EmailMe Form - Find a Friend Form

If you're seriously looking to adopt within the next few weeks and don't have your heart set on a specific puppy or dog, one of our adoption events for pre-screened applicants may be a perfect fit for you. However, if you are in fact interested in a specific dog listed for adoption on our website, please fill out our "Adoption Questionnaire" rather than this form. Contacts from our "Find a Friend" form will receive information on an upcoming adoption event to connect with our dogs on-site as space allows.

Are you interested in attending an upcoming adoption event at our on-site adoption center in Midlothian, Va? *

Your Name *

Please list the names AND ages of all adults living in your household, and be sure to include yourself. Please note ages are required. *

Please list the ages of all children living in your household *

Address *

Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country / Region

What county do you currently reside in? *

Email *

Confirm Email *

Best phone number to be reached: *

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Do you rent or own your home? *

If you rent, please list your landlord's name *

Landlord's phone number

(If you own your home, please reenter your phone number here) *

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Please list all dogs you have owned in the last 10 years, including names, ages and breed, and explain what happened to them. *

Please list all current pets, including name, type, breed, gender and age *

Have you ever had to rehome an animal (give to a friend, family member, Craigslist, etc.)? Have you ever taken an animal to a shelter? If so, please explain. *

Please let us know if you'll only consider a specific kind of dog (i.e. only females, males, dogs under 15lbs, etc.) or if you're open to meeting a variety of available dogs.

If interested in a puppy, what is your plan during the first few weeks of potty training to be able to let the puppy out to use the restroom while you are at work?

Will the dog be kept outside when you are not home? If so, how many hours at a time and where? Please be specific. *

How many hours a day will the dog be left alone inside the home on average? *

Please list any behaviors you find unacceptable that would constitute returning or rehoming your dog *

Do you have anything in the next 30 days that would affect your ability to take immediate possession of the dog once approved, i.e. upcoming vacation, business trip, surgery, etc.?
If so please explain and list dates. *

Please describe your family's activity level, and how you expect your new pet to fit into this. For instance, are you an avid runner looking for a running partner or do you prefer quieter activities and are looking for a buddy to hang out on the couch with? *

Please call your veterinarian and tell them to make a note on your account that they have your permission to speak with us for a vet reference. This will help speed up the application screening process.

Who is your current veterinarian?
(If you don't currently own a pet but have in the last ten years, please list the information for the last vet you used) *

Current vet's phone number *

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What name is the account under? *

If you have been with your current vet for fewer than two years, please list name, phone number and address of previous vet. *

What else should we know about you/your family while considering your application? *

Please let your personal references know to be on the lookout for our call. It helps speed up the application screening process when we are able to get in touch with references or they are able to return our calls in a timely fashion.

Name of personal reference #1
(Please note that at least one personal reference must be local and at least two personal references must be non-relatives) *

First Last

Relationship *

Phone number of personal reference #1 *

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Email address of personal reference #1 *

Name of personal reference #2
(Please note that at least one personal reference must be local and at least two personal references must be non-relatives) *

First Last

Relationship *

Phone number of personal reference #2 *

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Email address of personal reference #2 *

Name of personal reference # 3
(Please note that at least one personal reference must be local and at least two personal references must be non-relatives) *

First Last

Relationship *

Phone number of personal reference # 3 *

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Email address for personal reference #3 *

I have read and reviewed Sanctuary Rescue's adoption contract (located under the Forms tab on our website) and understand that I will be required to sign and abide by the adoption contract upon finalization of dog's adoption. *