Red Barn Rescue | Adoption Application

Having trouble with the website form? You can also click here to download and print a PDF then email it to redbarnrescuepups@gmail.com.

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

Address: *

Veterinarian (Practice/Vet name, city/state) NOTE: If your pet's records could be under a different name, please list that here as well. We DO contact your vet as a reference as part of application processing. To prevent any delays in processing your application, please provide complete information.

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:

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? *

Please complete the form below in it's entirety. Incomplete applications will delay processing. (Having trouble with the website form? You can also click hereto download and print a PDF then email it to redbarnrescuepups@gmail.com.)

READ THIS BEFORE YOU APPLY:

1) We will not adopt a dog to a home with unaltered pets (unless there is a vet recorded reason for the animal not to be spayed/neutered).

2) We do call vet references to verify that your current or past pets are up to date on vaccinations, received annual checkups and were prescribed heartworm prevention, if applicable. Strong history of vet care is important to us, and for southern dogs, heartworm prevention is a necessity!

3) If you are a renter, we will call your leasing office or landlord to make sure there are no breed or size restrictions that conflict with the dog you are applying for.

Again, incomplete applications will delay processing, so please fill this form out completely and accurately.

Name of Dog: *

Occupations:

City/State/Zip: *

If yes, how old are the children?

Veterinarian Phone Number:

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? *

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?

Red Barn Rescue

Clayton, NC