APPLICATION TO ADOPT A RESCUE DOG FROM RHODESIAN RIDGEBACK RESCUE, INC. IMPORTANT!!! Before submitting your application, PLEASE REVIEW our ADOPT A RIDGEBACK and APPLICATION PRE-READING pages for important information. COMPLETE THE FORM BELOW AND SUBMIT IT ONLINE TO RIDGEBACK RESCUE. Please submit only one adoption application to Ridgeback Rescue. 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. If you have any questions, please contact your region's Rescue Coordinator. NOTE: Incomplete applications will not be considered.

As an alternative to this online application, you may download it in either Adobe PDF -or- Plain Text format and mail your completed application to us.

Back to || Home || Adopt a Ridgeback || Application Pre-Reading || Rescue Coordinators ||

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*REQUIRED*: SELECT YOUR HOME STATE/PROVINCE Please select the US State or Canadian Province, or region of the State/Province, where you live from this pull-down menu. FAILURE TO DO SO will result in our system rejecting your application. PLEASE NOTE: Rhodesian Ridgeback Rescue, Inc operates within the United States and Canada, only, and it is its practice not to place dogs outside those 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. *REQUIRED*: (SELECT STATE/PROVINCE) Alabama Alaska Alberta Arizona Arkansas British Columbia California (Northern Area) California (Kern Mojave Bakersfield) California (Greater Los Angeles) California (Orange County) California (Riverside San Bernadino) California (San Diego) Colorado Connecticut Delaware District of Columbia Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Manitoba Maryland Massachusetts (Cape Cod) Massachusetts (Excluding Cape Cod) Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Brunswick New Hampshire New Jersey New Mexico New York (Eastern/Downstate) New York (Western/Central) Newfoundland and Labrador North Carolina North Dakota Northwest Territories Nova Scotia Nunavut Ohio Oklahoma Ontario, Canada Oregon Pennsylvania Prince Edward Island Québec Rhode Island Saskatchewan South Carolina South Dakota Tennessee-Eastern Tennessee-Central Tennessee-Western Texas-Austin Area Texas-Northeast Area Texas-All Areas Utah Vermont Virginia Washington State West Virginia Wisconsin Wyoming Yukon Other

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ABOUT YOU

Names of all adults in household:

APPLICANT:

First Name      Last Name

CO-APPLICANT:

First Name      Last Name

Address Line 1:
Address Line 2:
City:
State/Province:		(SELECT STATE/PROVINCE) Alabama Alaska Alberta Arizona Arkansas British Columbia California Colorado Connecticut Delaware District of Columbia Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Manitoba Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Brunswick New Hampshire New Jersey New Mexico New York Newfoundland and Labrador North Carolina North Dakota Northwest Territories Nova Scotia Nunavut Ohio Oklahoma Ontario, Canada Oregon Pennsylvania Prince Edward Island Québec Rhode Island Saskatchewan South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington State West Virginia Wisconsin Wyoming Yukon
ZIP/Postal Code:
Country:		USA     Canada     Other Country
Email Address:
Home Phone:
Work Phone:		For Whom?
FAX:
Best Time to Call:		Where? Home Work

Number of persons in your household:

Adults:    Women     Men
Children:    Girls Ages        Boys Ages

How did you learn about:

Ridgeback Rescue?
Our web site?

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ABOUT YOUR HOME

Type of Dwelling (Not Selected) Apartment/Condominium Detached Home Duplex/Triplex Farm Townhouse/Rowhouse Other

If Other, what type?

Do you Own     or     Rent     your home?

If you rent, do you have your landlord's permission to keep a dog?     Yes    No
(We will require a letter from your landlord evidencing this permission.)

Do you have a yard?     Yes    No

If yes,
How large is your yard?
Is your yard fenced?     Yes No    If yes, how high is the fence?

Do you have a dog kennel run?     Yes     No

If yes, how large is it?

Where will the dog sleep?

Do you plan to use a dog crate?     Yes     No

Please explain why or why not?

Are there currently animals in your home?     Yes     No

If yes,

Animal 1
Type (dog, cat, bird, etc)
Breed
Age
Gender:     Male     Female
Neutered/Spayed?     Yes     No

Animal 2
Type (dog, cat, bird, etc)
Breed
Age
Gender:     Male     Female
Neutered/Spayed?     Yes     No

Animal 3
Type (dog, cat, bird, etc)
Breed
Age
Gender:     Male     Female
Neutered/Spayed?     Yes     No

Animal 4
Type (dog, cat, bird, etc)
Breed
Age
Gender:     Male     Female
Neutered/Spayed?     Yes     No

Animal 5
Type (dog, cat, bird, etc)
Breed
Age
Gender:     Male     Female
Neutered/Spayed?     Yes     No

Animal 6
Type (dog, cat, bird, etc)
Breed
Age
Gender:     Male     Female
Neutered/Spayed?     Yes     No

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PET OWNERSHIP QUESTIONS

How many dogs have you owned in the past five years? If you no longer have the dog(s), what happened to it (them)? (Please be specific.)


