Please fill out the following information:

  • Applicant's Personal Information:

  • Spouse/Significant Other's Personal Information:

  • Home Information:

  • Pet Experience:

  • Completion of this application in no way guarantees the right to adopt a rescue animal from this organization. This application serves the purpose of gaining information about prospective adoptive families for our rescue animals. Adoption donations are established by the organization to recover some of the costs of the rescue of the animals and this fee is NON-NEGOTIABLE. Upon receipt of your application you will receive an email to organize an appointment time for you to come meet our rescue pets. Please allow 2-3 business days for a response to your application. We are a non-discriminatory organization and do not eliminate adopters based on medical conditions, finances, marital status, or living arrangements.
  • Application Agreement:

  • The adoption donation is used to partially recover the costs involved in rescuing this animal. These costs include but are not limited to shelter fees, spay/neuter, food, housing, vaccinations, de-worming, microchip, and any vet exams or medical care that the animal may have required. We would not have been able to save the life of the animal you are adopting without the adoption donation from another that came before him/her. ** Please note we abide by all AZ STATE LAWS and will not discriminate against anyone who does the same ** I have read the above carefully and have filled out this application honestly. I understand that an omission and/or failure to answer all questions can result in the application being declined. If an omission or untruth is discovered after an adoption takes place, I understand that this organization has the right to annul the adoption and reclaim the dog.
  • By checking each radio button, you are agreeing to the terms and conditions of each line item.