THANK YOU

for considering adoption of one of our rescued animals. Below is our adoption procedure. Making our adopters aware of the steps initially makes the process proceed easier.

1. Complete and submit the application below - but before you do, please read the entire adoption procedure.

2. We will review your application, contact your references and contact your vet's office with questions about your previous pets' health care. When reviewing applications, it is not on a "first come first served basis" - we want to make sure that our pets will find a family they fit with, and our families will find a pet that fits with them. Please be patient as it may take awhile to get back to you.

3. If we feel that the pet that you are interested in would be a good fit for you, we will then invite you to schedule an interview with the pet in our home, and we ask that all family members be present. Our main goal is the right pet for the family and even if we feel the particular pet you are interested in isn't a right fit we may make suggestions as to a better fitting pet.

4. You get to meet the pet and any questions or concerns are addressed at this time.

5. If the initial meeting goes well and both parties want to proceed, we will get back to you to schedule a home visit. This is to see where the living area will be, how the toileting needs will be met, and make sure the adopting family is ready to make the commitment to bring this new member into their family and give it the love and care it will need for the rest of its life.

6. The last step is to either take the pet into your home at that time or schedule a future date to pick up the pet at our home, sign a contract with us concerning the pets future needs and continual well-being, and finally pay the adoption fee.

ATTENTION: This is a lengthy form. Please read all instructions carefully and fill out the application as accurately and thoroughly as possible.

We cannot stress enough that our goal is to find the best possible home for the animals we rescue.

We never know the whole story of what these poor animals have been through when we receive them and start providing love and care for them. BUT, we can do everything in our power to make sure that they have the best possible future. And that means a loving, caring, forever home.

Subject

Please enter your first and last name as the subject.

Animal you are interested in

Street Address

City, State & Zip Code

How long have you lived at your current address?

Occupation

Home

(###)

###

####

Cell

(###)

###

####

Work

(###)

###

####

Email Address

Do you own or rent?

Own

Rent

If renting, landlord name.

First Name

Last Name

If renting, landlord phone number.

(###)

###

####

Setting

Choose the setting that best describes your home environment.

City

Country

Suburbs

Veterinarian Name

First Name

Last Name

Veterinarian Phone

Please contact your vet (if you have gone to one with previous pets) and give them permission to speak to us.

(###)

###

####

List all adults and children, and their ages, that live in the household.

This is to help determine if the animal you're interested would be a match for the kind of humans that live in your household. For example, some of our dogs are not so pleased with children around.

Who will be the main person responsible for the dog?

Who will be the main person responsible for feeding?

Who will be the main person responsible for walking?

Obedience training helps to create a special bond between dog and owner and makes a better canine citizen. Knowing this, are you willing to take extra steps and enroll your dog in obedience classes?

Yes

Tell us about yourself and why you are interested in adopting this pet.

Describe pet's living quarters in the daytime and nighttime.

How many hours will pet be left alone?

What brand of food do you normally feed?

Enter N/A if this is your first pet.

How will the dog be restrained when it is outside?

If other, please explain.

Do you have a fenced-in yard? If so, what kind of fence do you have?

Select "no fence" if you do not have a fenced-in yard.

If you have a fenced-in yard, is it secure on EVERY side?

In order to answer yes to this question, please be absolutely sure that there are no routes for your pet to leave or other animals to enter your fenced-in area. Select "not applicable" if you do not have a fenced-in yard.

List any current and previous pets.

Please indicate for each pet: If still owned • cat/dog/other • name & breed • age • M/F • spayed or neutered? • if no longer owned, why? Enter N/A if no previous or current pets.

Have you ever had to surrender a pet?

Yes

If yes, please explain the circumstances.

Who will take care of your pet when you're away for an extended period of time (on vacation, business, etc.)?

Is anyone in your family allergic to dogs?

References

Please give us the names and numbers of two references and please let them know we may be calling.

Reference #1

Please indicate name/relationship/phone.

Reference #2

Please indicate name/relationship/phone.

Terms and Conditions

When considering adoption, I understand others have already invested, both emotionally and financially, in the animal's welfare. I acknowledge this involvement and therefore agree to continue their commitment by: 1. Working in partnership with my veterinarian to provide proper care, including vaccinations, heartworm medication and treatments, and spaying or neutering if this hasn't already been done. 2. Providing a safe, healthy and happy environment. 3. Agreeing that decisions about where I choose to live will always include my new furry family member. Thank you for filling out this form that allows us to find the best possible home for the rescued dog we have grown to love.

Signature (Initials Only)

By signing I affirm that I am at least 21 years of age, and that the information contained on this form is true to the best of my knowledge. I understand that if approved for adoption, I am prepare to make a lifelong commitment of time and money to my pet.

Date

YYYY

THANK YOU

We cannot stress enough that our goal is to find the best possible home for the animals we rescue.

SusieQ Dog ResQ | P.O. Box 236 | Conesus, NY 14435

PET REGISTRATION NUMBER RR052