Adoption Application

Coastal Pet Rescue adopts animals to self-sufficient adults - who demonstrate that they are responsible persons and can give adequate assurances that they intend to provide proper care for an animal's entire life (15 to 20 years). Proper care includes:

Coastal Pet Rescue will not knowingly adopt any animal:

Please review our Adoption FAQ before you complete the following application. Please understand that we are an all-volunteer organization and it may be 48 to 72 hours before you are contacted regarding your application due to the high volume we receive each day.

About You
First Name:
Last Name:
Street Address:
City:
State:
Zip:
Home Phone:
Work Phone:
e-Mail:
Date of Birth:
How did you hear about us?
 
Vet Reference
Full Name:
Street Address:
City:
State:
Zip:
Phone:
How long have you used this vet?
 
About the Adoption
Why do you want to adopt a pet?
Is everyone in your household in agreement on adopting? Yes     No
Are you willing to provide a permanent home for this pet (15 to 20 years average life span)? Yes     No
Are you willing and able to provide annual veterinary care for your pet? Yes     No
Are you willing to take your pet to formal obedience training classes? Yes     No
Under what circumstances would you give up your adopted pet?
If there is a pet on our site you want to adopt, please name:
 
Pet History
Have you had pets in the past? Yes     No
If you answered yes to the above, complete the remainder of this section. If you answered no, skip to the next section.
What type(s) of pets do you own or have previously owned?
How long have you owned them?
Do you still own them? If no, why not?
Have any of your pets ever been lost, poisoned or hit by a vehicle? Please explain.
Are your current pets spayed or neutered? If no, why not?
Do any of your current or did any of your past pets live primarily outdoors? Yes     No
Do you know what heartworm disease is and how to prevent it? Yes     No
Do you use/have you used flea preventative? Yes     No
 
About Your Household
Number of people living in the house:
Is anyone in the household allergic to pets/pet dander? Yes     No
Number and ages of children living in the house:
Do you: Own     Rent ?
Do you live in a *: House     Apartment
Condo     Trailer ?
* Satisfactory documented approval by leasing entity/condo association regarding permission to house a pet is required for all adoptions by non-homeowners.
Do you have a yard? Yes     No
Is the yard fenced in? Yes     No
If yard is fenced, describe fence. If yard is not fenced, describe how you plan to exercise your pet safely:
How long each day will your pet be left alone and where will it be?
Where will your pet be when you are home?
How many times have you moved in the last 5 years?:
Will you take your pet with you when you move? Yes     No
Would you consider moving somewhere that doesn't allow your pets? Yes     No
Are you a military family? Yes     No
Will you be deploying or relocating from the area? Yes     No
Where will your pet go if/when you deploy or move?
Are you a college student? Yes     No
Where will your pet go when you graduate?
 
Any additional comments or questions may go here, or you may use this space to further answer questions:
Please Enter the Security Code You See Here

 

DISCLAIMER

Coastal Pet Rescue, its volunteers, coordinators, and representatives; and any other person, firm or corporation involved with the efforts or business of this group, shall not be held liable or responsible for any and all claims, damages, costs, expenses, loss of services, actions and causes of action incurred as a result of the provision or restriction of information, services, contacts, adoptions, fostering, veterinary care or by the actions of any and all dogs and/or cats transferred or referenced herein.

It should be understood that applications for dog and cat adoptions are subject to acceptance based on a review process that may require collecting information from references. Decisions on placing dogs and cats in adoptive and foster homes is an 'art,' not a 'science' -- there might be times when applications will be denied for various reason(s). Coastal Pet Rescue reserves the right to make all decisions regarding placement or final disposition of any rescued dog or cat in its care whether in, or being placed in, a foster or adoptive home or other facility. There is absolutely no guarantee made or implied that any person, or persons, requesting to adopt a dog or cat being fostered through Coastal Pet Rescue, or posted on Coastal Pet Rescue's website, will be granted an adoption!

NOTE

Vet references will be checked before an in-home interview is scheduled. If you are out of our area, you will be contacted by a local rescue agent to conduct the in-home interview on our behalf.

By submitting this application, you attest that you have read the above disclaimer and agree to the terms therein and that you are aware and will abide by all local laws regarding pet ownership in your area.