Rogers' Rescues - Application

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Featured Foster!

Found the dog for you? Apply here!

Please complete as fully as possible. All items marked with an "*" are required. If you navigate away from this page before you hit SUBMIT, you will have to begin again.

DOG YOU ARE APPLYING FOR

Your Name*

Co-Applicant Name

Home Address*
(Street Address, City, State, Zip)

County

Primary Phone*

Alternate Phone

Best time to call*

Email*

How long have you been looking for a dog?

How did you hear about us?

Is the dog you are applying for going to be a gift?*

About Your Household

Names and ages of all adults in the household*

Ages of children in the household

Is anyone in your home allergic to animals?*

If yes, please explain

Are you familiar with animal regulations in your area?*

Do you own or rent?*

Own
Rent

If you rent, we require a written letter from your landlord stating you are allowed to have a dog. You can fax this letter and/or copy of your lease to 732.875.1290. We cannot process your application until we receive this information.

What type of home do you live in?*

Single Family
Townhouse
Condo
Apartment

What is the approximate size of your home?

Square Feet

Is your home governed by a home owner's/condo association?*

If yes, are there restrictions on the size and/or number of pets allowed? (Please explain)

If you have a backyard, is it:*

Fenced
Not fenced
No yard

Briefly describe your yard, including type of fence, if you have one

Rogers' Rescues does NOT require a fenced yard in order to adopt. However, each foster has different needs. The foster home will be able to tell you exactly what the dog you are applying for requires.

Do you work?*

Yes
No
Work from home
Retired

How long will the dog be left alone on a typical day?*

The Dog For You

Describe what you are looking for in a dog*
Include anything that is important to you: breed, size, temperament, age, etc.

What training issues are you NOT willing to deal with?

Please check all you feel you cannot handle. Please be honest. If you don't want to deal with any of these issues, please check the box. It is our goal to match you with the dog that meets your criteria.

Housebreaking
Fear of people
Leash training
Chewing
Issues with other dogs
Separation anxiety
Submissive peeing
Counter surfing (stealing food off counters)

Are you prepared for accidents, chewing, counter surfing?*

If you are having bothersome behavioral issues with your dog after the adoption, are you willing to hire a private trainer to assist you and your dog in working through these issues?*

Yes
No
Add comments, if desired

Are you OK with barking?*

Yes
No
If no, please explain

Do you feel shedding is an issue when adopting a dog?*

Yes
No
If yes, please explain

How do you feel about crate training?*

Will you be traveling a lot with your dog?*

Ongoing Responsibilities

What do you consider "regular" veterinary care?*

Has any pet in your care ever been hit by a vehicle?*

Yes
No
If yes, please explain

Describe a typical day in the life of your new dog*
Include things such as where the dog will sleep, when the dog will eat, when and how the dog will exercise, and who will make sure that the dog has what she/he needs.

Do you understand that any dog you adopt from Rogers' Rescues will have to be or will already be spayed/neutered?*

If you are adopting a puppy and he or she is not already spayed/neutered at the time of adoption, you will be required to have this surgery done at your own expense by 6 months of age. All adult dogs are altered by our rescue prior to adoption unless they cannot be altered for medical reasons (verified by our vet).

Pet History

Do you have any pets currently?*

If yes, are your pets altered and up-to-date on rabies and distemper?

Tell us about your current pets
List type, breed, age, sex, and approximate weight, and describe their general personality. Be sure to include whether or not current pets have had interaction with other dogs.

Have you had dogs in the past?*

Tell us about your past pets
List type, breed, age, sex, and approximate weight, and describe their general personality.

Do you have a cat*:

If you have a cat, has your cat been around dogs before?

Veterinary Information

Current Vet*
If you don't currently have a vet, list a former vet or the vet you plan to use if you adopt.

Vet's Phone Number*

Checking the box below gives Rogers' Rescues permission to contact your vet for information regarding your current pets. Please contact your vet immediately and give them your permission to release information to us so we can verify your current pets are spayed/neutered and up-to-date on routine vaccinations. Many vets will not speak to us without your authorization.

Please Read and Sign Below

Please check the box below, to certify that this is your electronic signature, and it is binding on this application. You further certify that the information you supplied in this application is true. You understand and agree that falsification of any of the above information or any information disclosed during the review process is grounds to disqualify your adoption application and nullify all adoption(s) and/or adoption agreements between the applicant and Rogers' Rescues.

I/We have read and understand all of the above.

Thank you from all the dogs and volunteers at Rogers' Rescues!

Please make sure to fill out these fields:

Rogers' Rescues is an all breed, 501(c) (3) non-profit dog rescue.
Rogers' Rescues, 531 Route 22 East, Suite 191, Whitehouse Station, NJ 08889