Pre-Adoption Application

Which dog you are interested in adopting?*

Your Name*

First Last

Email*

THANK YOU FOR CHOOSING TO ADOPT A PET.

YOU ARE SAVING A LIFE!

To help ensure that the animal you want will be best suited to you, your home and lifestyle, and that the animal will be placed in an environment compatible with its needs, we ask your cooperation in filling out the application. We hope you will agree that the animal’s welfare MUST be our foremost consideration. If your application is approved, someone will be in touch with you to answer any questions you may have.

Thank you.

Adoption Fee

"Playful Pooches" (up to 12 months) $500
"Forever Friends" Adult Dogs (over 12 months) $400
"Sensational Seniors" (7 years and up) = $300
"Special Needs Dog" = check with rescue

What does the adoption fee pay for?

Location*

I reside within a reasonable driving distance of New Castle County, Delaware

Your age*

Name(s) of other adults in household

Address*

Street Address Address Line 2 City State ZIP Code

Home Phone

Mobile Phone

Driver's License Number*

State*

Who will be responsible for the dog(s)?*

References

List 3 references other than your vet.

Reference 1

Reference 1 Name*

First Last

Reference 1 Phone*

Reference 1 Relationship*

Reference 2

Reference 2 Name*

First Last

Reference 2 Phone*

Reference 2 Relationship*

Reference 3

Reference 3 Name*

First Last

Reference 3 Phone*

Reference 3 Relationship*

By clicking Submit below, I certify that the information I have given is true. This dog will reside in my home as a pet. I will provide it with adequate food, water, shelter, training, affection and medical care. I agree to allow a representative of Renee's Rescues visit this dog in my home, to ensure that he/she adjusts well after adoption, if I am approved. I am in full agreement with these terms of adoption.

Adoption Fee

$500 – “Playful Pooches” (up to 12 months)

$400 – “Forever Friends” Adult Dogs (over 12 months)

$300 – “Sensational Seniors” (over 7 years old)

"Special Needs Dog" (Check with rescue)

Other

Annual Costs*

The average annual cost of caring for a dog is estimated to be $1200. This can increase for special needs dogs, required medications or emergency vet care. Are you comfortable with this?

Yes, I'm comfortable with $1200 annual costs

No, I can't afford $1200 per year to care for this dog

Email Newsletter

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Name

This field is for validation purposes and should be left unchanged.

THANK YOU FOR CHOOSING TO ADOPT A PET.

Adoption Fee

Residence

References

Reference 1

Reference 2

Reference 3