Godfrey All Breed Rescue
<<< Application To Adopt A Dog >>>
Please answer all questions, deleting/erasing the question marks (?). We will NOT process applications that have not been completely filled-out.
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<<< PERSONAL INFORMATION >>>
Your Full Name:
Please List the Names of All Persons in Your Home, Their Relationship to You, & Their Age.
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Your Full Street Address, City, State, and Zip Code:
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Your Telephone Numbers Including Area Code --> Home:
--> Work:
--> Cell:
Your Email Address:
A Vet Reference is REQUIRED To Process Your Application!
Please Provide Your Vet's Name, Clinic/Business Name, City, and Address. Please Advise Your Vet That You Have Applied To Adopt A Rescue Dog And That We Will Be Calling Them For A Reference. We Will Schedule A Home Visit After Receiving A Recommendation From Your Vet. If You Do NOT Have a Vet Because You Have No Pets, You Must Obtain Contact Info For the Vet You Plan to Use For Your New Pet.
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Your Vet's Phone Number Including Area Code:
Excluding Death or Disability, What Other Circumstances Would Cause You To Dispose of A Dog That You Adopted From Us:
Are You Aware There Is An Adoption Donation For Each Dog In Our Rescue? Do You Know What It Is For? Would You Like Us To Explain:
1st
of Three Non-Family Character References -
Full Name:
1st
of Three Non-Family Character References -
Street Address:
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1st
of Three Non-Family Character References -
Phone No.:
2nd
of Three Non-Family Character References -
Full Name:
2nd
of Three Non-Family Character References -
Street Address:
?
2nd
of Three Non-Family Character References -
Phone No.:
3rd
of Three Non-Family Character References -
Full Name:
3rd
of Three Non-Family Character References -
Street Address:
?
3rd
of Three Non-Family Character References -
Phone No.:
<<< ABOUT YOUR HOME AND YARD >>>
What Type of Home Do You Live In:
House
Apt
Town-House
Condo
Mobile-Home
Do You Own or Rent Your Home (Please Type In: own or rent):
If You Rent, Does Your Written Lease Allow Pets (Please Type In: yes or no):
Landlord Name and Phone Number:
If You Have a Yard, Is it Fenced? Is It Directly Accessible From Your Home? Please Describe Fence and Yard, If You Have One:
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If You Don't Have a Fenced Yard, Please Describe How the Dog Is To Be Exercised:
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<<< OTHER ANIMALS >>>
Have You Owned Any Dogs Or Cats That Are No Longer With You? How Many? Please explain the circumstances for each one:
Yes
No
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Do You Currently Own a Dog(s)?
Yes
No
How Many?
Do You Currently Own a Cat(s) or Other Pets:
Yes
No
How Many?
Type of Pet If Not Cat?
<<< Problems With Dog In New Home >>>
Have You Ever Adopted An Animal From A Dog Pound/Shelter Or Taken In A Stray:
Yes
No
Is Your Family Willing To Work With A New Dog On Any Issues That He Or She May Have:
In Which Dog(s) of Ours Are You Interested?
If No Particular Dog, Please Note Your Preferences Below, So We Can Let You Know When Such a Dog Becomes Available.
You Desire a Pure-bred dog, Mixed breed, or No Preference:
Pure
Mixed
No Preference
You Desire a Male, Female, or Either:
Female
Male
Either Sex
You Desire a Dog in What Age Range:
1/2 Years
3/9 Years
Over 9 Years
You Desire What Kind of Dog Personality:
Shy - Needs Patience
Friendly
Kid-Safe
Must Like Other Dogs
No Preference
Is There Anything Else Specific You Are Looking For In A Dog:
How Long Are You Willing To Wait For A Rescued Dog:
Please Allow One Week To Process Your Application. If You Do Not Hear From Us By Then, Please Call Us at
740-545-9186.
Please click SUBMIT now. It will email your application to us, then return you to our home page. --->>>>