RESQ ADOPTION FORM
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Your Full Name *

 
Contact Number *

 
Your Email Address *

 
Your Age *


 
Your Home Address
House Number, Street, City, Pin Code
(where your pet will live with you) *

 
Which city do you reside in ? *

 
Your current profession ? *

 
Are you looking to adopt a dog from a specific age group? *


 
Are you interested in adopting a specific breed of dog? *


 
Have you met any particular animal at ResQ which you would like to adopt?

 
Will you be the primary care-giver, that is, the person who is responsible for the physical and emotional well-being of the dog? *

     
 
Is your home rented ? *

     
 
If your home is rented, do you have your landlord's permission to keep a dog? *


 
Please give us details of who lives with you at your current address and your relationship with them. Please include details of current pets also. *

 
Have you had dogs before ? *

     
 
If yes, please tell us a bit more about them..

 
Where will the pet be kept during the day ? *


 
How many hours in a day are you away at work (including your commute time)?

*


 
Is there any part of the house that the pet won't have access to? *


 
Where will the pet sleep at night ? *


 
Has every member of your family given their agreement to adopt a pet ? *


 
What are the arrangements for your pet in the event that you and family needs to travel/ go out of town? *


 
Which vet do you plan to take your pet to ? *

 
How do you plan to take your pet to the vet ? *


 
For how many hours in a day will the pet be kept tied up ? *


 
How did you hear about us ? *


 
Under what circumstances would you consider returning the pet ? *


 
What diet would your pet be on ? *


 
How many hours a day will you spend exercising your dog, including walks and playtime? *


 
If the team thinks it's necessary, would be agreeable to a pre-adoption house check? *

     
 
Anything else you wish to add ? *

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