A Smart Rescue - Non Profit Rescue and Sanctuary

Website developed and maintained by Website to the Rescue

Temporary Application Submission Update

We’re currently experiencing a technical issue with our online application form.

In the meantime, please complete the application, take screenshots of each section, and email them to RFsmart3048@gmail.com so we can review your submission as quickly as possible.

Thank you for your patience and for helping us help these animals! 🐾

Name of dog/puppy desired (include case # if known)

Your Name (First & Last)
Your Age
Your Spouse's or Significant Other's Name (if applicable)
Your Spouse's or Significant Other's Age (if applicable)
Address
City, State, Zip
Your Employer
Your Spouse's or Significant Other's Employer (if applicable)
Email Address
Home Phone
Cell Phone
Work Phone


How many adults live in your household?
How many children live in your household?
Please list the ages of all children in the household (if applicable)
Do you use a babysitter?
If so, have you discussed how the babysitter feels about dogs?

What type of home do you live in?
If other, please explain
Do you own or rent?
If rent/lease, name of landlord/complex
Phone number of landlord/complex
Amount of deposit required by your landlord for pets
Have you paid your pet deposit yet?
Are you planning on moving soon?
If you do move, what would you do with your pets?
What would you do if you need to move to a place that does not allow pets?


What characteristics are you looking for in a dog or puppy?
Why did you decide to adopt a dog?

Do you want a dog for? (check all that apply)	House Pet	Family Pet	Child's Pet	Companion for elderly family member
	Gift	Company for other pet	Guard or Watch Dog
	Other	Explain:
Is the pet for?	Inside Only Outside Only Inside/Outside

Where will the dog be during the day?
Where will the dog stay at night?
Where will the dog stay when you are away from home?
Do you have a doggie door?
Do you have a yard?
Is your yard fenced?
What type of fence?	Other - Explain:
How will you keep this dog confined?	Chain Garage Patio Leash Crate Other - Explain:
Do you have a pool?
Where and how will you exercise the dog?
How will you transport the dog/puppy?
Do you plan to take the dog/puppy to obedience classes?
What kind of training?
How many hours a day will the dog/puppy be alone??
How does everyone in the household feel about owning a dog/puppy?
How long do you think it should take for a dog/puppy to adjust to your home?
Are you familiar with local regulations regarding licensing and leashing of pets?
Are you aware of the penalties/fines if you dog bites someone?
How much do you anticipate spending yearly for food, toys, medical care, grooming and other expenses for this pet?
If the pet becomes seriously ill or injured and needs extensive veterinary care, what would you do?
What would you do if the pet exhibits destructive behavior?
If the dog were lost, what would you do?

What do you consider valid reasons for giving up a dog?	Moving	Lost job	Having a baby	Not good with children
	Unable to house train	Destructive behavior	Biting	Grew too large
	Digging	Fleas	Chewing	Barking
	Other - Explain::

What brand(s) wet/dry of food do you intend to feed your dog/puppy?

Are you familiar with the following canine diseases:	Parasites	Bordetella	Heartworms
	Rabies	Parvovirus	Distemper

If you could no longer care for this pet, what would you do?
Do you have a regular veterinarian?
If yes, Name of vet clinic
Phone number of vet clinic
Please check to authorize permission to request information from your veterinarian	Yes No

Pets Currently Owned
Do you currently have any pet?
Pet #1
Name
Breed/Description
Spayed/Neutered?
Male or Female?
Age
Where is this pet kept?
Date of last vet visit
Pet #2
Name
Breed/Description
Spayed/Neutered?
Male or Female?
Age
Where is this pet kept?
Date of last vet visit
Pet #3
Name
Breed/Description
Spayed/Neutered?
Male or Female?
Age
Where is this pet kept?
Date of last vet visit
Pet #4
Name
Breed/Description
Spayed/Neutered?
Male or Female?
Age
Where is this pet kept?
Date of last vet visit
Pet #5
Name
Breed/Description
Spayed/Neutered?
Male or Female?
Age
Where is this pet kept?
Date of last vet visit

Pets Previously Owned
Have you had previous pets?
Previous Pet #1
Name
Breed/Description
Spayed/Neutered?
Male or Female?
Age when last with you
Where was this pet kept?
Date of last vet visit
What happened to this pet?
Previous Pet #2
Name
Breed/Description
Spayed/Neutered?
Male or Female?
Age when last with you
Where was this pet kept?
Date of last vet visit
What happened to this pet?
Previous Pet #3
Name
Breed/Description
Spayed/Neutered?
Male or Female?
Age when last with you
Where was this pet kept?
Date of last vet visit
What happened to this pet?
Previous Pet #4
Name
Breed/Description
Spayed/Neutered?
Male or Female?
Age when last with you
Where was this pet kept?
Date of last vet visit
What happened to this pet?
Previous Pet #5
Name
Breed/Description
Spayed/Neutered?
Male or Female?
Age when last with you
Where was this pet kept?
Date of last vet visit
What happened to this pet?

I certify that the above information is true and understand that any false information may result in denial of this application This application is the property of SMART. SMART reserves the right to decline any adoption. (Check box if agreed)

Please answer this question:

What type of animal do you see in the picture below?

Please be sure you have answered all questions prior to hitting the Submit Button.

DOG & PUPPY ADOPTION APPLICATION

SMART is pleased that you have decided to apply for adoption of a dog or puppy from us. Every animal adopted from SMART has been spayed or

neutered, as required by Texas State Law.

SMART Policies:

To be considered for adoption, you must meet the following requirements:

• Be at least 23 years of age

• Have photo identification showing your present address

• Have the knowledge and consent of all adults living in the household

• Be able and willing to spend the time and money necessary to provide the training, medical treatment, and proper care of the pet

• Have the funds to pay the adoption fee (cash or check only)

• No dogs or puppies will be adopted to families with young children unless we meet the child/ children to see how they interact with the pet

• SMART representatives will call periodically about the health and well being of the dog or puppy

• No large dogs (or puppies that will be) are adopted to live in apartments.

ALL FIELDS ARE REQUIRED. IF THE QUESTION IS NOT APPLICABLE, PLEASE ENTER N/A OR NOT APPLICABLE.