Adoption Application

First Name

Last Name

Year of birth (anyone under the age of 22 must have parental consent)

Physical Address Include City, State, Zip

Tell us about your home

Phone Number

What personality, size, gender, or specifically named dog are you applying for?

Will this dog be an indoor family pet or an outdoor only pet?

Your residence is a

Do you understand that at some point in your dogs lifetime you may have a heavy workload, maybe moving, or may have a child, will this effect your ability to keep your dog?

Where will this dog sleep?

Have you ever given a pet to

If you ever gave a pet away what was the reason?

Are you aware that dogs have emotional needs and can suffer from depression, anxiety, fear, stress and others?

Yes No Never thought about it

Are your pets currently on heart worm / flea and tick prevention?

All dogs require an adjustment into their new home. They will require boundaries and instruction by you to make this a successful transition. We suggest you have a kennel available to ease the dog into their new environment. Please read about the 3 day, 3 week, 3 month rule with rescue dogs.

Are you willing to allow a home visit by Charming Pet Rescue prior to adoption contract approval?

Do you understand that many of the animals that come from humane societies, animal welfare societies and rescue groups have been abandoned by their previous owners, come with a lot of 'baggage' and may have separation anxiety or behavioral issues and may need to re-learn how to live in a hone environment and to bond with you/your family and other pets?

If someone in the home becomes pregnant what would you do with the dog?

Do you have any other pets in your household?

If yes, what kind and how many?

Are your pets up to date on the following? Check all that apply.

If you have children in the household how many and what are their ages?

Where will the dog be kept when someone is home and also when you are all away.

Please provide name, address and phone number for a current or previous veterinarian

Please provide two personal references. Name and contact number.

Checking this box will be considered your electronic signature.

By submitting this application you agree to let Charming Pet Rescue verify information provided. Adoption fees are considered a donation to Charming Pet Rescue and are NON-REFUNDABLE, except in the cases of pre-existing medical conditions not included in the animal's rescue medical history that were unknown by the rescue or not disclosed to the rescue by previous owner/caretaker. This is not an agreement to hold an animal, you must enter into an adoption agreement/contract with Charming Pet Rescue to finalize the adoption. Charming Pet Rescue reserves the right to refuse any adoption that we feel is not in the best interest of the animal. By submitting the above information you understand that omission of information and/or failure to answer all questions may result in this application being declined. Also, if an omission or untruth is discovered after an adoption is finalized, you understand that Charming Pet Rescue reserves the right to reclaim the adopted animal(s). By submitting this application you give Charming Pet Rescue permission to fully investigate the information provided as well as contact veterinarian and personal references. In addition, you understand that the adoption decision is dependent on many factors including, but not limited to, the compatibility of the family and home of the individual animal, and other applications received on this animal. You understand that it is Charming Pet Rescue's prerogitive to decide which home is most appropriate and that our decision is final. Unless otherwise indicated by Charming Pet Rescue, you understand that you are free to apply and undergo the application process in the future should this application be declined at this time. Should you be approved this also serves as the adoption contract and you agree the the following: CHARMING PET RESCUE ADOPTION CONTRACT *As an adopter, I understand that I am committed to this animal for his/her life and I agree to abide by these adoption conditions. * For and in consideration of the covenants and agreements contained herein, including the full and continuous compliance with the terms and conditions of this agreement by the adopter as follows: 1.) I will not keep the pet outside all the time. I will keep her/him as an inside / outside dog/puppy. I understand that the dog/puppy will be mostly inside and will ONLY go outside for exercise and brief recreation. 2.) I will keep the pet on preventive heartworm/flea medications for the life span of the dog/puppy. 3.) I will give lots of love and attention to the pet, understanding that dogs are pack animals and views his new family as his pack. THIS is why keeping a dog as an “outdoor dog” Charming Pet Rescue views as cruel. 4.) I also understand that if for ANY REASON I can no longer care for or want this pet; I will contact Charming Pet Rescue and will surrender the pet back into their care. NO REFUNDS will be issued in this case. If you can find a proper home suitable for the pet that would be a caring home, not keeping the dog as an outside pet, Charming Pet Rescue will need to be notified of the new home. 5.) I also understand that Charming Pet Rescue has told me all of the medical, behavioral, habits, personality, etc… about the pet to the best of their ability, and if I have any further questions, concerns, or want / need advice about the dog(s)/puppie(s) – I may contact: Hilary Woodworth -210-843-8326 norwoodhil@yahoo.com 6.) I also understand that I release all liability against Charming Pet Rescue- for any medical conditions, behavioral problems, etc… that may arise after I have adopted the pet. 8.) I agree to keep an identification tag attached to a properly fitted collar which will remain on the adopted animal at all times, whether inside or outside of the house 9.) I understand that any failure to perform the foregoing agreement will constitute a breach of contract. In the event of any such breach of contract, I authorize Charming Pet Rescue to reclaim both possession and ownership of the adopted pet. 10.) I understand that the pet covered by these adoption papers, is as far as can be determined by Charming Pet Rescue, in good health and that Charming Pet Rescue is not responsible for any medical fees incurred on or after the adoption date. 11.) The Adopter(s) agrees to keep this animal as a pet and family companion; it is NEVER to be used as a guard dog or as an outside only pet!!! 12.) I also agree to accept this animal as is, and from this day forward, assume all risks and responsibilities for any damages to property, person or other animals that it may cause. 13.) I fully release, indemnify and hold harmless Charming Pet Rescue, its directors, officers, volunteers and agents from any claim, cause of action or liability of any sort regarding this pet. 14.) The undersigned adopting owner(s) agrees that all medical care and bills are their responsibility as of the signing of this agreement. 15.) Charming Pet Rescue makes no guarantee or warranty as to the age or health of this animal. Adoption fees are not refundable, except in situations where a veterinarian deems the animal to be unhealthy within 3 days of adoption. 16.) I understand that Charming Pet Rescue has told me if this pet is in the process of being house broken or has been fully house broken by Charming Pet Rescue. That being stated, I also understand that there is an adjustment period allowed to each pet and if the first few days to weeks the pet may have accidents in his or her new home due to anxiety or simply the newness of their situation. I agree to work with my new pet through this time. 17.) I understand that there is an adjustment period that my new pet will go through and he or she might show behaviors that will fade over the next few days or weeks that I agree to be patient with. (This excludes biting a human person. In this case I agree to notify Charming Pet Rescue immediately!) RETURN POLICY: THE ADOPTER(S) is expected to be in contact with Charming Pet Rescue via email or phone to let us know if the adoption is not going well. If you are unhappy with your pet, Charming Pet Rescue will gladly accept him or her back into the rescue. Please note that a refund will ONLY be issued during the trial period which is within the first 7 days; past that the adoption fee will be considered a donation. If Charming Pet Rescue feels that the safety of the animal is in question because of this “no refunds” policy, we will contact authorities to retrieve our pet, with this signed contract in hand. Please keep a copy of this contract as it is the ADOPTER(s)’S “bill of sale” and it proves that you now own the pet that you have adopted ** I certify that the information I supplied in the adoption application and adoption contract is true and I understand that providing false & misleading information may or will result in the nullification of this adoption. I have read and understand all the terms of this agreement.** *This agreement is the entire agreement and may not be changed or modified except by writing signed by both parties. In the event that any part of this agreement is determined to be invalid, the rest of the agreement shall remain in full force and effect. This agreement shall be binding upon the parties and their respective heirs, executors, administrators and assigns.*