Our expert match makers will review your information and see if one of our magical unicorns is a perfect match for you. Please note, you must be a minimum of 25 years of age to submit an application. * Indicates a required field and you cannot submit the application without filling out that field.

Name *
Address *
How did you hear about A Purposeful Rescue? *
Is anyone in your household allergic to dogs or cats? *
I work: *
Please select the option that best describes your home: *
I: *
If you rent, do you have permission to adopt a dog from your landlord?
Please select the option that best describes your outdoor space: *
Do you have a pool? *
If you have a pool, is it gated?
Do you have a gate? *
Will your dog be: *
What is your preferred level of activity with the dog? *
How many hours will the dog be left alone? *
When you go on vacation, where will your dog stay? *
If your dog gets out, which of the following will you do? (check all that apply) *
When your pet is sick or injured, will you be able to pay for medical treatments? *
Do you already have a family veterinarian?
Will you get pet insurance? *
A pet requires a lot of love, affection and discipline. Are you prepared to spend a lot of time with your new pet, for the rest of its life? *
What methods do you plan to use for training? *
Will you require your dog to wear a collar and ID tag at all times?
Under what circumstances would you give your dog up? (Check all that apply)
I acknowledge that there is a $300 tax-deductible charitable adoption donation. I understand that this is a donation to cover the costs associated with rescue, including medical care, microchip, spay/neutering and boarding, and not a purchase price for a dog. *
I understand that a home visit is required prior to final placement: *
I agree to provide my own collar, leash, corrective collar or harness, and a personal ID tag at the time of completing the home visit: *
When would you like your new pup to come home? *
Please note, if you are not ready to adopt right now we do not hold pups for potential adopters for extended periods of time. Please check back when you're ready, and we will be happy to help match you with a pup!
I understand that this application does not guarantee adoption. A Purposeful Rescue reserves the right to refuse adoption to any applicant for any reason. This application becomes part of our contract: