?Yes No
If yes, how long before you are reassigned or transferred? ______
Why have you decided at this point to adopt a pet? ______
Please describe what you are looking for in your new companion?
______
How many pets have you owned in the last 5 years? What kind of pets? ______
If they are no longer with you please explain why? ______
(Complete for each pet that is currently residing in your household or pets that temporarily stay at your home that will interact with the dog, attach additional pages if necessary, if pet is a foster pet, please indicate that and which rescue you are fostering for) *Please understand having other pets in your home will not disqualify you from adopting, we need to be sure to match each animal with the appropriate home for his/her needs.
Pet #1
Name
Species
AgeSex
Sterilized? Yes No
How long have you had this pet? ______
Where did the pet come from? (Acquired from store, stray, individual, shelter, rescue?) Provide details: ______
Currentonvaccinations? Yes No Don’tknow
Indoor/Outdoor/both?
Pet #2
Name
Species
AgeSex
Sterilized? Yes No
How long have you had this pet? ______
Where did the pet come from? (Acquired from store, stray, individual, shelter, rescue?) Provide details: ______
Currentonvaccinations? Yes No Don’tknow
Indoor/Outdoor/both?
Pet #3
Name
Species
AgeSex
Sterilized? Yes No
How long have you had this pet? ______
Where did the pet come from? (Acquired from store, stray, individual, shelter, rescue?) Provide details: ______
Currentonvaccinations? Yes No Don’tknow
Indoor/Outdoor/both?
Pet #4
Name
Species
AgeSex
Sterilized? Yes No
How long have you had this pet? ______
Currentonvaccinations? Yes No Don’tknow
Indoor/Outdoor/both?
Ifyouhaveotherpets,willtheyadjusttoanewpetinthehouse? Yes No Don’tknow
If the dog will be let outside:
Doyouhaveacompletelyfencedyard?Yes No
What kind of fence?
Height of the fence:
Is there any wildlife in your area that could pose a risk to a pet outside? Yes No
If yes, please explain:
______
Doyouhaveadog door leading outside? Yes No
If yes, is there a way to shut the door to keep pets from going inside/outside? Yes No
Will you have your dog on a chain or tied up at any time? Yes No
How do you intend to exercise this dog?______
How many hours will Dog be Left Alone______
Where will dog be when left alone? ______
Are you planning to enroll your dog in an obedience/training class? ______If not, how do you intend to train this dog? ______
Has anymemberofyourhouseholdhasbeenconvictedorchargedwithanyanimalwelfarelawviolationsuchasneglect,cruelty,abandonment,etc. or beenconvictedorchargedwithanydomesticbatteryorsexcrime? Yes No
If yes, please explain who, when and what the charges/convictions were: ______
Doesanymemberofyourhouseholdhaveanallergyto dogs? Yes No
If yes, who? How are allergies managed? ______
Have you or anyone in your household ever been denied on a pet adoption application?
YesNo
If yes, list the organization that denied the application, the date (approximate) type of animal and any reason for the denial. ______
References (two required, state relationship, no relatives please)
1.______
2.______
Veterinarian (names, address, phone)
______
I certifythattheinformationintheapplicationistrueandif any material representations are falsethentheapplicationwillbevoided and any animal adopted pursuant to this application must be returned to the Rescue upon request.
Applicantsignature:______Date______
EMAIL (please print clearly or we cannot contact you) ______
We reserve the right to refuse an applicant for any reason if we feel the individual needs of the dog will not be properly met or the adoption is not in the best interest of the dog.
The adoption fee is $325.00 for puppies and $275.00 for adult dogs. If approved, thedog's know veterinary history will be provided, as well as all proof of shots given prior to adoption.
Please email your completed application to:
Or mail it to:
Douglas County Canine Rescue
300 E. Miller Court #1514
Castle Rock, Co 80104
Thank you for your interest in DCCR. Someone will be in touch with you shortly regarding your application.
DCCR OFFICE USE ONLY
______
Reference #1
Reference #2
Veterinary Reference