ImPawsAble Rescue

Adoption Form


Please take the time to fill out each question as thoroughly as possible.
The more information you provide the better we are able to ensure a match with you and the right dog.
Mostly, we need to ensure that our dog looking who is for a second chance gets the best possible start.





Zip (required)












Yes: No:
*As a rescue we do not adopt dogs out to individuals under 21 unless
special arrangements have been made between the adopter and the ImPawsAble Rescue Coordinator*.



Yes: No:












Full Time: Part Time: Work at Home: Student:










**Personal references cannot be family members and are mandatory for all ImPawsAble Rescue applications***






Apartment: Condo: Townhome:

House with Fenced Yard:
Yes No


Yes: No:

A Letter from a Landlord or Superintendent, with their contact information, will be required indicating permission if you are renting.


Yes: No:














Yes: No:


Yes: No:





























Yes: No:


Yes: No:


Yes: No:


Yes: No:





Yes: No:




If you have any questions concerning this form, please email [email protected]

I agree with all terms outlined in this form, and will act under good conscience as a potential animal guardian of a dog
placed with me by Im-Paws-Able Rescue.
I will do my best to provide a loving, safe and healthy environment that will allow the dog live a comfortable and loving life.






Im-Paws-Able Dog Rescue, Inc. is a 501c3 non-profit organization.

www.impawsablerescue.org





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If you DO NOT hear from us within three days of submitting your application,
please email [email protected] to confirm receipt.

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a 501c3 Organization