Adoption Application

Apply to adopt from CTD Rescue.

Applicant

Full name * Address *

Phone *

Email *

I am 18 or older *

Household & home

# Adults

Children ages

Home type Own or rent

Landlord name

Landlord phone

Pets allowed?

Yes No

Yard

Fence type / height

Current pets

Pet 1 (species, age, altered, vaccinated) Pet 2 Pet 3 Pet 4 Past pets and what happened

Care plan & references

Vet name

Vet phone

Hours dog alone / day Where dog stays when alone Experience with dogs Plan if moving / cannot keep dog Reference 1 (name & phone) Reference 2 (name & phone)

I consent to a home visit and vet check *

Date *

Security

Cancel