Angels Among Us Pet Rescue
Angels Among Us Pet Rescue, Inc. is a 501(c)3 non-profit volunteer-based organization dedicated to rescuing dogs and cats from high-kill shelters in north Georgia. We operate through a network of foster homes in the north metro Atlanta area.
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Adoption Form – Dog
(Form works best with Chrome web browser.)
Dog Adoption Application
Step 1 of 6
16%
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
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
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Texas
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West Virginia
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Armed Forces Americas
Armed Forces Europe
Armed Forces Pacific
State
ZIP Code
Phone-Home
One phone number is require (Cell or Home).
Phone-Cell
One phone number is required (Cell or Home).
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
Adopter Information
All adults work outside the home full-time?
*
Yes
No
Any members of the family have any allergies to animals?
*
Yes
No
All members of family in agreement to adopt?
*
Yes
No
Please list name and age of applicant:
*
Please list name and age of second member in applicant's family:
Please list name and age of third member in applicant's family
Please list name and age of fourth member in applicant's family
Please list name and age of fifth member in applicant's family
Please list name(s) and age(s) of any additional family members:
The dog is being adopted for whom?
*
Prepared to care for a dog for up to 15 years?
*
Yes
No
Aware of the adoption fees? ($300 ages puppy up to 8yrs & $150 ages 8yrs & up.)
*
Yes
No
Length of Time at Current Address:
*
Live in a:
*
House
Townhouse
Apartment
Condo
Owns or Rents:
*
Own
Rent
Has a fence:
*
Yes
No
Type of fence:
*
Do you have a doggie door?
*
Yes
No
Plan to install one soon
Landlord Name:
*
Landlord Phone:
*
Landlord Other:
Landlord Email
Plans for dog if moving:
*
Pet Living Conditions
Where will pet primarily will live?
*
Inside
Outside
Will dog be kept in a garage, basement, or outdoors?
*
Yes
No
Location pet will sleep at night (specifically):
*
When and for how many hours will dog be left unattended?
*
Where the dog will stay when unattended:
*
Reasons would consider giving up a dog:
*
I would never give up my dog
Moving
New Baby
Financial problems
Excessive Barking
Not house-trained
Gets too large
Behavior issues
Fights with other pets
Divorce
Jumps fence
Messes up furniture
PET CARE INFORMATION (Current Animals and/or future)
Understand that rescue pets are not perfect & may need an adjustment period in a new home?
*
Yes
No
Willing to be patient and consider consulting with/hiring a trainer if any issues arise:
*
Yes
No
Commitment to routine vet/health care including heartworm and flea preventative:
*
Yes
No
Understand that changing dog’s environment may cause dog to have accidents:
*
Yes
No
In the event of an unexpected illness or injury, are you willing and able to do whatever it takes to provide appropriate vet care?
*
Yes
No
Approach for temperament or obedience problems:
*
PUPPY CARE INFORMATION
How the puppy will be housetrained:
Understand that puppies are a lot of work:
Yes
No
Willing and able to take a puppy training class:
Yes
No
Willing to provide attention:
Yes
No
Willing to leash train:
Yes
No
Willing to potty train:
Yes
No
CURRENT/PAST PET INFORMATION
All current pets in the home spayed/neutered:
*
Yes
No
I do not have any current pets
Current pets display aggression towards other animals:
Yes
No
Had a pet for a brief period of time that didn't work out:
*
Yes
No
Previous pet - did you?
*
Check any that apply.
Rehome
Surrendered to shelter
Surrendered to Rescue
Other
Does not apply to me
Previous pet - Other; Please explain:
Please enter the number of pets you currently have:
Dogs
Cats
Other
History of previous pets:
*
Please enter n/a if you had no previous pets.
Your Vet Office Name:
*
Vet's Phone Number:
*
Do you give Angels Among Us Pet Rescue permission to contact your vet?
*
To avoid a delay in processing your application, please contact your vet to give permission for us to contact them for a vet reference.
Yes
No
Pet 1 Information:
Name1
Breed1
Gender1
Age1
Year acquired1
Spayed / Neutered1
Yes
No
How was animal 1 acquired?
Pet 2 Information:
Name2
Breed2
Gender2
Age2
Year acquired2
Spayed / Neutered2
Yes
No
How was animal 2 acquired?
Pet 3 Information:
Name3
Breed3
Gender3
Age3
Year acquired3
Spayed / Neutered3
Yes
No
How was animal 3 acquired?
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 learn about Angels Among Us Pet Rescue?
Facebook
Other Social Media
Our Website
Petfinder
Adopt-a-Pet
Event
Recommended by a friend
Other
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 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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