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) $400
"Forever Friends" Adult Dogs (over 12 months) $300
"Sensational Seniors" (7 to 10 years) = $200
"Super Senior Sweethearts" = $125
"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
- $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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Phone
This field is for validation purposes and should be left unchanged.

THANK YOU FOR CHOOSING TO ADOPT A PET.