Rover Rescue :: until every dog has a home

a non-profit organization dedicated to the rescue & placement
of homeless dogs from los angeles animal shelters

Pre-Adoption Questionnaire

Please read our adoption process page before completing this application. Please complete this application as thoroughly as possible.

Please check desired dog
Name and Email Address (required)

(required)

(required)

(required)

Mailing Address






Phone Number(s):




Household information

Household is shared with (check all that apply)



Occupation



Your Home


Do you have a dog door?
    

Your Yard

Outside areas available to dog: (check all that apply)

Answer the following 6 questions if you have a fenced yard or patio.




Is there any type of lock on gate(s)?
    

Excluding members of your own household, who has access to your fenced yard or patio when you are not home? (check all that apply)

Dog Care

Do you currently have a veterinarian?
    



What kind of dog food will you feed your dog?




Are you open to feeding suggestions?
    




Prospective owner - additional information

Primary reasons for adopting a dog: (check any that apply)

Are you looking for a house dog or a yard dog?
    

Will you walk your dog(s) off leash?
    

Would you object to an inspection of your premises by one of our volunteers?
    

Have you ever trained a dog in obedience class?
    

How will you discipline your dog if it misbehaves? (Check any that apply.)


After 6 months of ownership, what would be your main reasons for giving up your dog? (select any that apply)

In the field below, please list all of the dogs that you have previously owned and cared for—going back to when you were 18 years of age.

For each dog, please provide the breed, length of ownership, and explain if the pet was lost, given away, stolen, sold, surrendered to an animal shelter or if it died (state the cause of death).


Submit form (please press once)

rover rescue is a non-profit 501(c)(3) organization | P.O. box 424, redondo beach, CA 90277 | adoption hotline 310.379.0154 | © 2017 roverrescue.com

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