Adoption – Mutty Paws Rescue

Adoption Application

If you are interested in adopting one of our animals in the rescue, please fill out the adoption application form below.

*Our Rescue adoption fee ranges between $150-$500, depending on the animals current age, and conditions.

Adoption Form

Step 1 of 4

What type animal are you looking to adopt?*
Please provide the animal(s) name you are interested in adopting?*
Your Full Name*
First Last
Date of Birth*
Date Format: MM slash DD slash YYYY
Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Phone Number*
Email Address*

Please list the members of your household:*
Name Age Relationship to me
Do you own or rent your home?*
If you rent, please provide your landlord's information here:*
Name Phone # Email Address
Have you ever owned a pet before?*
Do you own any pets currently?*
Please provide information on your current pets. (FAILURE TO ANSWER ALL THE QUESTIONS BELOW, WILL RESULT IN YOUR APPLICATION NOT BEING ACCEPTED!)*
Name Breed (CAT/DOG) Age Gender Spayed or Neutered?(YES/NO) Up to Date on vaccines?(YES/NO) On monthly Heartworm Prevention? (YES/NO)

Have you ever adopted before?*
Where have you adopted from before?*
Do you have a yard?*
If yes to owning a yard, is the yard fenced?*
Have you ever surrendered a pet you owned before?*
ex: to a shelter or to another person.
If yes to surrendering your pet, please explain why below.*
How many hours per day would the pet be alone?*
Will you crate your pet?*
If you have to leave town, urgently or planned, where would your pet stay?*
How would you deal with behavioral issues such as barking, chewing, destructive behavior, bathroom accidents indoors, unruly leash behaviors in your pet?*

Please provide your vet references below:*
Name Phone Number Email Address
Please provide three personal references below:*
Name Phone Number Email Address
Have you ever been convicted of an animal related crime, such as cruelty to animals, animal theft, or animal abandonment?*
Please read, and agree to the terms, and conditions below.*
I agree to the terms, and conditions.
-By clicking the submit button, I agree to Mutty Paws Rescue Inc. adoption process, will undergo a home-check, and interview at the discretion of Mutty Paws Rescue Inc.

-By clicking the submit button, I understand Mutty Paws Rescue Inc. will check my references including veterinary and personal.

-By clicking the submit button, I understand there is an adoption donation associated with adoption of a pet from Mutty Paws Rescue Inc. and that it is tax deductible according to IRS 501(c)3 guidelines. I understand this donation will ensure the organization is equipped to rescue another homeless pet and therefore , adoption donations and deposits are non refundable.

-By clicking the submit button, I agree to identify, and hold harmless Mutty Paws Rescue Inc. against any losses, lawsuits, claims, injury, damages incurred by me or to any persons or property by my adopted pet, once adoption has been completed.

-By clicking the submit button, I understand that Mutty Paws Rescue Inc. will disclose any of the pet's health or behavior issues known by the above named rescue group before adoption is completed.

-By clicking the submit button, I understand that if I no longer want my pet, or am no longer able to care for my adopted pet, I will be directed to surrender my pet back to Mutty Paws Rescue Inc. and provide transport to where Mutty Paws Rescue Inc. deems appropriate.

-By clicking the submit button, I verify all of the above information is true and accurate.
Signature*

Adoption Application

Adoption Form

Step 1 of 4

Adopt & Foster

About Our Rescue

FAQs

Name	Age	Relationship to me

Name	Phone #	Email Address

Name	Breed (CAT/DOG)	Age	Gender	Spayed or Neutered?(YES/NO)	Up to Date on vaccines?(YES/NO)	On monthly Heartworm Prevention? (YES/NO)

Name	Phone Number	Email Address