Adoption application

Tell us about you and your home. It takes about ten minutes, and it helps us match you with the right dog.

About you

First name

Last name

Phone (with country code)

Country

City

Your home

Which dog are you interested in?

A name from our list, or "any".

How many adults in your household?

How many children in your household? (Please include ages)(optional)

Leave blank if none.

Do you own or rent your home?

If you rent, does your landlord allow dogs?

Describe your home

House or apartment, yard or balcony, fences, where the dog would sleep.

Other pets at home(optional)

Species, age, sex, and whether they are sterilized. Leave blank if none.

Experience and routine

Can you tell us about your experience with dogs and pets in general? (Species, temperament, dietary needs, exercise routines, lifespan, etc.)

Hours the dog would be alone on a typical day

Please describe where the dog would be kept while home alone

When would you like to adopt?

Why do you want to adopt a rescued dog?

References

Please list 2 personal references whom we can contact (Name, phone number, email)

Anything else we should know?(optional)

We sincerely thank you for your interest in adopting with us and for filling out the application. It will be reviewed, and then we will reach out to you for a further conversation. We have a responsibility to our dogs and to our adopters alike, to do our best to ensure that the needs of the dog are aligned with what the household is able/willing to provide.

I agree that San Roque Rescue Society may store and use this information to process my request and contact me, as described in the privacy policy. The information I provided is true.