Jack | Renee's Rescues

Status: Available

Size: Small

Gender: Male

Breed: Chihuahua

Color: Brown with white

PLEASE NOTE: Fosters have 14 days to decide if they wish to “foster fail” and adopt their foster dog.

Say hello to Jack! Jack is a 15 month old Chihuahua mix weighing about 10 lbs. seeking a forever home due to his owner’s medical condition. He is house trained, cat and dog friendly. He rides well in the vehicle. He is a 100% velcro baby. He sleeps in the bed under the covers and if you sit he is on you for a cuddle. He loves being with you! Jack is neutered & up to date on shots.

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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)?*

Residence

Residence type*

House

Apartment

Duplex

Mobile Home

Townhome

Other

Do you*

Own

Rent

Lease

Live with parents, relative, or guardian

If renting, does your landlord/rental agnecy allow pets?

Yes

Don't Know

Landlord's Name

First Last

Landlord's Phone

How long have you lived at your present address?*

Do you anticipate moving in the next 6 months?*

Yes

Unsure

If you move sometime in the future, what will you do with your pets?*

Do you have children at home? (Under the age of 18)*

Yes

If yes, please list their ages*

Are the children used to animals?*

Yes

Not Applicable

Is anyone in the house allergic to animals?*

Yes

Don't Know

Do all adult members of the household know that you plan to adopt a dog?*

Yes

Why do you want this dog? (check all that apply)*

Companion

Guard Dog

Companion for Kids

Watch Dog

Hunting Dog

Companion for Other Dog/Puppy

Other

Please list all of your current pets, including their breed, name, age, gender, length of time you've had them, and whether they have been altered.

Are all of your pets current on vaccines?*

Yes

Unsure

Not Applicable

What is the name of your veterinarian or animal clinic?*

What is the phone number of your veterinarian?*

* Please contact your vet office to let them know we are calling and to authorize release of information, otherwise your application cannot be processed.

What name is your account listed under at your vet?

How many hours during the average day will this dog spend without a human?*

Where will this dog be during the day?*

Will this dog be allowed indoors?*

Where will this dog sleep at night?*

When outside, will this dog be kept in*

A fenced yard

On a leash

On a trolley

Allowed to run loose

Chained

Other

Describe your yard*

No Yard

Unfenced Yard

Partially Fenced Yard

Completely Fenced Yard

Height of fence*

Fence Material*

Wood

Chain Link

Brick

Wrought Iron

PVC/Composite

Other

What kind of outside shelter will be provided for this dog?*

Are you willing to enroll this dog in obedience classes?*

Yes

Are you aware of your local animal control regulations?*

Yes

Will you properly license this dog, and any other dogs in the household?*

Yes

Describe how many pets, other than the ones previously listed, you have owned in the last five years, as well as what happened to them*

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

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