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Home
About
Adopt
Get Involved
- Foster
- Volunteer
- Donate
- Events
Available Pets
Special Cases
- RCR In the News
Happy Tails

Adoption Application Form

REDCOLLAR RESCUE Adoption Application Form

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Pet Information
Date*
MM slash DD slash YYYY
Name of the animal you are interested in:*
Breed/Description:*
Pet's gender?*
- Male
- Female
How did you hear about this pet?*
Applicant Information
Applicant Name*
First Last
Your Driver's License No:
Your Date of Birth:*
MM slash DD slash YYYY
Email*
Address*
Street Address Address Line 2 City State ZIP Code
Cell Phone*
Secondary phone number
Place of Employment*
What are your hours?*
Is there a spouse/partner also in the home?*
- Yes
- No
Spouse/Partner's Name*
First Last
Spouse/Partner's Email*
Their Date of Birth:*
MM slash DD slash YYYY
Spouse/Partner's Cell Phone*
Secondary phone number
Secondary phone type
Spouse/Partner Place of Employment*
What are their hours?*

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Veterinarian Information
Do you have a current or prior veterinarian?*
- Yes
- No
Do you give your permission for your veterinarian providing service to release medical information on any/all of my animals to RedCollar Rescue-Houston, TX?*
To expedite the application process, please call your veterinarian's office and authorize them to release medical information to REDCOLLAR RESCUE.
- Yes
- No
Current Veterinarian Clinic Name*
Veterinarian's Name
Clinic Phone Number*
Clinic Address*
Street Address Address Line 2 City State ZIP Code

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Family & Home Information
Do you live alone or with family?*
- I live alone.
- I live with family/partner/roommate(s).
Does EVERY adult in the household agree on owning this pet?*
- Yes
- No
- N/A
Does anyone in the household have allergies?*
- Yes
- No
Are they allergic to animal dander?*
- Yes
- No
Do you have children or grandchildren?*
- Yes
- No
What are their ages?*
Do they live in the household?*
- Yes
- No
How often do they visit?*
In what type of dwelling do you live?*
- House
- Townhome
- Apartment/Condo
How long have you lived there?*
Do you own or rent?*
NOTE: If you rent your home or apartment, we will discuss with your landlord any pet restrictions and deposits requirements.
- Own
- Rent
Does your lease allow pets?*
- Yes
- No
- Not Sure
Breed or weight restrictions?*
- Yes
- No
- Not Sure
What are the restrictions?*
(Example: Must be under 40 lbs, etc.)
Is a pet deposit required?*
We will need confirmation of payment of any required pet deposit.
- Yes
- No
- Not Sure
Landlord's Name & Phone Number*
Apartment Complex Name (if applicable)
Is your yard fenced?*
- Yes
- No
- I don't have a yard.
How tall is the fence?*
What type of material is the fence? (Chain link, Wood, Vinyl, etc.)*
Do you have Sago Palms?*
- Yes
- No
Are you willing to remove these plants which are highly toxic to dogs?*
- Yes
- No

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Lifestyle Information
Do you have any trips planned or do you expect houseguests in the next 30 days?*
- Yes
- No
Do you or your spouse/partner travel frequently?*
- Yes
- No
How often do you or your spouse/partner travel?*
What major life changes do you anticipate over the next five years? (e.g. new baby, moving for a job, ailing parent, etc.)*
Rescued animals need time to adjust to new environments. How long do you feel is a fair amount of time for the dog to take to fit into your home/family/lifestyle?*
Please describe your definition of an aggressive pet:*
What do you consider valid reasons for giving up a pet? Please check all that apply:*
- New baby
- Divorce
- Moving
- Allergies
- New job
- Barking
- Grew too big
- Want to travel
- Pet anxiety
- Shedding
- Pet illness/vet bills
- New household member dislikes pet
- Children lost interest
- Soiling in house/urine marking
- New pet not getting along with current pet
- Destructive (digging/chewing)
- Too time consuming
- Protective at home/dislikes strangers
- Illness of family member
- Protective on leash
- Behavior problems
- None
- Other
Please describe behavior problems*
Please describe other problems*
Have you ever been convicted of a felony?*
NOTE: An affirmative answer will not necessarily disqualify you from adoption.
- Yes
- No
Please state nature of offense(s), date(s), city, state, and disposition.*

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Pet Care Information
What is the longest period of time that the pet will be alone in a day (on average?)*
Where will the pet stay when you are away from home (at work, running errands, gone for the day, etc.?)*
Where will the pet sleep?*
Where will the pet stay when you travel?*
What will you do with this pet if you move?*
Are you willing and able to purchase and use a crate if needed or advised?*
- Yes
- No
Are you willing and able to commit the time and money for behavior and/or obedience training?*
- Yes
- No
What are you willing to spend annually on a pet?*
(vet bills, food, toys, training, pet sitter, etc.)
Are you able and willing to pay for emergency care, which could result in a bill of $1,000 or more?*
- Yes
- No
Are you willing to devote the time, patience, and love necessary to help a shy pet adjust to home life if it takes several weeks or months?*
- Yes
- No
How would you reprimand your pet for mischievous behavior?*
Do you have a doggie door?*
- Yes
- No
When is the doggie door open?*
- When I am home
- When I am not home
- All the time
How will you handle your pet's potty needs?*
Have you housetrained a dog before?*
- Yes
- No
Please describe how you have/will housetrain a pet.*
How will you exercise the pet?*
As dog age, they often have age-related health issues like arthritis and incontinence. How will you handle this?*
Have you owned this breed/mix before?*
- Yes
- No
Have you owned a rescued animal before?*
- Yes
- No
Have you ever adopted from a rescue group/shelter?*
- Yes
- No
What group/shelter did you adopt from?*
Have you applied to adopt an animal and been declined?*
- Yes
- No
Why were you declined?*
Have you ever given up animal(s)?*
- Yes
- No
Why did you have to give up the animal(s)?*
What did you do with the animal(s)?*
If there are any drastic changes in your life (marriage, divorce, children, move, etc.) what will you do with this pet?*

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Desired Pet Characteristics
Do you have a preference on pet’s age, gender, size, breed, hair length, etc.?*
What qualities are you looking for in a pet?*
Please be specific. Also, indicate activity level you are looking for in a pet.
What traits or characteristics are you sure you do NOT want?*
Please be specific.
Do you give permission for a RedCollar Rescue representative to visit your home prior to adoption to do a home check and after adoption to do follow up checks on the pet?*
- Yes
- No
Anything else you would like us to know?

