Pre-Adoption Application

Location*
- I reside within a reasonable driving distance of New Castle County, Delaware
Which dog you are interested in adopting?*
Your Name*
First Last
Your age*
Name(s) of other adults in household
Address*
Street Address Address Line 2 City State ZIP Code
Home Phone
Mobile Phone
Email*
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
- $400 – “Playful Pooches” (up to 12 months)
- $300 – “Forever Friends” Adult Dogs (over 12 months)
- $200 – “Sensational Seniors” (7 to 10 years)
- $125 – “Super Senior Sweethearts”
- "Special Needs Dog" (Check with rescue)
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
- Sign me up to receive updates through email
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Comments
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THANK YOU FOR CHOOSING TO ADOPT A PET. YOU ARE SAVING A LIFE!