Adoption Application

Application to Adopt a Rescued Rhodesian Ridgeback

The Rescue Dog You Would Like to AdoptGoose ID5302
Name: Goose
ID: 5302
Sex: Male
Age: 9 yrs
Location: Virginia, USA

Instructions

  • Required questions are marked with *
    Your application will not be accepted if you do not answer all required questions.
  • Provide references
    You will need the names, postal addresses, telephone numbers, and email addresses of three (3) references - a veterinarian, a non-family member, and one other person. Your application will not be considered without references.
  • Answer all questions
    Respond thoroughly and honestly, and to the best of your ability.
  • Submit only one adoption application
    The Rescue Coordinator in your area will be responsible for evaluating and qualifying your application, even if you are interested in a rescue dog located in another region.

Rescue in the USA and Canada

Rhodesian Ridgeback Rescue, Inc., (Ridgeback Rescue) operates within the United States and Canada, only. It is Ridgeback Rescue's practice not to place dogs outside these countries. Therefore, applications will not be accepted from persons residing outside the United States or Canada. Thank you for your interest in helping rescue Rhodesian Ridgebacks in need.

If you have any questions, please contact your region's Rescue Coordinator.

A. Tell Us About Yourself
1)
Are you 18 years of age or older?
Choose one
Yes
No
1a)
First Name
Middle Name
Last Name
1b)
Gender
Choose one
Female
Male
Other
1c)
Birth Date
Enter in the format "mm/dd/yyyy". For example: 01/31/1996
B. Tell Us About Your Co-applicant
2)
Do you have a co-applicant?
Choose one
Yes
No
C. Tell Us About All the People in Your Home
3)
Number of Adult Females
Include all persons 18 years or older
4)
Number of Adult Males
Include all persons 18 years or older
5)
Number of Female Children
Include all persons under 18 years
6)
Number of Male Children
Include all persons under 18 years
D. Your Contact Information
7)
Country
First, choose the country where you live
USA
Canada
8)
Street Address
9)
Other Address Line
10)
City
State
First, choose the country where you live
11)
ZIP Code
12)
Primary Email Address
13)
Alternate Email Address
14)
Primary Telephone Number
Be sure to include the Area Code
15)
Alternate Telephone Number
Be sure to include the Area Code
16)
Best Time to Call
E. About Your Home
17)
What type of home do you have?
Choose from list. If your type of home is not in the list, type it into this box.
18)
Do you own or rent your home?
Choose one
Own
Rent
19)
Do you have a yard?
Choose one
Yes
No
20)
Do you have an outside dog kennel or run?
Choose one
Yes
No
F. Your Current Pet Ownership
21)
Do you currently have any types of pets?
Yes
No
G. Pet Experience and Plans for a Rescued Ridgeback
22)
How many dogs have you owned in the past five (5) years?
Choose one
0
1
2
3
4
5
More than 5
23)
What makes you a good pet owner? Discuss how you would handle any behavioural problems, such as chewing, biting, and excessive barking.
Maximum 1,000 characters allowed (approximately 150 words)
1,000 characters left of 1,000
24)
Will you use a dog crate?
Choose one
Yes
No
24a)
Please explain why you will or will not use a dog crate.
Maximum 1,000 characters allowed (approximately 150 words)
1,000 characters left of 1,000
25)
Where will your dog sleep?
26)
Have you ever owned a Rhodesian Ridgeback before?
Choose one
Yes
No
27)
How did you learn about the Rhodesian Ridgeback breed?
Check all that apply
Animal shelter
Another rescue group
Currently have or had a Ridgeback
Dog show
Family member or friend have a Ridgeback
Ridgeback breeder
Ridgeback owner
Web search
Other
28)
Please tell us about your experience with the Rhodesian Ridgeback breed and with any specific dogs.
Maximum 1,000 characters allowed (approximately 150 words)
1,000 characters left of 1,000
29)
Why do you want a Rhodesian Ridgeback versus another breed or type of pet?
Maximum 1,000 characters allowed (approximately 150 words)
1,000 characters left of 1,000
30)
How will a Rhodesian Ridgeback fit in with your hobbies, activities, and lifestyle?
Maximum 1,000 characters allowed (approximately 150 words)
1,000 characters left of 1,000
31)
Will your dog be left alone for long periods of time during the day, i.e., more than six to eight hours a day?
Choose one
Yes
No
32)
How will your dog be cared for while you are on vacation or otherwise away from home for an extended period of time?
Maximum 1,000 characters allowed (approximately 150 words)
1,000 characters left of 1,000
33)
How do you plan to ensure that your dog receives safe and adequate exercise?
Maximum 1,000 characters allowed (approximately 150 words)
1,000 characters left of 1,000
34)
Why do you want to rescue a Rhodesian Ridgeback rather than acquire a puppy?
Maximum 1,000 characters allowed (approximately 150 words)
1,000 characters left of 1,000
35)
Is there anything else you would like to tell us about your family and its suitability to adopt a rescued Rhodesian Ridgeback?
Maximum 1,000 characters allowed (approximately 150 words)
1,000 characters left of 1,000
H. Your Preferences for a Rescue Dog
36)
Preferred Dog ID
37)
Preferred Dog Name
38)
Preferred Dog Gender
Choose one
No preference
Female
Male
39)
Are you willing to adopt a "ridgeless" Rhodesian Ridgeback?
Choose one
Yes
No
40)
Are you willing to adopt a dog with manageable health issues?
Choose one
Yes
No
I. References

