Red Barn Rescue | Adoption Application

It is not unusual for a dog to live 15 years. Can you commit to this animal for its lifetime?

Yes

Phone *

Landlord Phone Number (if renting):

What is your plan for dog care when you go on vacation/extended travel?

Please describe the area where the pet will be kept when you are NOT at home.

Our screening process usually involves a home visit to meet your animals and check for safety issues. (no need to dust!) Will you allow a RBR volunteer to visit your home?

Yes

Are your pets on heartworm preventative? If so, what type?

Who will be responsible for walking, feeding, and caring for the dog/puppy?

Email *

Animals should be closely supervised with children...Do you have children at home or children who visit?

Name of Dog:

Occupations:

If yes, how old are the children?

Do you have any other animals that may be a factor for this adoption? (ex. chickens, horses, birds, rabbits, guinea pigs, cats, etc.)

Housing:

Own

Rent

How often will you walk/exercise the dog and for how long?

Please describe the area where the pet will be kept while you are at home.

Current Pet 3: (including name, age, description)

Routine care/medical emergencies can be expensive... What are your expectations for annual costs for this dog?

Current Pet 2: (including name, age, description)

Current Pet 1: (including name, age, description)

Adoption Application

Complete Mailing Address (include city/state):

Veterinarian and Phone Number:

If you don't have any pets, please list past pets and veterinarians to use as a reference.

How long would the dog be left home alone?

Are all of your pets spayed or neutered?

Name of Applicant / Co-Applicant *

Please describe your plan for house training.

Do you have a fenced yard? Please describe.

If you’re in our armed forces, we salute you! However, we see many dogs displaced by unexpected orders, so out of concern, for both adopter and dog, we request you make provisions for deployment prior to adoption. Who is your friend or family member designated to foster your dog if you deploy? Name and phone contact:

Co-Applicant Phone:

Clayton, NC

Red Barn Rescue