What makes you a good pet owner? (Include how you would handle any behavioural problems, eg chewing, biting, barking)


How did you learn about Rhodesian Ridgebacks? Have you ever owned a Ridgeback before? Please tell us about your experience with the breed and with any specific dogs.


Why do you want a Rhodesian Ridgeback versus another breed or type of pet?


How will a Rhodesian Ridgeback fit in with your hobbies, activities, and lifestyle? [eg, will your dog be left alone for extended periods of time (ie, more than six to eight hours a day?); how will your dog be cared for while you are on vacation?; etc]


How do you plan to ensure that your dog receives safe and adequate exercise?


Why do you want to rescue a Rhodesian Ridgeback rather than acquire a puppy?


Is there anything else you would like to tell us about your family and its suitability to adopt a rescued Rhodesian Ridgeback?

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RESCUE DOG PREFERENCES

Please indicate here any preferences you have for adopting a rescued Rhodesian Ridgeback:

If there is a specific dog that you are interested in adopting,
what is its name and ID number?

I would prefer a:     Male     Female     Either    gender rescue dog.

Would you be willing to adopt a "Ridgeless" Ridgeback?     Yes     No

Would you be willing to adopt a dog with health problems (non-infectious)?     Yes     No
If yes, to what extent would you be willing to help a sick dog?


Are there any other traits you would prefer?

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REFERENCES

Please provide the names and contact information for at least three 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 in the last five years owned a pet, please include your veterinarian as one of the references. PLEASE DO NOT LIST MORE THAN ONE FAMILY MEMBER OR OTHER RELATION AS A REFERENCE.

Reference 1 (Veterinarian if have one)

Relationship to you:
Name:
Address:
Address:
City:
State/Province:
ZIP/Postal Code:
Country:		USA     Canada     Other Country
Home Phone:
Work Phone:
Best time to call:

Reference 2

Relationship to you:
Name:
Address:
Address:
City:
State/Province:
ZIP/Postal Code:
Country:		USA     Canada     Other Country
Home Phone:
Work Phone:
Best time to call:

Reference 3

Relationship to you:
Name:
Address:
Address:
City:
State/Province:
ZIP/Postal Code:
Country:		USA     Canada     Other Country
Home Phone:
Work Phone:
Best time to call:

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OTHER COMMENTS

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WEB SITE FEEDBACK

Please take a moment to let Ridgeback Rescue know what you think of our web site, and offer any suggestions for additions or improvements:

Was our site helpful? (Not Selected) Very Helpful Somewhat Helpful Not Helpful

What can Ridgeback Rescue do to improve our site and other comments:

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INDEMNIFICATION AGREEMENT
I (We), the above-named Applicant(s), 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.

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Thank you for your interest in adopting a Rhodesian Ridgeback. As dogs become available, Ridgeback Rescue representatives contact people who have submitted an adoption application. Ridgeback Rescue requires all adopters to pay an adoption fee in an amount to be determined by the Rescue Coordinators. If you have any questions, please contact your area's Rescue Coordinator.

NOTE: After you "Submit Your Application" using the button below, a new web page will be displayed with a confirmation that your application was emailed to Ridgeback Rescue. A copy of this application will also be sent to the email address you provided above. Both will include all the information you submitted. PLEASE BE SURE to print a copy of that page for your records. The Internet is not a perfect place and, although unlikely, your application might not make it to its destination. If this happens, you will have a copy of all your hard work that can be FAXed or "snail" mailed to Ridgeback Rescue. Thank you.

PRESS THE SUBMIT BUTTON ONLY ONCE.
It may take the system several seconds to respond.

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Back to || Home || Adopt a Ridgeback || Application Pre-Reading || Rescue Coordinators ||
ADOPTION APPLICATION
Rhodesian Ridgeback Rescue, Inc.
Webmaster: webmaster@ridgebackrescue.org
Your comments and suggestions are appreciated

The URL for this presentation is http://www.ridgebackrescue.org/
Copyright © 1998 to 2008 by Rhodesian Ridgeback Rescue, Inc., (a Virginia, USA, corporation)
All rights reserved

This page was created on 26 Sep 98 and last modified on 8 Apr 08

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