Adoption Application

ONLINE APPLICATION SUBMISSION - Must read and understand the Application Process here!
Note: most items are required so please fill out as completely as possible!

Name of animal(s) you are interested in?
First Choice:     Second Choice:

Applicant Name(s):

Email:    Alt Email:

Street Address:     City:     State:     Zip:

Home Phone:     Cell Phone:     Work Phone:

I/we live in a HouseApartmentCondo/TownhouseMobile Home            I / We RentOwn

I/we have permission to have pets on the property where I/we live: YesNoNot Applicable

Name and phone number of landlord (if applicable):

I/we understand that if I/we rent or own a home with homeowners regulations, such as a condo, I/we must provide written proof that I/we are allowed to have a dog in our home.
YesNot Applicable

How long have you lived at this address?

Do you have a private yard? YesNo    If yes, do you have a fence? YesNoNot Applicable    Height of fence:

Do you have a dog run? YesNo   If yes, describe the dog run:

Do you have a pool? YesNo     If yes, is the pool securely fenced? YesNoNot Applicable

How many adults reside at this address?     Ages of adults:

How many children reside at this address?     Ages of children:

Do children visit your home? YesNo        If yes, what are their ages?

Does anyone in your household have allergies? YesNo   If yes, please describe:

What is your reason(s) for adopting a dog? CompanionHouse PetFor ChildrenCompanion for Other PetGift

Does everyone in your household want to adopt a dog? YesNo

Who is responsible for the animal's daily care?   What is their age?

Please provide the name(s) of at least one person who will take this dog if at some point you are no longer able to care for it:

Veterinarian Name and Number:

How many hours will this animal be left alone? Day: Evening: Total:

Where will the animal be kept? Day: Evening: Night:

If the animal will be kept outside, please describe the shelter:

You will need to provide pictures of your yard, fencing and any other outside areas that a dog might have access to. The application is not considered complete until the pictures are received. Email pictures to throwmeabonerescue@gmail.com or text pictures to 925-308-6221.

How did you learn about Throw Me A Bone Dog Rescue? (required)

CURRENT AND PAST PET HISTORY - Please include all pets for the past five years. Let us know if you need more room.

Type of Pet Age Sex De-Sexed Kept In or Out How long owned? Where is pet now? Pet's personality

In case none of the animals you listed are available, please answer the following so that we may assist you in finding the perfect match:
What are your preferences: Age?     Breed?     Gender?
Fur? SheddingNon-SheddingLongMediumShortOther
   If other, describe fur:
What activity level are you looking for in a new animal? Low/Couch PotatoMed/Enjoys WalksHigh/Wants to Go Go Go

Other important characteristics you are looking for:

    By submitting this application I/we certify that I/we have read and understand the Application Process at http://throwmeabonedogrescue.org/adoption-process/.

    By submitting this application I/we certify that all information provided herein is true and correct and false information will void the adoption application and contract.

    I/we understand that submission of the application does NOT commit me/us to a pet adoption nor does it guarantee that I/we will be approved to adopt an animal.

    I/we understand that there is a tax-deductible adoption fee between $300 and $400 (or higher depending on size and breed) if approved to adopt a dog.

    I/we agree to sign a hard copy of the application at a later date.

    I/we understand that this application is not considered complete until I/we have sent in pictures of our yard and fence line, and other areas such as patios or balconies where the animal might be kept or have access to. Email pictures to throwmeabonerescue@gmail.com or text pictures to 925-308-6221.