Pack 9 Rescue
Saving one dog at a time...until they all find homes!
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Adoptable Dogs
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Online Store
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Adoption Guide
Adoption Guide
Meet and Greet Guidelines
Spay / Neuter Contract
About Us
Adoption Application
Please Note: Incomplete Applications will NOT be processed.
Contact Information
First Name
*
Last Name
*
Address
*
(Include Street Address, State and ZipCode)
Street Address
Apt, Suite, Bldg. (optional)
City
State / Province / Region
Postal / Zip Code
Country
Afghanistan
Albania
Algeria
Andorra
Angola
Antigua and Barbuda
Argentina
Armenia
Australia
Austria
Azerbaijan
Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bhutan
Bolivia
Bosnia and Herzegovina
Botswana
Brazil
Brunei
Bulgaria
Burkina Faso
Burundi
Cambodia
Cameroon
Canada
Cape Verde
Central African Republic
Chad
Chile
China
Colombia
Comoros
Congo (Brazzaville)
Congo
Costa Rica
Cote d\'Ivoire
Croatia
Cuba
Cyprus
Czech Republic
Denmark
Djibouti
Dominica
Dominican Republic
East Timor (Timor Timur)
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Ethiopia
Fiji
Finland
France
Gabon
Gambia, The
Georgia
Germany
Ghana
Greece
Grenada
Guatemala
Guinea
Guinea-Bissau
Guyana
Haiti
Honduras
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Israel
Italy
Jamaica
Japan
Jordan
Kazakhstan
Kenya
Kiribati
Korea, North
Korea, South
Kuwait
Kyrgyzstan
Laos
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macedonia
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Mauritania
Mauritius
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montenegro
Morocco
Mozambique
Myanmar
Namibia
Nauru
Nepal
Netherlands
New Zealand
Nicaragua
Niger
Nigeria
Norway
Oman
Pakistan
Palestinian Territory
Palau
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Poland
Portugal
Qatar
Romania
Russia
Rwanda
Saint Kitts and Nevis
Saint Lucia
Saint Vincent
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Slovakia
Slovenia
Solomon Islands
Somalia
South Africa
Spain
Sri Lanka
Sudan
Suriname
Swaziland
Sweden
Switzerland
Syria
Taiwan
Tajikistan
Tanzania
Thailand
Togo
Tonga
Trinidad and Tobago
Tunisia
Turkey
Turkmenistan
Tuvalu
Uganda
Ukraine
United Arab Emirates
United Kingdom
United States of America
Uruguay
Uzbekistan
Vanuatu
Vatican City
Venezuela
Vietnam
Western Sahara
Western Samoa
Yemen
Zambia
Zimbabwe
Home Phone
Cell Phone
Date of Birth
*
Must be 23 years old or above to apply.
Email
*
Tell Us About Your Household
Name of the dog you want to adopt.
Other members in your household and age
Personal Pet Information
Please Identify Your Current Pets
(Name,Age,Breed)
Are your pets Spayed / Neutered?
Yes
No
Are Your Pets Up to Date With Vaccines?
Yes
No
Please identify your pets in the past 10 years
Have you ever sold or given away any of your pets?
Veterinarian Information
Vet's Name
Vet's Phone Number
Housing Information
Do you own or rent your home?
Own
Rent
Other
* If you rent, Please provide lease Agreement.
Landlord's Name
Landlord's Phone
What Size is Your Backyard?
Is Your Backyard Fenced In?
Yes
No
Are There Parks Near By?
Yes
No
References (no family members or Significant others of any household members)
Reference 1: Name
*
Phone:
*
Email:
Best time to contact?
Reference 2: Name
*
Phone:
*
Email:
Best time to contact?
Reference 3: Name
*
Phone:
*
Email
Best time to contact?
Questions
Have You Owned a Dog Before?
Have you ever been convicted of dog abuse?
Where will your dog be staying during the day when you are away?
How long will the dog be left alone during the day?
How will the dog get its daily exercise?
Do you plan to attend training classes or train the dog yourself?
What are your plans for the dog while on vacation?
What would cause you to give up your dog?
How did you hear about us?
Verification
Please enter any two digits
*
Example: 12
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