R&B Animal/Smiling Dog Rescues

Adoption Application

Please feel free to fill out the adoption form on any animal you see to help start the process. If you have any questions, please feel free to ask.

Full Name: *

Address

Street Address

Address continued

City

State

Zip

Phone #:

( )

Cell Phone #:

( )

Type of Animal being adopted *

Animal Breed *

Animal's name *

Description and age *

Neutered yesno

Spayed yesno

Microchip number (to be input later)

I understand that the animal is scheduled to be fixed, if not already and the dog will not miss its appointment *

If I prevent the dog from getting fixed, I know the animal will be confiscated. (There is a possibility of getting it back *

I will return the animal if it is not working out. No refund will be issued. Also, I will contact the rescue group before the animal is due to be euthanized for any reason. The rescue group retains the right to take possession of the animal if they disagree with the reason and/or decision. Only exclusions will be due to irreversible illness. *

I will not sell or give away the animal. *

I understand the animal is a rescued animal and will still need to be worked with ie.. potty training, chewing, etc... *

I understand and agree that Smiling Dog/R&B Animal Rescues makes no guarantees about the animal's temperament and is not responsible for future damages or injuries caused by the animal. *

Signature *

Date:

Need assistance with this form?