Animal Rescue & Relief Inc.

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Adopting a friend

Adoption Application

Personal Information:
Applicant’s Name
Age
Co-Applicant’s Name
Age
Street Address
Years at Current Address
Home Phone
Work Phone
Applicant’s Occupation
Company Name
Years at Current Job

Fax
E-Mail
Cell Phone
Drivers License #

Co-Applicant’s Occupation
Company Name

Other Members of Household (Name, Age)

Does anyone in your family have allergies?
If so, please describe:
Does anyone in your household smoke?
If so, where?
If you have children, how are they around dogs?
Do your children have rules on how to interact with dogs?
If so, what are they?
Who will be the major caretaker of the adopted animal?
Have you ever had to move with pets?
If you move what will you do with your pets?
Type of Residence:
House
Apt/Condo
Mobile Home
Other

If property is a rental, are pets allowed?
Is there a size restriction?
Is there a breed/type restriction?
Landlord/Property Manager’s Name:
Phone number of landlord:
Type of street your residence is on:
Residential Neighborhood
Street of moderate traffic
Busy Road
Country Road (Not Busy)

Do you have a fenced yard?
What Type? Wood/Chain-link/Other
Height of Fence:
How many hours will rescue animal be left alone during day?
When nobody is home where will animal be left?

PLEASE NOTE: ALL ADOPTEES ARE TO BE INDOOR ANIMALS

What will happen to adopted animal when applicant goes on vacation, out of town, etc.?
Do you currently have a vet that sees your animals?
Name of veterinarian:
Name of Vet Hospital:
Telephone number of veterinarian:

Pet Information & History:

Do you currently have any other pets?
If yes, what type?
Do you keep all animals on heartworm preventative?
If not, why?
Are all animals currently vaccinated?
If not, why?
Are all animals currently spayed/neutered?
If not, why?

Please list any pets you have had in the last ten years and what happened to them:
What brand of dog food do you buy?
Have you ever brought an animal to a shelter?
If so, under what circumstances?
What is your main reason for adopting a dog?
Are you aware that a lot of rescue dogs are not obedience trained and some are not housebroken?
Are you willing to work with a trainer?
If you have any difficulty with any of the rescue dog’s behavior who will you call for advice?
How did you hear about Animal Rescue & Relief?



I certify that all the information in this application is true and I understand that false or missing information may void the application.

Signature:
Date:
The purpose of this application is to help Animal Rescue & Relief find the best possible match for both the applicant and the rescue animal.

Our adoption fee is $275 unless noted otherwise. This fee is to help off-set some of our expenses. In most cases this does not cover our expenses.
Each of our rescue dogs are: temperament tested, vet checked, spayed and neutered, vaccinated, microchipped, heartworm tested, kept on heartworm preventative and treated for heartworms if needed. Other expenses include food, collars, leash, toys, bedding, misc. vet costs, transporting costs, etc.


Animal Rescue & Relief, Inc. receives no state funding.
We are an all volunteer organization and rely on donations and adoption fees.

Mail Application To:
Animal Rescue & Relief, Inc. P.O. Box 13477
Charleston, SC 29422


Scan & Email to: arrinc@yahoo.com
www.arrinc2.petfinder.com

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Animal Rescue & Relief

P.O. Box 13477
Charleston, SC 29422
arrinc@yahoo.com
Phone: (843)817-2367
Click here for a list of pets at this shelter

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