Nuts for Mutts Rescue, Inc....until the last one goes home.

Applications

Adoption Application

Download, print-out, fill-out, and mail in our standard adoption application (Microsoft Word format). Or fill out our online application below.

Before completing an Adoption Application, please read our Adoption Policies.

Adoption Application
Date
How did you hear of us?
Full name
Address
Please Note: We do not adopt dogs outside of the local, Rochester, NY area.
Email address
Phone number(s)
Age
Name and phone number of veterinarian
Address of veterinarian
Personal reference (non-relative) name
Relationship
Phone number
 
Tell us about the dog you hope to adopt
Specific dog you are interested in
Breeds of dog you are interested in
Preferred age
Gender
Why do you want to adopt a dog?
How many hours a day will the dog be alone?
Where will the dog be kept when alone?
What kind of food will you feed your dog? (Talk to us about Flint River Ranch.)
If not already housebroken, how will you housebreak your dog?
Do you have a fenced yard?
 
Tell us about your household
Do you currently have other pets?
If so, please list name, species, age, sex, and breed
Are your pets up to date on heartworm prevention and vaccinations? (If not, please explain why.)
Are your current pets spayed/neutered? (If not, please explain why.)
Have you owned animals in the past not listed above? (If yes, please explain what became of them.)
List the names and ages of all other household members
Do you own or rent your home?
If renting, please provide landlord name and contact information. (This is required information for all renters.)
Comments and other information you would like to share

I hereby certify that all statements made herein make full disclosure and are true. There has been no event or information not disclosed in writing which could reasonably be expected to have an adverse effect on the health, comfort, safety or well-being of a dog. I am aware that my application must be approved before any adoption can take place. Such approval will include, at a minimum: Contacting my personal and veterinary references, contacting my landlord (if applicable), and a home visit by a Nuts for Mutts Rescue volunteer.
 
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