Delilah’s 2nd Chance You need to enable JavaScript to run this app.
Apply to Adopt
If you would like to put the dog you are applying for on hold, you may place a $150 hold.
Please submit your $15 adoption application fee here 🐾 you can also submit other ways under the “donate” tab at menu.
Adoption Fee
Personal Information
Applicant's Name
Date of Birth
Address
City
State
Zip
Home Phone
Cell Phone
Email*
Facebook Username
Occupation
Occupation
Employer
Employer's Address
Employer's Phone
Dog Details
Which dog are you interested in?
How did you hear about Delilah's 2nd Chance?
1. Why do you want to adopt a cat or dog?
2. What breed of dog are you interested in?
Sex
Male
Female
Age
Size
Activity Level
3. Where will the dog stay during the day?
Indoors
Outdoors
4. Have you ever crate trained? Will you use a crate for your new dog?
5. How long will you dog be alone during the day?
6. Where will your dog sleep at night?
7. Who will be primarily responsible for the dog’s care?
8. Do you know that pets require yearly vaccinations?
Yes
No
Can you afford the vet care?
Yes
No
9. Do you plan on walking and exercising your dog daily?
Yes
No
10. Do you plan on doing obedience training with your dog?
Yes
No
11. What will you do if your dog develops behavior issues?
12. Do you currently have a vet?
Yes
No
If Yes, Vet's Name
Vet's Address
Vet's Phone
13. In your opinion, what circumstances might justify giving up your pet? (check all that would apply)
Destructive
Begin Traveling
Obtain New Pet
Pet is now a senior
Children lose interest
Divorce
Moving
Pet Fighting
Allergies
Pet is sick
New baby
Accidents in the house
New relationship
Bad behavior
Giving up a pet wouldn't be considered
Other
14. If this rescue isn't a fit or available, would you consider a different rescue?
Yes
No
15. Do you agree to and understand Delilah's 2nd Chance will be contacting and verifying that all information provided in this application is true; including D2C pulling either a "soft" or "hard" background check at their discretion?
Yes
No
16. Do you reside at a second home any part of the year?
Yes
No
Address
City
State
Zip
17. Do you understand that we are a rescue, and unless the pet is born within the rescue, ages are best determined by the veterinary staff?
Yes
No
18. Do you understand that we are a rescue, and unless the pet is born within the rescue, the breed of the pet is best determined by the veterinary staff?
Yes
No
19. Have you ever given a pet away, surrendered to a shelter/rescue, returned to a breeder, or sold a pet?
Yes
No
If yes, explain
20. Have you ever declawed a cat?
Yes
No
Family Information
1. How many adults in your household?
How many children?
2. What are the ages of children in your household?
3. Do you have any current pets?
Yes
No
Number of dogs?
Number of cats?
Names of pets, age, and describe their temperament/personality
4. Are your pets spayed or neutered?
Yes
No
5. Are your pets up to date on vaccinations?
Yes
No
6. Are your pets on heartworm prevention?
Yes
No
7. Are your pets on Flea/Tick prevention?
Yes
No
8. Do your current pets live indoors or outdoors?
House Information
1. Do you own or rent?
2. Is it a house, townhouse, or apartment?
3. Are there any restrictions on dogs? Weight limit? Breed restrictions?
Restrictions on number of pets?
4. Do you have a fenced yard?
Yes
No
If yes, how high?
5. Landlord Name
Landlord Phone
Landlord Email
6. HOA Contact Name
HOA Contact Phone
7. When did you move to this address?
8. Are you planning on moving in the near future?
Yes
No
9. How many times have you moved in the last 5 years?
10. Do children visit the home often? If yes, ages:
11. Is anyone in your home active military or retired military? If yes, list who and what please.
12. Is anyone in your home an active or retired first responder? (police officer, nurse, fire fighter, paramedic). If yes, please list who and what profession.
13. What days/times are best for you to meet potential animals?
Reference
Please provide a personal reference (non-family)
Name
Relationship
Phone Number
Digital Signature
Signature
Adoption Waiver
This Voluntary Release/Waiver of Liability (the “Release”) is made and entered between this above named and Delilah's 2nd Chance effective as of the indicated date. The undersigned desires to adopt/foster an animal from Delilah's 2nd Chance, and as an inducement to RESCUE to agree to the adoption/foster, the undersigned hereby represents, acknowledges and agrees as follows:
I acknowledge that, due to the unpredictable nature of animals, certain risks and dangers may occur while caring for an animal, including risks of injury to person and property, and that I have voluntarily agreed to make the adoption/foster contemplated herein with full knowledge of such risks and hereby voluntarily assume all of such risks.
I agree that I will not make any claims against, sue or attach any property of Delilah's 2nd Chance, its directors, officers, agents, employees and/or volunteers for any injury or damage caused by any animal(s) adopted/fostered from Delilah's 2nd Chance
I hereby voluntarily release, discharge, waive and relinquish any and all actions or causes of action for personal injury, property damage or wrongful death occurring to me or third parties as a result of any action or activity of any animal(s) adopted/fostered by me from Delilah's 2nd Chance. It is my intention by this instrument to exempt and relieve Delilah's 2nd Chance from ALL liability for personal injury, property damage or wrongful death caused by negligence or otherwise.
I hereby agree to hold Delilah's 2nd Chance and its claims, judgments directors, officers, agents and/or employees harmless and indemnify them from and against any liability, or expenses I may incur arising out of my adoption/foster of an animal from Delilah's 2nd Chance and/or my ownership or care of any such animal thereafter.
I HAVE CAREFULLY READ THE FOREGOING, AND I UNDERSTAND THAT TOGETHER THEY CONSTITUTE A DISCLAIMER OF LIABILITY BY DELILAH'S 2ND CHANCE AND A RELEASE OF ALL CLAIMS BY ME. I UNDERSTAND THAT I ASSUME ALL RISKS INHERENT IN MY DECISION TO ADOPT AN ANIMAL FROM Delilah's 2nd Chance AND ANY RELATED ACTIVITIES.
If any portion of this Release is held invalid, it is agreed that the balance hereof shall continue in full legal force and effect.
I have read and accept this waiver.
I accept that all fees are not refundable. If the animal was not given sufficient time to decompress, Delilah's 2nd Chance typically use these funds to re-evaluate the animal. Sometimes veterinarian visits and or/behavior assessments via experts are needed. Delilah's 2nd Chance's advice is to be followed regarding training (we provide a free training session with all adoptions), products, medication, and time given to the animal to adjust to their new home and family. To further understand, please read:
https://rescuedogs101.com/bringing-new-dog-home-3-3-3-rule/
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