Are you at least 18 years of age?
Choose all that apply:
How many adults in the home? Please list their names and relationship to you.*
How many children (under 18)? *
Please list ages of children:
Are you expecting a child or planning a family in the near future?
Choose all that apply:
Does anyone in your household smoke inside the home?*
If yes, how will keep the animal safe from second hand smoke?
Do you own or rent your home?
How long have you lived at this address?*
Type of Dwelling
If you rent please give name, address, phone number, and email address of landlord:
If you rent does it state in your lease that dogs/cats are allowed?
If you rent or own a condo/townhome please give name, address, phone number and email address of homeowners association president/representative:
If you rent or own a condo/townhome does your landlord/homeowner association allow dogs?
Are there any weight or breed restrictions?
If so, what are the restrictions?
Does your homeowners or renters insurance company/policy have a breed ban?
If so, which breeds are included?
How close is the nearest highway/busy street to your home?*
How many consecutive hours PER DAY are you away from home for work, school, etc.? *
Have you ever adopted an animal from Redemption Road Rescue before?
Why are you looking for a new companion animal?
If you are interested in a particular animal, please specify who:
Choose an animal:
*KITTEN FOSTERS NEEDED*
Avatar *Help! I need a foster home!*
Bailey *Help! I need a foster home!*
Belle *Adoption Pending*
Ben *Great with kids!*
Biscotti *Adoption Pending*
Bo *Foster Home Needed*
Elvis (the puppy)
Elvis *Special Needs* *Foster Home Needed*
Forest *Help! I need a foster home!*
Herman *Help! I need a foster home!*
Leo *Great family dog!*
Maddie *Help! I need a foster home!*
Rina (FKA Molly)
Sky *Help! I need a foster home!*
Willy *Help! I need a foster home!*
Why do you feel this animal would be a good addition to your family? What made you choose this animal?
If you don’t have a specific animal in mind, what characteristics are you looking for in an animal?
Do you agree to return the animal to Redemption Road Rescue, should you no longer be able to keep the animal (meaning you will not re-home the animal yourself or bring to another shelter)?
Does anyone in your household have allergies?
If yes, what type of allergies?
Do you have a fenced yard?
If so, does the fencing completely enclose the yard?
If you do not have a fenced in yard, how do you plan to keep your new dog safe?
How will the dog get its daily exercise?*
Where will the dog sleep?*
Where will the dog be kept when no one is home?*
How will you plan on training the dog? Please elaborate:*
Do you plan to use a crate?
What will happen to the dog if you have to move out of current dwelling? *
Have you ever moved from one residence to another without taking your pet? Please explain the situation:*
What will you do if this dog grows to be larger than you expect? *
Are you aware of the animal leash and license laws in your city?
Animal limit? *
Please tell us about your current dog(s), if any. List the following information for each dog you currently own: Name, breed, sex, age, whether or not the dog is spayed/neutered, and whether the dog lives indoors or outdoors.*
Please tell us about your current cat(s), if any. List the following information for each cat you currently own: Name, breed, sex, age, whether or not the dog is spayed/neutered, and whether the cat lives indoors or outdoors.
Please list any pets you have previously owned, along with the following information: Breed/species, how long the pet was owned, was it kept indoors or outdoors, was it spayed/neutered, and where the pet is now (if deceased, please list cause of death).*
Have you ever had to give a pet up? If so, please tell us why?*
Under what conditions would you not keep your new pet?*
What is your definition of disciplining your dog?*
What is the name and location of the vet you are seeing/will be seeing?*
Will you be using a Heartworm Preventative?
We love all the animals that enter Redemption Road Rescue and become attached to our rescued animals. Do you agree to allow follow-up contacts or scheduled visits to see how everything is going?
It is very common for animals to have accidents in their new home as they get acclimated to their new environment and schedule. Do you understand it may take your pet anywhere between 2 weeks to 6 months to adjust to its new surroundings and for its true personality to emerge?
Please list two non family references and their phone or email. These should be personal references, so please do not put your vet's office here. That should be placed in the vet info question above.
Personal reference #1*
Phone number and/or email:
How long have you know reference #1?
Non family Reference 2*
Phone number or email:
How long have you know reference #2?
I, the undersigned, attest that, to the best of my knowledge, the above information is accurate and complete at the time of signing. I understand that falsely provided information can mean that my application will be terminated and repossession of the animal may occur. (Please sign and date – if you are completing this electronically type the following after your name: “e-signature”).*
Minneapolis/St Paul and surrounding suburbs