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Pet Ownership History
Have you ever owned a pet, either in the PAST or CURRENTLY?*
- Yes
- No
Please Provide Pet Information
First pet's name*
Pet's age*
Species*
- Canine
- Feline
- Other
Breed*
How did you acquire this pet?*
Gender*
- Male
- Female
Spayed/Neutered*
- Yes
- No
Length of ownership*
Is or was this pet on heartworm preventative?*
- Yes
- No
What brand is the heartworm preventative?*
When was heartworm preventative last given?*
Where does/did this animal sleep?*
- Indoors
- Outdoors
Where does/did the pet stay while you were away or at work?*
Does/did this pet have any problems or conditions?*
Do you still have this pet?*
- Yes
- No
What happened to this pet?*
Add a second pet?
- Yes
Second pet's name*
Second Pet's age*
Second Pet's Species*
- Canine
- Feline
- Other
Second Pet's Breed*
How did you aquire this second pet?*
Second Pet's Gender*
- Male
- Female
Second Pet Spayed/Neutered*
- Yes
- No
Length of ownership of second pet*
Second pet was or is currently on heartworm preventative?*
- Yes
- No
What brand is the heartworm preventative?*
When was heartworm preventative last given?*
Where does/did this animal sleep?*
- Indoors
- Outdoors
Where does/did the pet stay while you were away or at work?*
Does/did this pet have any problems or conditions?*
Do you still have this second pet?*
- Yes
- No
What happened to this second pet?*
Add a third pet?
- Yes
Third pet's name*
Third Pet's age*
Third Pet's Species*
- Canine
- Feline
- Other
Third Pet's Breed*
How did you aquire this third pet?*
Third Pet's Gender*
- Male
- Female
Third Pet Spayed/Neutered*
- Yes
- No
Length of ownership of third pet*
Third pet was/is currently on heartworm preventative?*
- Yes
- No
What brand is the heartworm preventative?*
When was heartworm preventative last given?*
Where does/did this third pet sleep?*
- Indoors
- Outdoors
Where does/did the pet stay while you were away or at work?*
Does/did this pet have any problems or conditions?*
Do you still have this third pet?*
- Yes
- No
What happened to this third pet?*
Add a fourth pet?
- Yes
Fourth pet's name*
Fourth Pet's age*
Fourth Pet's Species*
- Canine
- Feline
- Other
Fourth Pet's Breed*
How did you aquire this forth pet?*
Fourth Pet's Gender*
- Male
- Female
Fourth Pet Spayed/Neutered*
- Yes
- No
Length of ownership of fourth pet*
Fourth pet was/is currently on heartworm preventative?*
- Yes
- No
What brand is the heartworm preventative?*
When was heartworm preventative last given?*
Where does/did this fourth pet sleep?*
- Indoors
- Outdoors
Where does/did the pet stay while you were away or at work?*
Does/did this pet have any problems or conditions?*
Do you still have this fourth pet?*
- Yes
- No
What happened to this fourth pet?*
Do/did you have more pets?
- Yes
Please list any additional pets along with each pet's information here.*
Provide the same information you gave for your other pets listed above for each additional pet(s) you may have.

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ADOPTION, RELEASE AND INDEMNITY AGREEMENT
A BINDING AGREEMENT is made as of the date this contract is signed by both Adopter(s) and a REDCOLLAR RESCUE representative.

WHEREAS, Adopter wishes to take custody of Pet:

Enrollment in the Pet Recovery services provided by HomeAgain, Avid, or other comparable service is included in your adoption fee. REDCOLLAR RESCUE, also referred to as “RCR” herein, will remain as the Primary contact and Adopter will be enrolled as the Alternate contact.

NOW, THEREFORE, for and in consideration of RCR’s relinquishment of custody of Pet and other good and valuable consideration provided to Adopter by RCR, which Adopter acknowledges is good and sufficient consideration for Adopter’s agreements herein, Adopter hereby gives and grants unto RCR, as a basis on which Pet is released, this Adoption, Release and Indemnity Agreement, and promises, covenants and agrees as follows:

HOLD HARMLESS/ INDEMNIFICATION
REDCOLLAR RESCUE (AND ITS OFFICERS, BOARD OF DIRECTORS, VOLUNTEERS, AFFILIATED ENTITIES, AND/OR AGENTS) SHALL NOT BE LIABLE TO ADOPTER ON ANY THEORY OF LEGAL LIABILITY INCLUDING BUT NOT LIMITED TO THE NEGLIGENCE OF RED COLLAR RESCUE (AND/OR ITS OFFICERS, BOARD OF DIRECTORS, VOLUNTEERS AND/OR AGENTS), FOR ANY INJURY, DEATH OR DAMAGE DIRECTLY OR INDIRECTLY CAUSED BY PET. ADOPTER DOES HEREBY RELEASE RED COLLAR RESCUE (AND ITS OFFICERS, BOARD OF DIRECTORS, VOLUNTEERS AND/OR AGENTS) FROM ANY AND ALL LIABILITY, CLAIMS, SUITS, OBLIGATIONS, DEMANDS, OR CAUSES OF ACTION, KNOWN OR UNKNOWN, FORESEEN OR UNFORESEEN, ARISING OUT OF OR RELATING IN ANY WAY TO PET OR RED COLLAR RESCUE’S RELEASE OF PET TO ADOPTER. IT IS THE EXPRESSED INTENTION OF ADOPTER AND RED COLLAR RESCUE THAT THE RELEASE PROVIDED FOR IN THIS PARAGRAPH IS DESIGNED AND INTENDED TO PROTECT RED COLLAR RESCUE (AND ITS OFFICERS, BOARD OF DIRECTORS, VOLUNTEERS, AND/OR AGENTS) FROM ANY PERSONAL INJURY CLAIMS BY ADOPTER OR OTHERS AND FROM THE CONSEQUENCES OF ANY HARM, BEHAVIOR, OR OTHER ACTION BY PET, AND FROM THE CONSEQUENCES OF ANY ACT OR OMISSION OR NEGLIGENCE ON THE PART OF RED COLLAR RESCUE (AND ITS OFFICERS, BOARD OF DIRECTORS, VOLUNTEERS AND/OR AGENTS) IN OBTAINING CUSTODY OF PET, IN PROVIDING CARE FOR PET, IN TRAINING OR NOT TRAINING PET, OR IN FAILING TO PROVIDE TIMELY OR ADEQUATE WARNING TO ANY PERSON CONCERNING PET.*
Adopter's Initials Please initial using your mouse (computer) or finger/stylus (phone).
Please check each box to show you've read and agree with each item below. You will initial and sign the adoption application/contract at the time of adoption with a REDCOLLAR RESCUE representative.
ADOPTER, further promises, covenants and agrees:*
- 1) to pay an adoption fee in regards to this Adoption prior to the transfer of said pet to the Adopter. The adoption fee is NON-REFUNDABLE even if the Pet is returned to REDCOLLAR RESCUE.
*
- 2) to never sell, trade, or give away this pet to anyone. I will never relinquish this pet to any shelter or pound, whether “no-kill” or otherwise. I will notify REDCOLLAR RESCUE if I am unable or unwilling to keep this pet for any reason, and I will return this pet to REDCOLLAR RESCUE after arrangements have been made for such return. I will be responsible for all costs related to the return of the pet to REDCOLLAR RESCUE. If this pet is lost or stolen, I will notify REDCOLLAR RESCUE immediately.
*
- 3) that all future medical and health maintenance treatments are my responsibility, unless REDCOLLAR RESCUE has specifically agreed in writing to pay for them under the “special provisions” which will be added separately to this contract. I will seek immediate (at time of injury or signs of illness) veterinary care if this pet becomes ill or is injured. I understand this is for the lifetime of the pet.
*
- 4) I will administer monthly heartworm preventative to the pet year round. If the pet is heartworm positive, I understand that Heartgard® or ivermectin is the only preventative that may be administered, as any other type could cause the pet to become seriously ill or even die. If the pet is heartworm positive, I will follow a heartworm treatment plan recommended by a veterinarian approved by REDCOLLAR RESCUE.
*
- 5) to keep all immunizations current and updated according to a veterinarian’s schedule.
*
- 6) to keep the Pet primarily indoors, interacting with my family, and will not to be banished to the back yard. I will never tie my pet to a chain or rope or leave him/her unattended for long periods. The Pet will be exercised in a fenced yard or on a leash, and not be allowed to roam the streets.
*
- 7) If pet is a cat, to keep the cat indoors at all times and will never be subjected to surgical removal of its claws.
*
- 8) that the pet SHALL NOT be physically altered in any manner (docking tails, cropping ears, declawing, etc.).
*
- 9) to comply with all state and local ordinances in the confinement, care, and licensing of this pet. I will reclaim this pet promptly, and pay any required fees if it is picked up by an animal control agency. IF THIS PET IS EVER STOLEN OR LOST, ADOPTER AGREES THAT HE/SHE WILL TAKE ALL REASONABLE STEPS TO FIND THE PET AND WILL IMMEDIATELY NOTIFY RESCUE SERVICE. SUCH REASONABLE STEPS, INCLUDE, BUT ARE NOT LIMITED TO, POSTING SIGNS IN THE VICINITY OF WHERE THE PET WENT MISSING AND CHECKING AREA POUNDS AND SHELTERS. IN THE EVENT THAT REDCOLLAR RESCUE OR ANY OF ITS AGENTS HAVE TO RETREIVE THE DOG FROM ANY POUND, SHELTER OR PERSON THAT IS IN POSSESSION OF THE DOG AFTER ADOPTER HAS BEEN NOTIFIED, ADOPTER AGREES TO IMMEDIATELY REIMBURSE REDCOLLAR RESCUE OR ITS AGENT FOR ANY AMOUNTS EXPENDED IN PROCURING THE DOG’S SAFE RETURN AND REDCOLLAR RESCUE RESERVES THE RIGHT IN ITS SOLE AND ABSOLUTE DISCRETION TO DETERMINE WHETHER THE DOG SHALL BE RETURNED TO ADOPTER OR RETAINED BY US.
*
- 10) to keep collar and ID tags on pet at all times. Cats will only wear a breakaway collar specifically designed for cats.
*
- 11) THAT REDCOLLAR RESCUE DOES NOT MAKE ANY GUARANTEES REGARDING THE AGE, NATURE, TEMPERAMENT, OR HEALTH OF THIS PET. Adopter assumes all risks and responsibility including the financial responsibility of ownership of this pet once he/she is in my possession and that REDCOLLAR RESCUE is not in any way responsible for such costs incurred.
*
- 12) that if I fail to fully and timely comply with the terms of this contract, I will, voluntarily, immediately release ownership, possession, custody and control of this pet to REDCOLLAR RESCUE, and if I fail to do so, REDCOLLAR RESCUE will be entitled to enforce specific performance of this contract in addition to any other legal remedy available to REDCOLLAR RESCUE.
*
- 13) that all information in the Adoption Application is true, complete and correct and agree that any false or misleading statement thereon will constitute a breach of this contract. If any information contained on Adopter's Adoption Application is untrue, Adopter expressly agrees that RCR may retake custody of Pet without refunding adoption fee and without recourse by Adopter and adopter agrees to relinquish such pet to REDCOLLAR RESCUE.
*
- 14) that this Agreement shall be governed and construed in accordance with the laws of the State of Texas; and
*
- 15) that any disputes between the parties to this Agreement concerning the subject matter of this Agreement shall be submitted for resolution to the courts of Harris County, Texas.
*
- 16) I am at least 25 years of age.
*
- 17) My submission of this application affirms that I have read and agree to all the above conditions.
Final Comments/Questions
Please list any questions or comments about your application here.
Once you click "Submit" or "Save and Continue Later" please do not close, refresh or click away from this page/form until you are redirected to a Thank You page..

You will receive an email confirming your submission.

If you do not see the Thank You page or receive an email confirmation, your application did not go through. Please resubmit or contact us at adopt@redcollar.org.
Special provisions of this contract, if any, are as follows:
________________________________________________________________________________________________
________________________________________________________________________________________________

Name of Pet: _____________________ | Breed/Desc: __________________ | Color: _______________

Approximate Age: ________ | Sex: M F | Altered: Y N | Heartworm Status: Positive Negative

My signature below affirms that I have read and agree to all the above conditions:

SIGNED, this _____________ day of ___________________________________ (month/year)

Adopter #1:
Printed Name: _______________________________________________________

Signature: __________________________________________________________

Adopter #2:
Printed Name: _______________________________________________________

Signature: __________________________________________________________

REDCOLLAR RESCUE Representative
Printed Name: _______________________________________________________

Signature: __________________________________________________________

Section below for internal use only.

ACCEPTED BY REDCOLLAR RESCUE – Houston, TX:

Adoption Fee Received: $_________________ | Additional Contribution Received: $_________________

Cash _____________ Check #:_____________ PayPal confirmation #:_____________________

Medical Records Delivered:____________________________

Heartworm Preventative Due On: ___________ Flea/Tick Preventative Due On: ___________

Microchip Information (see note below): ____________________________

Note: All microchips are registered and will remain registered under the REDCOLLAR RESCUE account. Upon finalization of adoption, REDCOLLAR RESCUE will update microchip contact information as appropriate.

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