Adoption Application

Name(Required)
Address(Required)
Select date MM slash DD slash YYYY
By checking this box, I certify that I'm at least 18 years old(Required)

A few questions about your family

Are there Children in your home?(Required)

Questions about your experience with Pets

Please describe your experience as a dog owner:(Required)
Do you currently have any other pets in your home?(Required)
Are your pets currently up-to-date on vaccinations and vaccinated against rabies?
Are your pets spayed/neutered?
What happened to your last pets? Please select any of the following that apply:
Have you ever surrendered a pet to a shelter or rescue in the past?(Required)

Questions about your Home

Which of the following best describes your living arrangements?(Required)
Where will your new pet be housed?(Required)
About my yard (check all that apply):
About my yard (check all that apply):
If you live in a community with an HOA, are there any breed restrictions in the CC&Rs?
Is there any reason you would get rid of a pet? Please select all that apply:(Required)
Who will take care of your pet if you were to become sick or disabled?(Required)

Terms, Conditions and Warranties

Thank you for adopting one of our fosters! Bug to the Rescue is focused on helping animals that are often overlooked by others. This includes e-listed dogs from our county shelters, and dogs dealing with behavioral issues, and other “less desirable” pets that may need a little extra TLC, time, patience, and understanding in their forever homes.


I have read all of the line items above and agree to comply with all of them.(Required)
Select date MM slash DD slash YYYY