Thank you for volunteering to be a forever home for an animal! The decision to adopt a pet is an important one which we take very seriously. Please take a moment to read and carefully complete this application.

In order to adopt a pet, you must be:

  • at least 18 years old
  • be able to provide references and two forms of identification
  • consent to a home visit
  • pay the adoption fee (listed below)

Angels on Earth Rescue reserves the right to deny any application. Thank you for your patience and cooperation, we’re excited to hear from you!

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Full Name (required)

Your Email (required)

Age

Street Address

State

Zip Code

Phone Number

More About You

Why do you want to adopt an animal?

Which kind of animal are you applying to adopt?

(Hold CTRL to click more than one.)

Due to the increased costs with our out of state and medically involved pets the donations may be higher. In addition, some our mature animals will have a lower donation--ask us before assuming the donation fee!

Where will the animal be primarily kept?

List any pets you have owned in the last 5 years, how long you had the pet and whether or not you still have the pet. If not, where is it?

Are your current pets spayed, neutered and vaccinated? If not, why not?

Please provide the name, address and phone number of your veterinarian here. Under whose name are the vet records?

Do you own or rent your home?
OwnRent

Are you allowed to have pets?
YesNo

List all people living in the home and their ages.

Do you or anyone in the household have pet allergies?
YesNo

Have you ever had to give up a pet?
YesNo

Do you have an area to quarantine the pet from other animals if necessary?

Do you feel capable of handling and help to mitigate behavioral problems like "marking in the house," separation anxiety or fearfulness with or without a veterinarian or behaviorist's assistance?
YesNo

Can you describe any obedience training experience, or past personal experience with behavioral or medical issues?

Please provide Angels On Earth Rescue Inc. with three personal references with telephone numbers. Only one of the three may be a family member. (Press Return/Enter after each number.)

Are you willing to make an attempt to work through unexpected hardships with your foster pet within reason, i.e., house training, separation anxiety, moderate unruliness, fear, acclimation to other pets, etc? Yes Or No? Any Exceptions?
YesNo

Adoption Contract and Affirmation:

Do you agree that the animal is being adopted for yourself and will not be sold, adopted or given to another party?

YesNo

Do you agree that the animal will not be allowed outdoors without proper supervision? When taking the animal outdoors, do you agree that he or she will be on secure harness and wear proper ID?
YesNo

If adopting a cat, do you agree that you will NOT declaw the cat or allow the cat outdoors?
YesNo

If adopting a dog, do you agree that this dog is to be a companion animal and not a guard dog? Do you agree that the animal will live inside your home, and not outdoors or in a business location?
YesNo

Do you agree to care for the animal in a humane manner and to be a responsible animal guardian? This includes supplying adequate food, water, shelter, attention and medical care.
YesNo

I agree that if at any point I cannot keep the animal, I will return him/her to Angels On Earth Rescue, I understand donations are non refundable.
(Please check the box.)

I understand and agree that Angel's On Earth Rescue Inc makes no guarantees about the animal's temperament, age or health and is not responsible for future damages or injuries caused by the animal.
(Please check the box.)

I give Angels On Earth Rescue permission to call my home at any reasonable hour to assure that the animal is being properly treated and cared for.
(Please check the box.)

I agree to keep Angels On Earth Rescue informed of my current address and phone number.

(Please check the box.)

All animal adoption contracts approved by Angels on Earth Rescue are subject to the following terms and conditions:

  • The adopter agrees that the animal will be kept as a domesticated house pet. This means that dogs are kept indoors except for periods of exercise in a fenced-in area or on a leash. Cats will be kept indoors at all times unless a screened-in porch or similar-type enclosure is available.
  • The adopter agrees that if the animal is not already spayed or neutered, the animal will be spayed or neutered within 14 days of the date on this contract and proof will be provided to Angels on Earth Rescue within 21 days of the date on this contract. The adopter further agrees to provide proper veterinary care for the animal.
  • The adopter grants Angels on Earth Rescue the right to make periodic visits to the adopter's premises for the purpose of checking on the health and general welfare of the animal and to verify that the animal has been spayed or neutered in accordance with the terms of this agreement.
  • The adopter represents that all household members have agreed to the adoption of the animal and that all household members will abide by the terms of this agreement. The adopter further represents that he/she is eighteen years of age or older.
  • The adopter represents that he/she has never been subject to legal action for cruelty to or neglect of animals. The adopter further represents that he/she has never owned an animal which has been confiscated by an animal control officer or humane organization for violations of state or local animal control regulations or animal adoption agreements.
  • If the adopter is a tenant, the adopter agrees to provide written permission from the landlord consenting to the animal adoption.
  • If for any reason the adopter is unable to provide care to the animal, the adopter agrees to return the animal to Angels on Earth Rescue. The adopter shall not offer the animal for sale or give the animal to any third party without the prior written consent of Angels on Earth Rescue.
  • The adopter agrees that Angels on Earth Rescue shall have the right of immediate possession of the animal if, in the judgement of Angels on Earth Rescue, the animal is receiving inadequate care, is being improperly housed or handled or has not been spayed or neutered by the specified date.
  • The adopter agrees to pay Angels on Earth Rescue. the sum of $300.00 as liquidated damages in the event that the terms of this contract are breached; this liquidated damage value does not bar Angels on Earth Rescue from seeking the return of the animal by judicial process or other legal means if necessary. If legal action is instituted, the adopter agrees to pay reasonable attorney's fees and court costs.
  • The adopter hereby declares that he/she is aware:

    1. That animals are different from human beings in their responses to human actions;
    2. That the actions of animals are often unpredictable.
    3. That the animal's behavior may change after it leaves the shelter or other environment and accustoms itself to its new environment;
    4. That Angels on Earth Rescue makes no claims as to the temperament, health or mental disposition of any animal put up for adoption;
    5. That the adopter hereby accepts possession, legal guardianship and responsibility for the animal referenced in this contract and discharges Angels On Earth Rescue forever from liability for any injury or damage to any person or property caused in the future by said animal, and from any causes of action, claims, suits, or demands whatsoever that may arise as a result of such injury or damages.
    6. That there will be NO REFUNDS OF ADOPTION DONATIONS.
    7. That the adopter has received a copy of Angels on Earth Rescue's Animal Adoption Contract Terms (please print for your records).

I hereby declare that I am the adopter whose name is affixed below, and all of the information I have provided is true and complete to the best of my knowledge.
(Please check the box.)

Signature:

(Typing your name is a legal signature.)