Application to Adopt a Rat Terrier

Please fill in all areas. If the application is not complete, we can not consider you for one of our Dogs. We need to know you as well as we can.

**Select this link if you would like to apply to be a foster parent

Notice:

Please be sure to check your spam filters to allow you to receive email from the ratterrierresq.com and yahoo.com domains. Otherwise, you may miss our emails!

About You:

First and Last Name
Street Address
City
State/Province
Zip/Postal Code
Email Address
Alternate Email
Home Phone
Best time to call	a.m. p.m.
Employer
Work Phone
May we call you at work?	yes no
Spouse / Partner
Do you have children?	yes no
If so, what are their ages?
If you have children, are you willing to teach them the proper way to handle and treat a dog?	yes no N/A

About the Dog:

Name of the Dog you are interested in
Is everyone in the house in agreement about adopting this Dog?	yes no
Who will be the primary caregiver & trainer of this Dog?
Is anyone in the house allergic to animals?	yes no
If so, please explain briefly

Veterinarian:

Do you have a veterinarian you have used in the past, and plan to use with this Rat?	yes no
Please furnish the following:
Name
Street Address
City
State
Zip Code
Phone
Office Hours

Home Environment:

Type of home
If other, please explain
If you rent, can you furnish a notarized letter from your landlord, granting you permision to keep this Dog?	yes no N/A
Is your yard fenced?	yes no
Type of fence	Height
If not, how will this Dog get exercise and relieve itself?
Is there someone at home during the day?	yes no
If not, how many hours per day/week will the Dog be left alone?
Where will the Dog spend the day?
If other, please explain
Do you travel frequently?	yes no
If so, what will you do with the Dog when you are gone?
Have you carefully considered the financial cost of pet ownership & are you financially able to give your Dog the routine medical care it requires?	yes no
Have you owned a dog in the past?	yes no
Have you ever owned a rescued animal?	yes no
Name and phone number of rescue
Do you currently own pets?	yes no
Type/Breed/Age of pet(s)?
Are your pets spayed/neutered?	yes no
What training have you given your pets?

References:

Please provide the name, Address and Phone Number of 3 people, not related to you, who can recommend you as a good adoptive family for a rescued Rat Terrier.

Do you agree that this Rat Terrier will be returned to Rat Terrier ResQ, if for any reason, you are unable to keep it?
yes no

All applicants are subject to a home visit.

We reserve the right to refuse or reject an application for whatever reason we deem fit.

**All fees are non-refundable.**

If you have trouble submitting this application form, you can copy and paste it into an email and send it to resqapps @ yahoo.com (remove the spaces).

Rat Terrier Rescue adoption ResQ