TO BE FILLED OUT BY PERSON FINANCIALLY RESPONSIBLE FOR THE DOG Please read and answer all questions. Once we receive your application it will be reviewed by our adoption team. We do not operate on a first come, first serve basis, but base our decision on what is the best fit for our dog. We reserve the right to deny an application for any reason. If you do not hear from us within a week, please do not hesitate to email us at The process may take a few days to a few weeks. We do not do out of state adoptions.
Date *
Name *
Address *
Phone *
2. If the particular dog you’re interested in is no longer available or not the best fit, are you interested in continuing the adoption process to find the right dog
3. Please select the size of dog that is the best fit for your family
4. Please select the energy level that is the best fit for your family
5. Are you looking for a dog that is comfortable in a social setting like a dog park or dog beach
Name, Age, Relationship Name, Age, Relationship or N/A if does not apply
A) Name B) Name
N/A if does not apply
N/A if does not apply
9. Is anyone in the home allergic to dogs
10. Do all the occupants of the home know you are looking to adopt a dog
11. Although all medical conditions are disclosed if they should exist, are you prepared to handle any unexpected medical expenses or emergency care that may possibly occur with the dog
13. Type of Dwelling
14. Do you
15. Do you have an outdoor area for the dog
16. Does the dog have access to the outside area while you are not home
N/A if does not apply
N/A if does not apply
18. Do you have a pool
19. Upon a required home check, if any modifications are needed for the dog’s safety are you open to doing that
20. Are you planning to move in the next year
N/A if does not apply
21. IF YOU RENT - Ownership
N/A if does not apply
23. IF YOU RENT - Do they allow dogs
24. IF YOU RENT - Is there a weight limit
N/A if does not apply
25. IF YOU RENT - Is there a breed restriction
N/A if does not apply
26. IF YOU RENT - Do you share the yard with other tenants
Name and Phone Number N/A if does not apply
Breed, Age, Male/Female N/A if does not apply
29. Are they spayed/neutered
N/A if does not apply
30. Do you have any other animals that will be living with the dog
Type, Age, Cause of Death N/A if does not apply
32. Have you ever had to rehome a pet
N/A if does not apply
37. How will the dog be cared for if you are away for an extended period of time
38. What type of food will you provide the dog
If you do not know - Open to Suggestions
42. Do you understand that some dogs require an adjustment period while settling into their new environment
44. Are you willing to work with a trainer on any issues that may arise
45. What circumstances would cause you to return the dog to I.C.A.R.E. Dog Rescue
N/A if does not apply
46. How did you hear about I.C.A.R.E. Dog Rescue
47. Have you adopted from I.C.A.R.E. Dog Rescue in the past
N/A if does not apply
48. Have you previously applied to any other animal rescues
N/A if does not apply
49. Did you adopt from any of these animal rescues
N/A if does not apply
I understand this is an application and I.C.A.R.E. Dog Rescue has the sole discretion, with or without cause, to accept or decline this application. All the information I have provided in this application is true and correct. *
I understand that I.C.A.R.E. Dog Rescue may receive several applications for the dog I am applying for. I understand that in that event, the best home will be selected for the dog. *
I understand that the adoption fee is $250 (1 year and older), $300 (7 - 12 months), or $350 (6 months and younger). THE ADOPTION FEE IS NON-REFUNDABLE AND NON-NEGOTIABLE. *
By checking this box, I agree that by entering my name I am signing this application electronically. *
Electronic Signature
Electronic Signature