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Jamie’s Rescue
Adoption Application
Please fill out the form below & call 305-409-8442 to start the adoption process.
VIEW ALL DOGS
General Information
Date
*
Date Format: MM slash DD slash YYYY
Dog you wish to adopt
*
Your name
*
Your address
*
Street Address
Address Line 2
City
State / Province / Region
ZIP / Postal Code
Afghanistan
Åland Islands
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antarctica
Antigua and Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bonaire, Sint Eustatius and Saba
Bosnia and Herzegovina
Botswana
Bouvet Island
Brazil
British Indian Ocean Territory
Brunei Darrussalam
Bulgaria
Burkina Faso
Burundi
Cambodia
Cameroon
Canada
Cape Verde
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Cocos Islands
Colombia
Comoros
Congo, Democratic Republic of the
Congo, Republic of the
Cook Islands
Costa Rica
Côte d'Ivoire
Croatia
Cuba
Curaçao
Cyprus
Czech Republic
Denmark
Djibouti
Dominica
Dominican Republic
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Eswatini (Swaziland)
Ethiopia
Falkland Islands
Faroe Islands
Fiji
Finland
France
French Guiana
French Polynesia
French Southern Territories
Gabon
Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guernsey
Guinea
Guinea-Bissau
Guyana
Haiti
Heard and McDonald Islands
Holy See
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Isle of Man
Israel
Italy
Jamaica
Japan
Jersey
Jordan
Kazakhstan
Kenya
Kiribati
Kuwait
Kyrgyzstan
Lao People's Democratic Republic
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macau
Macedonia
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Myanmar
Namibia
Nauru
Nepal
Netherlands
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
North Korea
Northern Mariana Islands
Norway
Oman
Pakistan
Palau
Palestine, State of
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn
Poland
Portugal
Puerto Rico
Qatar
Réunion
Romania
Russia
Rwanda
Saint Barthélemy
Saint Helena
Saint Kitts and Nevis
Saint Lucia
Saint Martin
Saint Pierre and Miquelon
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Sint Maarten
Slovakia
Slovenia
Solomon Islands
Somalia
South Africa
South Georgia
South Korea
South Sudan
Spain
Sri Lanka
Sudan
Suriname
Svalbard and Jan Mayen Islands
Sweden
Switzerland
Syria
Taiwan
Tajikistan
Tanzania
Thailand
Timor-Leste
Togo
Tokelau
Tonga
Trinidad and Tobago
Tunisia
Turkey
Turkmenistan
Turks and Caicos Islands
Tuvalu
Uganda
Ukraine
United Arab Emirates
United Kingdom
United States
Uruguay
US Minor Outlying Islands
Uzbekistan
Vanuatu
Venezuela
Vietnam
Virgin Islands, British
Virgin Islands, U.S.
Wallis and Futuna
Western Sahara
Yemen
Zambia
Zimbabwe
Country
Your email
*
Your phone (include area code)
*
Your age
*
Your occupation
*
Household Information
Total number of adults in your household?
*
Please list their occupations:
*
Are there any children in your household?
*
No
Yes
Please list their ages:
*
Does any member of your household have known pet allergies?
*
No
Yes
Please explain:
*
Is everyone in your household ready to accept the responsibilities of adopting a new family member?
*
No
Yes
Physical Premesis Information
Which of these accurately describes your home?
*
House
Apartment
Condominium
Mobile home
Do you rent or own your current residence?
*
Rent
Own
May Jamie's Rescue contact your landlord to ensure this pet is permitted to reside in your home?
*
No
Yes
Landlord's name
*
First
Last
Landlord's phone (include area code)
*
Does your residence have a yard?
*
No
Yes
Is your yard fenced in?
*
No
Yes
What kind of fence?
*
How tall is the fence?
*
Does the fence have a gate?
*
No
Yes
Is there a dog door on the premises?
*
No
Yes
Does your residence have a swimming pool?
*
No
Yes
Is your swimming pool fenced in?
*
No
Yes
Is there a weight or size limit on pets in your community?
*
No
Yes
Community limit:
*
Past and Current Pet Information
Will this be your first dog or cat?
*
No
Yes
Please describe your PAST dogs and cats:
*
Dog or Cat?
Age
Sex
Breed
Why are they no longer your pet?
Obedience trained?
Click the plus sign on the right to add additional rows for additional pets
Were any of your past pets euthanized?
*
No
Yes
Please explain:
*
Do other dogs or cats currently reside in your household?
*
No
Yes
Please describe your CURRENT dogs and cats:
*
Dog or Cat?
Age
Weight
Sex
Breed
Spayed or Neutered?
Vaccinations current?
Obedience trained?
Click the plus sign on the right to add additional rows for additional pets
What do you feed your current pets?
*
Dry food
Canned food
Please explain how you believe your existing pets will adapt to a new pet in your home:
*
Do you have a veterinarian?
*
No
Yes
Veterinarian's name:
*
Veterinarian's phone (include area code):
*
Veterinarian's city and state:
*
Pet Care Information
What will be this pet's primary role?
Companion
Companion for another pet
House pet
Watch dog
Guard dog
Hunting dog
Personal protection dog
Are you willing and able to commit to this pet's care and be responsible for this pet over the next 10 to 15 years?
*
No
Yes
Please explain:
*
Will you keep your new pet up to date on vaccinations?
*
No
Yes
Are you able and prepared to exercise your new pet regularly?
*
No
Yes
How will you ensure your pet receives regular exercise?
*
Will your new pet be an inside only pet?
*
No
Yes
Where will your pet be kept during the day?
*
Where will your pet be kept at night?
*
Please explain how many hours each day your new pet will be without human companionship or supervision and why.
*
Do you plan to cage your new pet at any time?
*
No
Yes
Please explain when and for how long:
*
Do you plan to keep your new pet tied up at any time?
*
No
Yes
Please explain when and for how long:
*
Do you plan to keep your new pet in a garage at any time?
*
No
Yes
Please explain when and for how long:
*
If your new pet is not housebroken (potty trained), which housebreaking training method will you use?
*
Is someone at your residence available during working hours to care for your new pet?
*
No
Yes
Who will care for your new pet during working hours?
*
Who will care for and supervise your pet if you need to leave town for several days?
*
If you move, will you take your pet with you?
*
No
Yes
Please explain:
*
Have you ever turned one of your pets over to a shelter?
*
No
Yes
Please explain:
*
Would you allow your pet to ride in the flat bed of a pickup truck?
*
No
Yes
How much are you willing or able to spend on medical bills for your pet?
*
Up to $100
Up to $500
Up to $1,000
Up to $5,000
Whatever it takes to ensure my pet's health and quality of life
What would you do if informed that a medical bill to ensure your pet's health and quality of life would exceed this amount?
*
What steps will you take or provisions will you make should you become unable to care for this pet responsibly?
*
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