Please provide the names and contact information for references who can speak to your fitness as a pet owner in general and, more specifically, as the owner of a medium-to-large-sized dog. If you currently own or have owned a pet in the last five years, please include your veterinarian as one of the references. Please do not include more than one family member or other relations as a reference.

41)
Do you have a veterinarian?
Choose one
Yes
No
42)
Reference: Non-Family Member (e.g., neighbour, friend, colleague, etc.)
Name
Country USA
Canada
Street Address
City
State
First, you must choose a country.
ZIP Code
Best Telephone
Be sure to include the Area Code
Email Address
Preferred Method of Contact Telephone
Email
43)
Reference: Other Person
Name
Country USA
Canada
Street Address
City
State
First, you must choose a country.
ZIP Code
Best Telephone
Be sure to include the Area Code
Email Address
Preferred Method of Contact Telephone
Email
J. Your Experience With Our Website
44)
How did you learn about Ridgeback Rescue?
Choose all that apply
Animal shelter
Another rescue group
Dog show
Email from Ridgeback Rescue
Family member or friend
Rhodesian Ridgeback breeder
Rhodesian Ridgeback owner
Web search
Word of mouth
Other
45)
How helpful was this website?
Choose one
0 - Not helpful at all
1 - A little helpful
2 - Somewhat helpful
3 - Mostly helpful
4 - Very helpful
5 - Extremely helpful
46)
Do you have suggestions for improving this website?
Maximum 500 characters allowed (approximately 75 words)
500 characters left of 500
K. Indemnification
47)
Indemnification Agreement
Check the box and enter your name(s) below to indicate your agreement.
I (We), the above-named Applicant (and Co-applicant), hereby agree to release, indemnify, and covenant to hold harmless, Rhodesian Ridgeback Rescue, Inc., its officers, directors, and volunteers, and their successors and assigns, from any claims, damages, injuries, costs, or actions incurred as a result of adopting any dog from Rhodesian Ridgeback Rescue, Inc.
48)
Applicant Signature
Type your full name
L. Review and Submit Your Application

Final Review of Application

Before you submit your application, please be sure to review all sections. Make sure you have answered all the questions and required fields, and that you are satisfied with your responses. If there are any errors or required fields left blank in your application, your application will not submit, and you will be prompted to complete the missing items before your application can be submitted.

Once you submit your completed application, you will no longer be able to make changes to any section of the application.

Submit Your Application

If you are ready to submit your application, press the "Submit Your Application" button below. If you do not press the submit button, your application materials will not be recieved by Ridgeback Rescue.

If you have left any required questions unanswered, you will receive an error message after you attempt to submit your application that lists all of the missing items and your application will not be accepted. You may then return to your application, enter any missing information, and then attempt to re-submit your application.

Questions?

If you have any questions, please contact your region's Rescue Coordinator.

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