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.

*required 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? *
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 understand that a home visit is required prior to final placement: *
I can give a tax-deductible charitable adoption contribution of $300. 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 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? *
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: