Adoption Form

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.

We foster our rescue dogs in our homes allowing us to get to know their personality better. A complete application benefits you as the adopter because we can tell from the application what you are looking for in a pet and whether the dog you saw online would be a good fit. This saves you time in helping to identify the right dog personality of your new family member.

When we receive your application, we will email/call you to schedule a time to meet the dog(s) you are interested in. We will try to contact you a couple of times, if we do not hear back from you within a couple of days, we will assume you are no longer interested in adopting. If you do change your mind about adopting the dog you applied for, please send us an email and let us know.

We respect your privacy and your application will only be shared with the volunteers needed to process it and complete the adoption. Thank you for your understanding.

    About the Pet

    About your Home

    Social Environment

    Other Pets



    Please list two personal references, please include phone numbers:


    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.