Adoption Application

The Rescue Connection

27254 560th Ave, Austin, MN 55912 507 383 5631. the.rescue.connection13@gmail.com
Is there a particular animal you are applying for today?
Animal's Name
First Name:
Last Name:
Spouse/Partner First Name:
Spouse/Partner Last Name:
Street Address:
No PO Boxes please
City:
State:
Zip:
Phone#
Alternative Phone#
Best Time to Call:
Email Address:
Occupation:
How long at present job?
If less than 1 year, how long at previous job?
References

List two personal references (no family members) who are familiar with your experiences as a pet owner. Please notify these people that we will be contacting them.
Reference #1 Name:
CANNOT be related to you!
Relationship:
Day Phone#:
Evening Phone#
Best Time to Call:
Email Address:
Reference #2 Name:
CANNOT be related to you!
Relationship:
Day Phone#:
Evening Phone#:
Best Time to Call:
Email Address:
Do you own or rent your home?
Landlord's Name
First & Last
If Renting, do you have your landlord's permission to keep a pet?
Landlord's Phone#:
NOTE: If renting, you will need to provide a copy of your lease/co-op bylaws to a representative of The Rescue Connection before adoption. Can you provide this?
Please check what best describes your home:
If 'Other' please describe
NOTE: If you live in a condo/co-op, or your house is part of a homeowner’s association, prior to adoption, you will need to provide a copy of the bylaws, rules and regulations of such association stating that there are no restrictions regarding owning a pet. If there is a limit on the number of pets you are allowed, please note the limit on the copy of the bylaws. Can you provide this?
How long have you lived at this address?
If less than 1 year, please state how long at previous address:
Do you have a fenced yard?
Fence Height:
In feet
Fence Type:
Wood, Chainlink, Vinyl, etc
Does the fence completely enclose the yard?
If no fence, please describe how you will handle the pet's exercise and toilet needs:
Do you own a separate kennel run?
If 'Yes', list height & size:
How many adults are in the home?
How many children are in the home?
Please list their ages:
Are there regular visitors to your home (human or animal) with whom your new pet must get along?
Are all family members in agreement about adopting a pet?
If 'Yes' please describe:
Vet Information & Pets

NOTE: If you currently own a pet or have owned a pet in the last 10 years, your vet’s name is required to processyour application. If you cannot supply a vet reference, please give the reason why.
Do you own cats?
If 'Yes', how many?
Are they all spayed/neutered?
If not fixed, why not?
Do you own dogs?
'If 'Yes', how many?
Are they all spayed/neutered?
If not fixed, why not?
Please list the dogs/cats you currently own:
Name, Age, Breed, Gender
Please list passed dogs/cats you have owned in the past 10 years
Name, Breed & What happened to them
Are there other animals in the home?
If 'Yes', please list them:
Name, Age, Species, Gender
Do you have a regular veterinarian?
Name of Vet Clinic:
Vet Phone#:
Vet Street Address:
Vet City:
Vet State:
How long have you been with this vet?
If you cannot provide a veterinary reference, please explain why:
What are you plans for the dog you are adopting? Check all that apply.
Where will this pet spend the day?
If you selected 'Other', you must explain in detail.
On average, how many hours per day will this pet be without Human company?
Where will this pet spend the night?
If you seleted 'Other' you must explain in detail
Do you agree to return the pet to The Rescue Connection if you can no longer keep it?
Do you understand that The Rescue Connection requires this pet to be spayed/neutered?
Do you agree to license this animal and give it regular health care?
Would you be willing to allow someone designated by The Rescue Connection to visit your home by appointment?
If 'No', why not?
How did you hear about The Rescue Connection?
Are you 18 years of age or older?
Is there anything else you would like to tell us?
If under 18 yo, are your parents agreeable to you adopting this pet?
ELECTRONIC SIGNATURE:
I hereby agree all information I've provided is true
DATE:
Please make sure you have completed this form in full. INCOMPLETE APPLICATIONS WILL NOT BE PROCESSED!
Should be Empty:

The Rescue Connection

References

Vet Information & Pets

Please make sure you have completed this form in full. INCOMPLETE APPLICATIONS WILL NOT BE PROCESSED!