First Name*

Last Name*

Address*

City*

State/Province*

Zip/Postal Code*
 - 

Email*

Home Phone*

Cell Phone*

Are you applying to foster one of our amazing pups? If so, please check yes and complete the application as a new future foster parent.

If you are applying for a specific dog, please select from the available dogs listed below. Otherwise leave this blank and include what type of dog and temperament you are looking for in the remaining questions and we will reach out to discuss some of our best matches with you.
Choose an animal: Apollo Atlas Bear Camacho Carlos Ceiba Charlie Clara Cleo Cristina Deisel Estrella Javier Joaquin Julio Jupiter Leniel/Otto Linx Mitchi Rose Saturn Shakira Simba Sofia Sunny Titania Venus Zadiel / ZZ Hopps Zero

What is your timeline to adopt? (month/year)*

Why are you interested in adopting a pet at this time?*

Are you an active, retired, or disabled military veteran? (Select all that apply) (We are a veteran run rescue!!!)

What is your current age?*

What is your Facebook profile name?

What type of home do you live in?*
Choose one: Single Family Duplex Apartment Townhouse Condominium Mobile Home Military Housing Other

Do you own or rent your home?*
Choose one: Rent Own

If you rent, please enter your landlord's name and phone number.

If you rent, have you received the approval of your landlord to have an animal?
Choose one: Yes No

Is your yard fenced? (not a disqualifier)*
Choose one: No Yard Unfenced Yard Yard Partially Fenced Yard Completely Fenced

What type of fence?
Choose one: Privacy Chain Link Invisible

What is the height of the fence?

How many people reside in your household? (Adults and children, please list ages)*

Who in the household will care for the pet?*

Are there any children living in the home or frequently visiting? (ie, grandchildren) *

Please describe your home environment. (Active, noisy, quiet, etc)*

Do any members of your household smoke or vape inside the home or around the areas where the animal will spend time (e.g., indoors, on porches, in vehicles)?*
Choose one: Yes No

Does anyone living in the home have known allergies to animals?*

Is everyone in the home on board with the decision to adopt a pet?*

Please list all adults that reside in the home with contact number.

Do you have any other animals in the home or visiting frequently?*

Please list all other pets in the home. Please include type, age, size, personality, especially important to note temperament such as dominant or submissive, anxious, shy, etc.*

Are all the animals in your home current on: (check all that apply)

Please provide your veterinarian's name and phone number so that we may call for a reference.*

Please describe the perfect dog for your lifestyle.*

What age do your prefer? (you may choose more than one)

Do you have a gender preference?

What is your size Preference?

Where will the animal spend the day?*

Where will the dog spend the night?*

What are your plans for your dog when you go out of town?*

How many hours will your dog be alone on a daily basis?

Who will have financial responsibility for this animal?*

Are you ready financially to care for a pet? (Routine and emergency medical care, licensing, etc)*

Please rate your experience with dogs.

Please rate your experience with puppies.

Describe how you will train the pet.*

How did you hear about Island Dog Rescue Adoption Network?*

Why do you want to adopt through Island Dog Rescue Adoption Network?

Have you adopted from Island Dog Rescue Adoption Network in the past?*

If yes, please provide dogs name and approx month/year of adoption.

Is there anything else you would like to tell us to help us match the right pet for you?

I understand that the standard adoption fee is $395 and under certain circumstances the fee might be increased or decreased. Additionally, I understand that an adoption is not finalized until an adoption contract is completed AND full adoption fee is paid.*
Choose one: Yes No

Are you prepared for the 10-20 year commitment of owning a pet?*

Spay/neuter is part of our mission and is REQUIRED for all dogs adopted through Island Dog Rescue Adoption Network. Do you agree that if the adopted dog/puppy is not already spay/neutered, you will have this done BEFORE the 1st heat cycle for females or by the age of 7 months for males or within the age time frame your vet recommends for larger dogs?*

Do you understand that once spay/neuter is completed, verification needs to be sent to Island Dog Rescue Adoption Network in a timely manner? (usually no more than 6 months after adoption)*

Do you agree to provide licensed veterinary care for your animal?*

Do you agree that this will be an "indoor" dog?*

Do you agree that you will return this animal to IDRAN if at any point you are no longer able to keep him/her?*

As all of our dogs are rescues, we cannot guarantee any breeds that are included or excluded in the DNA make up of our dogs. We can also not guarantee adult sizes, although we do try our best to be as accurate as possible in the listings. *

All of the information I have given is true and complete. This animal will reside in my home as my pet. I will provide it with quality dog/cat food, plenty of fresh water, indoor shelter, affection, annual physical exams, and vaccinations under the supervision of a licensed veterinarian.*

I certify that the information entered on this applicant is true. Enter your name and date*