New Form

ImPawsAble Rescue Adoption Form



Please take the time to fill out each question as thoroughly as possible. The more information you provide the better we are able to ensure a match with you and the right dog. Mostly, we need to ensure that our dog looking who is for a second chance gets the best possible start.

Name
Address:
City
State
Zip Code
Phone no.:
Email:
Your Birthdate
What dog are you interested in?
Second choice
Are you over 21 years of age?



*As a rescue we do not adopt dogs out to individuals under 21 unless special arrangements have been made between the adopter and the ImPawsAble Rescue Coordinator*.
Have you applied at other rescues?



If yes, who?
Who would be the primary caregiver?
2nd in charge (name/age/relation)
Primary financial supporter for the dog
Your Employer
Are you
How long have you worked there?
Reference 1 (name/address/phone):
Reference 2 (name/address/phone):
Reference 3 or Vet (name/address/phone):
**Personal references are mandatory for all ImPawsAble Rescue applications***
Do You Own or Rent Your Home?
Type of home
Are you certain that pets are allowed?



· A Letter from a Landlord or Superintendent, with their contact information, will be required indicating permission if you are renting.
Will everyone welcome the dog?



Who lives in the home with you?
Where will the dog be allowed
What type of behavior
What would the exercise plan be?
Do you understand and agree
Do you understand that
What does your daily routine consist of?
How would the dog be incorporated? 
Willing to make changes for the dog?
Do you have any pets at this time?
Have you owned a dog in the past?
Your veterinary contact information:
Do you have any children?
Are there children that visit regularly?
Have your children
We do not adopt dogs
Are you aware that dogs
Are you willing to help train
Are you willing to be vigilant
Is there someone home during the day? 
Are you willing
A home visit prior to adopting a dog
If you have any questions concerning this form, please email adoptme@impawsablerescue.org

I agree with all terms outlined in this form, and will act under good conscience as a potential animal guardian of a dog placed with me by ImPawsAble Rescue. I will do my best to provide a loving, safe and healthy environment that will allow the dog live a comfortable and loving life. 
Applicant’s Name:
Date
ImPawsAble Rescue is a non profit organization. We currently do not have 501c3 status. 

www.impawsablerescue.org