Adoption Form

Our rescues are fully vetted and available for adoption. Dog adoption: $125. Puppies (under 6 months): $150. Cat adoption: $70. Kitten adoption: $100.

Fill out the form below to apply for pet adoption. Complete as much of the form as you can, because more information will improve your chances of sucessfully adopting a pet.
Required fields are mark with a red asterisk.

 
Pet's Name *
 
 
First Name *
Last Name *
 
 
Address *
 
 
City, State *
 
 
Your Main Contact Phone *
Your Work Phone
 
 
Email *
 
 
How long have you lived at your current address? *
Years Months
Do you rent or own?
 

 
Landlord's Name
Landlord's Phone
 
 
Landlord's Address
 
 
Landlord's City, State
 
 
Do you have permission from your landlord to get a dog/cat?
Are you aware of pet deposit and monthly fees (if any) required?
 

 
Do you have a fenced yard?
How high is your fence and what type is it?
Height (ft.):

Fence Type:
Are you prepared to walk your dog multiple times daily, in spite of weather conditions?

 
What is your family's lifestyle?
 
 
Active and on the go  
Quiet and relaxed  
Entertain frequently  
Kids in and out  
Travel frequently  
 

 
 
Do you have children?
 

 
 
 
 
 
 
 
 
 
 
 
 

 
 
Who will be responsible for taking care of the dog / cat?
 
 
How many hours per day will the dog / cat be alone?
 
 
Where will the dog / cat stay when no one is at home?
 
 
Where will the dog / cat stay when you are home?
 
 
How often will you exercise your pet?
 
 
Who will care for your pet when you are out of town (vacation, work, etc.)?
 
 
Under what condition(s) would you have to give up your dog / cat?
 

Pets Currently Residing in Your Household


 
 
 
 
Spayed / Neutered
 
Spayed / Neutered

 
Spayed / Neutered
Spayed / Neutered
Spayed / Neutered
Spayed / Neutered

Pets you have had in the last 5 years (if not listed above)


 
 

 
 
Current Vet's Name
Phone
 
 
Practice Name
Address
 
 
Vet's City, State
 

 

Agreements for Adoption

  1. I am prepared to make a 10 to 20 year commitment to my cat / dog.
  2. I keep my dog on a regular routine of heart worm preventative.
  3. I will provide flea/tick control as needed.
  4. I will work with my vet and agree on a regular schedule for wellness visits, inoculations, and any other tests we agree are necessary for the health and well-being of my dog / cat.
  5. I will not chain or tie-up my dog / cat and leave it outside alone. My dog / cat will be and indoor dog / cat and an important members of my family.
  6. If, for any reason, I am unable or unwilling to keep this dog / cat, I agree to return him / her to the Original Pet Owner. I will not give this dog / cat away, take it to a shelter, place him / her with another person or family.
  7. I am financially able to provide routine and emergency care for this dog / cat for his / her lifetime. This includes but is not limited to food, boarding (if necessary), regular vet care, heart worm preventative and flea and tick preventative.

 

Release & Indemnification / No Liability: Adopter hereby releases Rescue Junkie Inc. from any and all liability for personal injury, property damage, legal fees, or veterinary care, or any other expense or liability incurred by Adopter as a result of this adoption. Adopter agrees to indemnify Rescue Junkie Inc. from any and all such claims and to pay, without limitation, any costs related to such injury, damage, or liability, including, in the case of litigation, any attorneys fees incurred by Rescue Junkie in its defense.

Checking of the box below is electronic signature of Adopter stating agreement of the above statement.


 
Do you agree with the terms above?   

About Company

Rescue Junkie is a 501 (c) (3) animal welfare organization that rescues dogs and cats from high kill shelters in Florida. We are a 100% volunteer group.

How do I Adopt?
How do I Foster?

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Have a look around and see if you find the dog or cat that has been waiting for you. Not ready to make room for a fuzzy companion? Please make a tax deductable donation, or volunteer your time to make a difference in the life of a shelter animal.

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