Interested in Adopting?

AZ Cocker Rescue's goal is to help facilitate a great adoption match for you and our dogs. The first step is completing an application! Please fill out the form below to submit your application. Alternatively, download the form and send it via email to azcockerrescue@aol.com.

Each question is important and necessary to answer in order for us to accept your application. Please ensure you have answered all the questions below.

AZ COCKER RESCUE ADOPTION APPLICATION










ABOUT THE DOG:





ABOUT YOUR HOME:







SOCIAL ENVIRONMENT


Hours


OTHER PETS




BACKGROUND









Reference 1:

Reference 2:


YOUR RESPONSIBILITIES

By submitting this form, you agree that you have answered all questions to the best of your knowledge and understand that any omission of information and/or failure to answer all the questions will result in my application being declined. If an omission or untruth is discovered after an adoption occurs, you understand and accept that AZCR has the right to annul the adoption and reclaim the dog. You agree to give AZCR permission to fully investigate the information provided on this application. You also agree to the following:

You understand this is lifetime responsibility.

You understand AZCR does the best to assess the dog's temperament & health, but they cannot guarantee that the dog will not develop behavioral or health problems and the dog may require time to adjust to their new environments.

You agree to not hold AZCR liable for any damage to persons or property.

You agree to provide all necessary medical attention, and provide a loving, permanent home for this dog.

If for some reason you am no longer able to care for this dog, you will return the dog to AZCR.

If the dog is lost, stolen or deceased you will immediately notify AZCR.

You agree to allow AZCR to do an in-home check prior to adoption & follow up home checks after the adoption is complete.

You shall not withhold access to the dog or the dog's medical records. AZCR has the right to make such inquiries at any time with reasonable notice.

You agree to make a nonrefundable donation to AZCR at the time of adoption in the amount listed for the dog.