Adoption Application

Adoption Application

 

Thank you for your interest in adopting a new pet. The following information is required so that we can assist in the selection of your new family member. This form and consultation with an Eloise Rescue representative, is designed to help us best serve both the needs of our animals and our adoptors.  

There is a 350.00 Adoption fee

This fee helps Eloise Rescue cover costs associated with spay/neuter of your pet, current shots, micro chipping and temporary medical boarding of this rescue animal. A home check will be required as well as a binding contract to adopt the a dog from Eloise Rescue.  No profits are made on any of our adoptions. Adoptions will only be considered to Los Angeles county residents and surrounding areas. We do not do out of state adoptions. 

 

What type of home do you reside in? *
 
Do You Own Or Rent? *
 
With whom do you share your household? *
 
Are you planning on having children in the future? *
Do you have grandchildren that visit? *
 
What is your level of experience with dogs? *
Do you currently have any pets, please include age, Breed, and type Ie... dog or cat extra ? *
 
Have you ever walked a dog off leash? *
 
Have you ever given up a dog? *
 
Have you ever allowed an animal to breed/have babies? *
 
Have you ever had a pet euthanized or given up a pet please explain ? *
 
Does anyone in your household have allergies to animals? *
Are you planning on moving or traveling in the next 12 months? *
 
What's the main reason you'd like to adopt a dog (please check all that apply): *
Will all household members be able to come and meet the dog at a scheduled adoption appointment? *
 
Do you have a yard? *
Do you have an electric driveway gate? *
 
Do you have a doggy door? *
 
Do you have a pool? *
 
Do you have a Gardener, Housekeeper, Poolman (etc)? *
Do you have any poisons (rodents, snail bait, plant food) where the animal will be kept? *
Is someone home during the day? *
 
Will the dog be allowed on the furniture? *
What activity level are you looking for in a dog: *
Will you be able to exercise your dog on a regular basis? *
 
Will your dog wear a collar and identification tag? *
 
If your new dog gets out, which of the following would you do? Check all that apply: *
 
What discipline would you use if your dog chewed your favorite shoes? *
 
Would you consider getting pet insurance for this animal? *
 
What might cause you to give up your dog? Check all that apply: *
A dog can live to be 15 to 20 years old. Are you able to make this long-term commitment? *
 
Have you ever tried to adopt an animal from another rescue group? *
I understand that a home visit is required and that a home visit does not guarantee placement: *
I understand that submitting an application does not mean I am approved to a adopt a dog from Eloise Rescue. Eloise Rescue has the right to refuse adoption to any applicant for any reason and is not obligated to provide a reason or explanation for refusing adoption to an applicant: *