Adoption Form – Dog – Angels Among Us Pet Rescue, Inc

Applicant Contact Information
PLEASE NOTE: ALL APPLICANTS MUST BE AT LEAST 21 AND PROVIDE PROOF OF AGE.
Name*
First Last
Address*
Street Address Apartment / Unit # City State ZIP Code
Phone-Primary*
One phone number is required
Phone-Secondary
One phone number is required
Best time to call
Email*
Which dog(s) are you applying for?
Enter only the dog's name. Comment section below is for additional information.
Dog-1
Dog-2
Dog-3
Additional Comments

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Please provide a reference.
Please provide the name of a personal reference. This person should not live in your home or be related to you. We do not record, share, give away, sell or use reference information in any way other than as a reference for this application.
Reference Name
First Last
Reference Phone
Reference Email
How did you hear about us?
I have read the previous information carefully and have filled out this application honestly. I understand that intentional omission of information and/or failure to answer questions truthfully can result in this application being declined. If an omission or untruth is discovered after an adoption takes place, I understand that Angels Among Us Pet Rescue reserves the right to annul the adoption and reclaim the animal. I give Angels Among Us Pet Rescue permission to fully investigate the information provided as well as contact veterinarians and related officials. If the application passes this review, I agree to a home and yard visit on a mutually agreed date by an Angels Among Us Pet Rescue volunteer before an adoption decision is made. In addition, I understand the adoption decision is dependent on many factors, including but not limited to the compatibility of the family and home to the individual animal, and other applications received on this animal. I understand it is Angels Among Us Pet Rescue’s prerogative to decide which home is most appropriate and that their decision is final, and therefore I will not argue with the decision. Unless otherwise indicated by Angels Among Us Pet Rescue, I am free to apply and undergo the application process in the future.
I confirm I am at least 21 years of age.*
- Yes
- No
I confirm I have read and agree to the above terms and conditions :*
If you do not agree you can email info@angelsrescue.org for more information.
- Agree
- I do not agree and understand my application will not be processed.
Please sign below by entering your name:*

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Adoption Form – Dog

Step 1 of 6

Applicant Contact Information

Which dog(s) are you applying for?

Adopter Information

Pet Living Conditions

PET CARE INFORMATION (Current Animals and/or future)

PUPPY CARE INFORMATION

CURRENT/PAST PET INFORMATION

Please provide a reference.

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