Please answer all questions

RAIN of Central Illinois, Inc. Adoption Application

May we text you? *
Do you rent or own your place of residence? *
If you have young children, are you willing to educate them on how to properly interact with this dog? *
Are your pets spayed/neutered? *
Are your pets kept current on flea/tick and heartworm preventative? *
Have you ever surrendered an animal to a shelter, police station or PERSON? *
Have you ever returned an adopted or purchased animal? *
Would you be willing to work with a trainer prior to returning your dog? *
Have you or anyone in your household ever been charged with animal cruelty or neglect? *
Would you object to a home visit? *
Are you over 18 years of age? *
Will this be an outdoor dog? *
If this will be an outdoor dog, please indicate which of the following he/she will be provided with *
How will you keep this dog confined to your property? Check as many as apply *
 
How did you hear about RAIN? *
 
If adopting a bully, what experience do you have with bully breeds? *
 
Do you consent to a background check? *
I certify the above is true and that false information may result in nullifying this adoption. R.A.I.N. of Central Illinois has the right to refuse adoption to anyone. I understand that no animal can be held for me.