Adoption Application

Application to Adopt one of Charlie's Friends

A Little About You

Name *

First

Last

Email *

Confirm Email

Address *

Address Line 1

Address Line 2

City

State / Province / Region

Postal Code

Country

Primary Phone *

Secondary Phone

About your new dog

Have you already picked out the dog you want? *

Yes!
Not yet

Environment - What the new dog can expect in its new home

Do you live in *

Do you own or rent? *

Own
Rent

Do you have children living at home? *

Do you have any other dogs? *

Have you ever surrendered or given away a dog for any reason?

Will your new dog be home alone part of the day?

Yes, but only for a couple hours, such as when I'm grocery shopping
Yes, while I'm away at work
No, I'm home nearly all the time

How long will your new dog be home alone? *

Please describe what will happen while you are away. Will the dog be in a crate? Locked in a room? Have the run of the house? A friend will let the dog out for potty breaks? Doggy Daycare?

How will your new dog get exercise?

have a fenced yard
will walk with the dog
will take the dog to a dog park
will play fetch with our new dog

Please check all that apply

What other pets, animals or livestock do you have now?

Personal References

Please list two references who do not live with you and are not relatives.

Personal Reference 1 *

Phone *

Email *

Personal Reference 2 *

Phone *

Email *

About your Veterinarian

We need to contact your veterinarian to ask about the animals you have now, if any.

Please authorize your veterinarian to talk with us about your animals.

Name of Veterinarian (If none, please enter "none" *

Almost Done! Please press "Submit"

THANK YOU!

Thank you for completing the form.

After pressing "Submit" to send the form to us you will receive an email confirmation, including a completed copy of the form which you can save or print for your records.

We look forward to matching you with your new Best Friend!

Captcha - This is just to prove you are human, not a robot *

What is the first letter of the alphabet?

Phone

Please read our Adoption Policy and fill out our Adoption Application.

We know that it may seem like a bit much, but please understand that we are trying to ensure that the dog has a loving environment and a happy, healthy future.

Once you submit the form, a copy of the completed form will be emailed to you for your records.

When your application is approved, we ask that you make a deposit of $100.00 to reserve the Rescue Dog you want to adopt. The balance must be paid before taking your new dog home.

After he or she is spayed or neutered, microchiped and current on all vaccinations our Foster Coordinator will arrange to meet with you so you can take your new Best Friend home.

Rescue Charlie’s Friends Dog Rescue is a 501(c)(3) non-profit corporation licensed by the State of Maine
as an Animal Shelter and for the Importation of Dogs and Cats for Adoption.

Rescue Charlie’s Friends Dog Rescue is a 501(c)(3) non-profit corporation licensed by the State of Maine as an Animal Shelter and for the Importation of Dogs and Cats for Adoption.