Dog Adoption Application

Please fill in this application completely in order to be approved for adoption. Only complete applications will be processed. An auto-reply will be emailed to you within 24 hours to confirm receipt of this form being submitted.

CompAnimals Pet Rescue is open by appointment to approved applicants. The rescue is 100% volunteer-run, subject to individual schedules, therefore there are no visiting hours.

Feel free to contact us by email to inquire about the status of your application. It is normal to get emotional about adopting a pet on first sight, but it is imperative to us that the pet find its forever home, so please bear with us regarding the time it takes to process the application. Thank you for your understanding and for taking the time to apply for one of our pets.

Your completed application is kept on file for a year. There is no need to complete additional applications for other pets you may be interested in during the year.

We thank you in advance for your patience, as we may be processing multiple applications, providing emergency care, etc. If you don’t hear back within 7 days, please call 610-255-1614.

Required fields are marked with an *.


      
      
      Interested in adopting [name of dog(s)]:*
How did you find out about us?:*
Primary Caregiver's Name:*
Preferred Method of Contact:*
Email
Text
Phone Call
Phone Number:*
              
              
                
                  
                  Area Code
                
                
                  -
                
                
                  
                  Phone Number
                
              
              
E-mail Address:*
Check this email address regularly for our correspondence. The majority of correspondence regarding this application will be made via e-mail.
Address:*

              Street AddressCityState / Province / RegionPostal / Zip CodeCountry
Do you own or rent? (Documentation may be requested to confirm.)*
Own
Rent
How long have you lived at this address?*
How long do you plan on living at this address?*
Please complete VET section below completely so as not to delay the application process. To ensure timely processing, please contact your vet and give them permission to discuss your application with us. We are unable to proceed without this information.
Current Veterinarian's Name & PHONE: *
If currently no pets in the home, please provide PREVIOUS vet's name & PHONE:
Name vet records are listed under if different than that of primary caregiver listed above:*
Phone number vet records are listed under if different than that of primary caregiver listed above:*
Name and phone of groomer and/or dog trainer used*
Please provide two (2) personal references (names and contact information):
Reference #1 Name and Phone:*
Reference #2 Name and Phone:*
Daily work or at-home schedule: *
Estimated Daily Time With Pet:*
Please list daily activities as well as special outings your dog will have: *
What food do you currently feed?*
Are you open to switching foods for a dog with special dietary needs?*
Yes
No
Please list names and ages of adult household members, including yourself, and their relationship to primary caregiver:
Adult males:*
Adult females:*
Ages of children:*
List names, type and age of current pets:*
Describe the general activity and noise level of the household:*
Describe frequency of visitors to the home and their ages:*
Describe pet's outside time:*
Fenced yard?*
Yes
No
If yes, describe the height and type of fence.   Note:  We do not require a fence to adopt; however, some individual dogs may require a fenced yard.
Where will the pet sleep at night?*
Where will the pet be kept when no one is home?*
Household Setting (choose one): *
Urban
Rural
Suburban
List past pets you have had in the last 5 years. Names, age and what became of them.*
Under what circumstances would you get rid of a pet?*
Adopting a family member is a big decision - what thought/research have you done prior to deciding to adopt at this time?   *
Describe your idea of a great pet: *
Are there any specific habits or problems a pet might have that you are not willing to deal with?*
Feel free to list additional animal related references or any tidbits that will assist us in choosing a forever home: *
In the event the animal you are applying for has already been promised to a family, would you like us to keep your application on file as a backup in case it falls through or for similar dogs coming into the rescue in the next three months?*
Yes
No
Type of employment, describing type of work you do:*
Employer name:*
If you do not work outside the home, please explain how you will support this pet:
I recognize that there is an element of risk involved in the handling of animals.  I recognize that the risk of serious injury is increased by not following the stated guidelines.  I agree to comply with rules and regulations as posted and as set forth by CompAnimals Pet Rescue.  I knowingly and freely assume all such risks, both known and unknown, assume full responsibility for my voluntary participation, and release CompAnimals Pet Rescue from all liability for injury, illness, death or property damage resulting from such activities.*
Yes
No
Check here if you do not wish to be added to our mailing list.
Thank you for taking the time to fill in this application. As you can see we are very thorough in our process, making every effort we can to find the best forever home for each of our CompAnimals pets.  To ensure timely processing, please ensure you have given your vet permission to discuss your application with us. We are unable to proceed without this information.
Once we have processed your application we will be in touch with you. Feel free to contact us by email with any questions or to inquire about the status of your application.

Dog Adoption Application

To ensure timely processing, please contact your vet and give them permission to discuss your application with us. We are unable to proceed without this information.

Animal Rescue

Search

Contact Information