Matching you with your New DogName of Dog(s) you are interested in:*If the particular dog you're interested in is no longer available or not the best fit, are you interested in continuing the adoption process to find the right dog?*YesNoPlease list the characteristics you find important in the dog you adopt:*Please indicate if you have a preference of breed, color, sex, and age range:*Please select the size of dog that is best fit for your family:* Small (<20lbs) Medium (20-40lbs) Large (40-70lbs) Extra Large (>70lbs) Please select the energy level that is best for your family:* Low Medium High Contact Information *** APPLICANT MUST BE 18 YEARS OR OLDER ***Name of Applicant* First Last Age:*Occupation*Address* Street Address City AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Phone*Example: (619)555-5555Email* Household InformationPlease list all occupants in your household (Name, Age, Relationship, Occupation):*Is anyone in the home allergic to dogs?*YesNoWho will be the primary caregiver for the dog?*Are all members of your household aware and in agreement about adopting a dog?*YesNoPrimary reason for wanting a dog?*Companion for MeCompanion for ChildCompanion for PetGiftGuard DogPersonal Reference:*Relationship:*Phone:*HomeType of dwelling:*HouseApartmentCondoMilitary HousingDo you:*RentOwnDo you have your landlord's/HOA's permission to have a dog?*YesNoIs there a Dog Weight Limit? (please list any)*Are there Breed Restrictions (please list any)?*Landlord/HOA Name:*Phone*Is your yard completely secure?*YesNoNot ApplicableDoes your home back up to a canyon or open space area?*YesNoNot directly, but a canyon/open space area is close by.How tall is your fence?*May a TRD volunteer do an inspection of your home?*YesNoHave you already had a homecheck visit completed by another rescue organization?*YesNoName of Rescue that completed homecheck:*Current PetsDo you currently have a(any) dog(s) in the household?*YesNoPlease provide the following for each: breed, sex, age, whether the animal is spayed/neutered, whether the animal is an indoor or outdoor dog, and the personalities of your pets (submissive, dominant, friendly, fearful).*Do you have any other pets in the household (cat, bird, rabbit)?*YesNoPlease list species of other pets:*Past PetsHave you owned pets in the past 10 years?*YesNoWere they spayed or neutered?*YesNoWhere did they sleep?*IndoorOutdoorWhere is the animal now?*Have you ever had to give a pet away?*YesNoWhy was the pet given away?*Dog CareWhere will your pet be kept during the day?*Where will your pet be kept during the night?*How many hours will the dog spend alone each day?*How will your dog be confined to your property?*Are you willing to do crate training?*YesNoWill you use a pet sitter/daycare?*YesNoHow will your dog get exercise each day? (walk, run, hike, dog park, dog beach, etc.)*How long do you feel a dog should be given for an adjustment period?*What dog behaviors are unacceptable to you and what actions would you take to correct these behaviors?*Are you willing to work with your new dog (and our recommended trainers) on any issues your dog may have?*YesNoHow would you describe your training skills with dogs?*What conditions or circumstances would cause you to give up this pet?*Please provide us with any other information you feel may be pertinent to considering your application for adoption.How did you hear about The Rescued Dog?Petfinder/Adopt-a-PetFacebookFriendFriend's NameAre you interested in volunteering with TRD?YesNoApplication Requirements"I understand this is an application and TRD has the sole discretion, with or without cause, to accept or decline this application. All the information I have provided in this application is true and correct.”*I AgreeI Do Not Agree"I understand that TRD may receive several applications for the dog I am applying for. I understand that in that event, the best home will be selected for the dog.”*I AgreeI Do Not Agree"I understand that the adoption fee for adult dogs is $250 and $350 for puppies (younger than 6 months). The adoption fee is non-refundable and non-negotiable.”*I AgreeI Do Not AgreeSignature*Date* This iframe contains the logic required to handle AJAX powered Gravity Forms.