Today’s Date: ________________________ Animal ID#/Name _____________________

VOLUNTEER USE ONLY

Dog Adoption ID Verified ____________
Proof Shown: Own _____ Rent _____
Questionnaire Database Checked _____________
Time Spent with Dog ___________
Everyone Here ________________

Sunrise Rescue consists of a group of volunteers that are committed to find the Foster NOTES:
perfect home for animals we have in our care. Owning a pet is a lifetime
commitment that requires responsible owners who will ensure pet has its best
life. We do our best to ensure that each person who adopts from us is aware of
the responsibility they are agreeing to take on. The adoption process takes time
and requires adopting parents be open and willing to give any information
necessary including having a home visit to make final decisions when applying to
adopt with us. Your application will be review closely, please answer all questions
and be prepared to provide supporting materials. We thank you for adopting
with us and look forward to pair you with your forever fur baby. WE require all
adopters be 18 years or older to adopt an animal.

Maltese 1 Pup
Name: _____________________________________

Address: ___________________________________

City: ______________ State: _____ Zip: _________

Phone #1: _______________ Phone #2: ___________

E-mail address: ______________________________

1. By applying you are giving permission to have your name and information checked to confirm that you
do not have any history of animal abuse, neglect, or irresponsible pet ownership? Yes____ No____
2. Are you 18 years or older (required)? No ____ Yes ___ (please be prepared to show valid ID)
3. Why do you want a dog? _______________________________________________________________
4. Why did you select this particular dog?____________________________________________________
5. How many people live in the home? _____ Adults_____ Children_____

People living in your household:

Name Contact Number Relationship Age

 6. Are there children who visit the home regularly? Yes ____ No ____ Ages _____________
7. How many other animals do you currently have? Dogs_____ Cats _____ Other _____________

LIST BELOW ALL PETS CURRENTLY LIVING IN YOUR HOUSEHOLD

Species/Breed? How long Age? Sex? Spayed / Where does it stay Kept indoors
have you Neutered? while Family is on or outdoors?
owned? vacation?

8. Have you had dogs in the past? Yes _______ How many? _______ or No _______

LIST BELOW PETS THAT YOU HAVE PREVIOUSLY OWNED

Species/Breed? How long Age? Sex? Spayed / What happened to Kept indoors
did you Neutered? him/her? or outdoors?
own?

9. VETERINARY/CLINIC NAME AND PHONE NUMBER:

10. Where will the new dog stay during the day Describe:________________________________________
11. Where will the new dog stay at night? Describe:_____________________________________________
12. On average, how long will new dog be alone each day?_______________________________________
13. Where will this dog be kept when it is alone?_______________________________________________
14. Do you have a yard? Yes _____ No _____ How high is the fence around yard? ______ Locked? _____
15. How will you exercise your dog?_________________________________________________________
16. Do you understand that your new dog may show unexpected and unwanted behaviors, such as
destructive chewing, loud/excessive barking, dog aggression, separation anxiety and even signs of
human aggression, when he/she becomes comfortable in your home? Yes ____ No ____
17. How will you handle behavior problems when they appear?____________________________________
18. If you will use a dog trainer or attend dog training classes, list their information here:
____________________________________________________________________________________

18. This dog may not be housebroken. How will you housetrain the dog?____________________________
19. What is the name of the veterinarian to whom you will take your dog? ___________________________
20. What would you do with the dog if something happened and you could no longer keep the dog?
 __________________________________________________________________________________

21. How did you hear about Maltese 1 Pup? __________________________________________

22. Under what circumstance would you not keep your pet?
___ Divorce ___ Illness in family ___ Moving ___ New Baby ___ New Job ___ Housebreaking
problems___ Destructive behavior___ Biting/Scratching ___ Fleas ___ Allergies ___Shedding
___Conflicts with children ___ Conflicts with other pets ___ Animal becomes ill ___ High veterinary
costs ___ None of the above___ Other (please explain)________________________________________

PERSONAL REFERENCES:

Name Relationship to Adopter Contact information

Initial
As a chosen adopter/ new fur baby parent: (Please read and initial each item) Here
You are assuming responsibility for all care related to Maltese 1 Pup.
You agree to make every and all necessary Veterinary appointment on a timely basis.
You agree to assume responsibility to get any and all required treatments, vaccine as recommended
by his licensed veterinary.
You agree that you will ensure that Maltese 1 Pup is well maintained and in good health condition.
You agree to pay any and all Veterinary fees accrued by foster parents.
You agree to pay any adoption fees if any are required. Fees as of 2/17/2023 are $275. plus neuter
fees. These fees are subject to change until adoption is finalized. Neutering fees shall be paid to
veterinary directly
You agree neutering will be done no later than six months after adoption date.
You agree to pay a $1,700. penalty fee to foster parent if Maltese 1 Pup has any liter before
neutering. The $1,700 will be charged for each liter the unaltered Maltese 1 Pup is responsible for.
You agree and release the foster parent from any and all liability and responsibility for any and
all medical treatments or ailments minor or major Maltese 1 Pup should be diagnosed with or
have.
You agree to contact foster parent immediately and before making any final decision of
rehoming or getting rid of Maltese 1 Pup if for any reason you decide to rid of or cannot care for
him.
You agree that any rehoming will be done by the foster parent only and agree to pay a penalty
fee if you can no longer care for Maltese 1 Pup.
You agree to contact the foster immediately if Maltese 1 Pup goes missing and agree to pay a
penalty fee if you fail to do so.
You agree to ensure that Maltese 1 Pup is well protected and does not get in a situation where
he is able breed.
You agree to take Maltese 1 Pup to the Veterinary immediately after adoption for updates on
any vaccines or treatments needed and agree to assume all billing responsibility.
I agree to register Maltese 1 Pup's microchip with the microchip company and notify the foster
parent and that company within a week of my address/phone number changes.
You agree to make your home available for a home visit and that all family members who live in
the household will be available during visit.

I certify that all the above information is true and accurate. I understand that giving any false
information or refusing to provide supporting materials can result in denial of application. I understand
Sunrise Rescue/foster parent/its volunteers reserves the right to deny the adoption of any animal. I
acknowledge that information regarding the history, health, and behavior of adopted animals may not
always be available or accurate.

Applicant Signature __________________________________________________ Date __________________

If selected as an adopter:

STATEMENT OF ADOPTER (NO WARRANTY)

I (we) hereby acknowledge receipt of the animal known as Maltese 1 Pup patient # . I (we) understand that
the foster parent/Sunrise Rescue makes NO WARRANTY in regard to the animal’s ownership, condition, disposition,
past behavior and health and the foster parent/Sunrise Rescue can only give the information provided with adoption. I
(we) agree that the foster parent/Sunrise Rescue and/or its volunteers shall not be liable, answerable or accountable in any
manner for the injury to any person or damage to property or loss of use thereof caused by said persons/foster
parent/Sunrise Rescue and volunteers from any suits, claims or actions brought by any person or persons for or on account
of any bodily injuries, disease, illness or damage caused by said animal.

Adopter Signature ____________________________________________________________ Date _________________