Adoption Application | Dancers Bridge Dog Rescue

Step 1: Applicant & Household Profile

Please enter your contact information and household background metrics.

Full Name *

Occupation *

Date of Birth (mm/dd/yyyy) *

Complete Street Address *

How long have you lived at this address? *

If less than two years, provide prior address also:

Phone Number *

Email Address *

Adults in home and their relationship to you *

Children in home and their ages *

Known dog allergies in household *

Step 2: Housing Environment & Rules

Details about your home setup and lease requirements (if applicable).

Type of home *

Household description (e.g., quiet, active, busy, loud) *

Do you own or rent your home? *

Rental rules / landlord name and phone (Leave blank if you own):

Outside supervision plan / describe fenced yard (type, height, status of locks) *

Does everyone in the household agree to adopt this dog? *

Time available for love and attention *

Step 3: Pet History & Vetting Reference

Background information regarding current or historical household companion animals.

Current or past pets (Include names, types, ages, and breeds) *

Are all current pets up to date on vaccines? *

Are all current pets spayed/neutered? If not, why? *

Ever surrendered a pet? Why? *

Ever had a pet euthanized? Why? *

Ever lost a pet to an accident? *

Past dog experience if no current pet:

Veterinarian Reference

Regular veterinarian? (Name, clinic, address, and phone) *

I explicitly grant consent for Dancers Bridge to contact my veterinarian for record checks. *

Groomer Reference

Regular groomer? (Name and phone number if applicable):

I grant consent for Dancers Bridge to contact my groomer. (Check if applicable)

Step 4: Ideal Dog & Lifestyle Management

Tell us about the dog match you are looking for and your care philosophy.

Describe your ideal dog and why *

Desired age, breed, sex, and size *

Breed(s) you would NOT adopt *

Willingness Profile (Check all that apply):

Willing to adopt an outgoing / hyper dog

Willing to adopt a shy / fearful dog

Willing to adopt a dog needing ongoing medication

Willing to adopt a dog needing obedience training

Willing to adopt a dog needing high-maintenance grooming

Daily Care Routines

Where will the dog spend the day? *

Where will the dog spend the night? *

Average hours per day dog will be left alone *

Who holds primary daily-care responsibility? *

Who holds primary financial responsibility? *

How do you discipline pets and why? *

How would you handle any aggression toward another animal? *

Step 5: References & Final Agreements

Please supply your reference metrics and authenticate the certification signature.

Reference 1 (Name, Address, Phone, Relationship) *

Reference 2 (Name, Address, Phone, Relationship) *

Legal Compliance & Policy Check

I agree to provide routine licensed veterinary care. *

I agree to spay/neuter this animal if required/needed. *

I agree to keep the dog indoors as a family companion. *

I agree to an scheduled home visit by appointment with rescue coordinators. *

I agree to return the dog to Dancers Bridge if I am ever unable to keep it. *

What is your crate training plan? *

What is your plan if the adopter cannot care for the dog temporarily or long-term? *

How did you hear about Dancers Bridge Dog Rescue? *

Are you interested in fostering dogs in the future? *

Certification Statement

I hereby certify that all information provided in this adoption application framework is true, complete, and correct. I understand that providing false data will lead to immediate disqualification. I guarantee this rescue animal will receive premium veterinary care, regular shelter, nourishment, and daily affection.

Applicant Electronic Signature (Type Full Name) *

Date *