Colorado Rhodesian Ridgeback Rescue -- Adoption Application

Congratulations! You've taken the first step towards adopting your Ridgeback by seeking out the application. Please be sure to fill in all fields denoted with red text as they are required. Upon completion of the form, you should be contacted by a Colorado Rhodesian Ridgeback Rescue representative after your information has been reviewed. (This can take a week, please be patient!) The next step in our process will be for a volunteer to arrange a home visit. (Don't panic, we aren't interested in your housekeeping, and we don't care how big or little your house is!) This is just an informal, short visit to make sure the dog will be going to a safe place, and to chat about what you are looking for in a dog. That way we can help match the right dog with the right home.

CRRR Adoption Application

Personal Information

First Name:

Last Name:

Address Line 1:

Address Line 2:

City:

State:

Zip Code:

Phone (h):

Phone (c):

Phone (w):

Email:

How long have you lived at this address?

Employment

Employer Name:

Occupation:

Employment Status:

Family

Please select the relationship to you of all the adults in your household:

	Relation	Name
1.
2.
3.
4.
5.

If you have kids, what are their ages and names?

Veterinarian Reference

If you currently own or have owned a pet in the past five years, please provide your veterinarian's name, address, and telephone number.

Clinic Name:

Veterinarian's Name:

Address Line 1:

Address Line 2:

City:

State:

Zip Code:

Phone:

Pets

Describe all pets owned (past and current) in the last five years:

	Type	Sex	Age	Spayed / Neutered?	Name	If no longer owned, what happened?
1.
2.
3.
4.
5.

Pet Care

A Day In The Life...
Do you free feed your pets?
Who will be responsible for feeding, exercising, and training your rescued Ridgeback?
Is someone home during the day?
How will your rescued Ridgeback's exercise / potty needs be met if no one is home during the day?
How many hours per day will your rescued Ridgeback be alone?
When you are home, your rescued Ridgeback will be kept: Select all that apply
When you are away, your rescued Ridgeback will be kept: Select all that apply
Do you have a dog door? If so, where?
How will you transport your rescued Ridgeback in your vehicle?
Do you plan to use a crate for your rescued Ridgeback? If so, when?
Where will the rescued Ridgeback sleep?
Why do you want to adopt a ridgeback? Select all that apply
Have you ever owned a Ridgeback before?
Beyond routine veterinary care, training classes, food and supplies for your rescued Ridgeback, are you prepared for expenses in case of accidents or major illnesses?
Describe a day in the life of your rescued Ridgeback:
Will your rescued Ridgeback be a member of the family?
Describe the activity level of your family / household:
Who will care for your rescued Ridgeback in your absence?
If you can no longer care for your rescued Ridgeback, what will happen to him/her?
Housing
What type of dwelling do you live in?
Do you own or rent?
If you rent, proof of your landlord's permission to have a dog will be required. Are you able to provide this?
Do you have a yard?
If yes, Do you have a fence?
If yes, what is the fencing material and its height?
Specific Ridgeback Preferences
If there is a specific Ridgeback you are interested in adopting, what is his / her name?
General Ridgeback Preferences
Gender:
Age:
With or without a ridge:
Purebred vs. Mix:
Are you willing to adopt a dog with health problems?
Are you willing to adopt a dog with social problems?

If you have questions or need more info, please contact Inge Trump, CRRR coordinator:

(h) -- (303) 689-2159
(c) -- (303) 618-7397

Copyright 2009, Colorado Rhodesian Ridgeback Rescue