Image: Courtesy of New Rattitude, Inc. Rat Terrier Rescue100% of your donation goes towards the rescue & medical care of needy dogs.
Image: Courtesy of New Rattitude, Inc. Rat Terrier Rescue
Image: Courtesy of New Rattitude, Inc. Rat Terrier Rescue

New Rattitude Adoption Application


NOTE: New Rattitude rescues dogs that we believe to be fully or predominantly Rat Terrier; however, rescue organizations seldom have confirming genetic heritage information on any dog and, as such, New Rattitude does not warranty any adopted dog as being purebred Rat Terrier, either Type A (standard) or Type B ("Teddy").

Please fill out entire form as completely as possible to speed processing.
DO NOT USE QUOTATION MARKS in any field for your answers. This will prevent your application from being properly written to our application processing table.


Name of dog you are applying for:
OR Characteristics you are seeking in a dog (gender, age, size, etc.):

If your chosen dog is not available, do you wish to consider a different New Rattitude dog or puppy?
Yes, please let me know about other dogs/puppies with similar characteristics.
No, if this dog/puppy is not available, please cancel my application.

ABOUT YOU
First name: Last name:
Street Address: City: State: Zip:
How long at this address: Email:
 *** Please re-enter email address to verify it is correct:
Main Phone: Is this phone your: home cell work
Alternate Phone: Is this phone your: home cell work
* Please type telephone numbers in this format xxx-xxx-xxxx only
Best time to call:
Employer & Occupation:
Work Phone: May we call you at work: Yes No
* Please type telephone numbers in this format xxx-xxx-xxxx only

CO-APPLICANT
Full name:
Relationship to Applicant:
Co-applicant's Email:
Co-applicant's Employer/Occupation:

HOUSEHOLD
List all adults in home not already listed above & their relationship to applicant: 
* Type "none" if no other adults
List all children in household & their ages (include regular visitors/grandchildren): 
*Type "none" if no children
Have children listed lived with dogs before?  If yes, describe: 
Do you live in (choose one):  House Apartment Condo/Townhome Mobile Home Other
Do you (choose one):  Own home Rent home Live with Family Other
If you rent:
       Do you have permission to have a dog? Yes Not yet No
       Apartment Complex Name: 
       Landlord/Management company phone:         How much is pet deposit: 

Do you have a securely fenced yard:  Yes No
       If yes, material & height of fence: 
       If no, how will the dog get exercise and relieve him/herself: 
Are you willing to allow us to visit your home by appointment to ensure that the environment is safe and suitable? Yes No
    If no, explain:  

CURRENT PETS
Do you currently own pets:  Yes No
       If yes, list all pets in the household (type, breed, size, age, gender):  
Do any of your current pets live primarily outdoors: Yes No
       If yes, which and why:  
Are all of your pets spayed/neutered: Yes No
       If not, why not:
Have your dogs been kept up-to-date on routine wellness exams, required vaccinations, and annual heartworm testing: Yes No
       If not, why not:
Are all dogs kept on regular heartworm preventative: Yes No
       If yes, how often do you give the preventative and what brand?
For any other pet you've had in the past 5 years list breed, name, how long you had the pet, and why you no longer have it (run over, put to sleep, got lost, gave away, etc.):

VETERINARIAN
Do you have a veterinarian you have used in the past five years:  Yes No
If yes, please provide the requested info below. If no, please provide info for vet you PLAN TO USE for your new dog.
Clinic Name:  Vet Name: 
Address:  Phone: 
If your client records are not under your name, what name are they under:

CARE OF DOG
Why do you want to adopt this dog (check all that apply):  
Family Pet   Child's Pet   Companion   Watch Dog   Guard Dog   Hunting Dog   Companion for other Pet   Gift  
Other (explain) 

What characteristics appeal to you about this dog: 

Is there someone home during the day: Yes No    Number of hours the dog will be alone on a typical day: 

Where will this dog stay when home alone:
Loose indoors  Inside in crate  Basement  Garage  Inside confined to a room  Outside in fenced yard 
Outside in dog pen/kennel  Outside on chain  Loose outside  Other (explain) 

Where will this dog stay at night:
Free run indoors  Inside in crate  Basement or confined room  On bed with family member  Garage 
Inside dog room  Outside in fenced yard  Outside in dog pen/kennel  Outside on chain 
Loose outside  Other (explain) 

Who will be responsible for the daily care and training of your new dog: 
How much do you expect to spend per year on veterinary care for this dog: 
How do you plan to prevent fleas/ticks: 

Are you aware of the spread and consequences of heartworm disease: 
Yes, extremely knowledgeable Sort of Not really Not at all

Will you keep a collar and ID tag on your dog at all times:Yes No
What will you do with the dog when you travel:
How many times have you moved in the past 5 years:

If you move, will you take the dog:
Definitely Probably Maybe No It depends

Are you aware that a dog may likely exhibit one or more undesirable beahviors such as chewing, digging, barking/howling, jumping or trying to escape: Yes No

Under what circumstances might you need to give the dog up (check all that apply):
Never Moving Divorce New baby Children lose interest Work schedule changes Allergies
Getting out of fence/yard Behavior problems Aggressive behavior Housebreaking problems Got too big
Shedding Not getting along with other pets Medical problems/expenses Other (explain)

If the dog develops a medical problem that becomes expensive, what would you do:
Find him/her another home Pay whatever it takes Have him/her put to sleep Give him/her to a rescue group or shelter
Not treat & hope for the best Other (explain)
Has a dog or puppy died on your premises in the last six months:Yes No
       If yes explain:
Are you willing to work with your new dog on housebreaking, leash training, & basic commands:Yes No
Have you ever looked at or applied for a pet with a rescue group:Yes No
       If yes, did you adopt: Yes from New Rattitude Yes from another rescue group No Not yet

REFERENCES
Please provide the names and contact information for 3 people NOT RELATED TO YOU who can recommend you as an adopter.

Reference 1

Name:      City/State: 
Main Phone Number:  Is this: home cell work
Alternate Phone Number:  Is this: home cell work
* Please type telephone numbers in this format xxx-xxx-xxxx only
Relationship (neighbor, friend, co-worker, etc.): 

Reference 2

Name:      City/State: 
Main Phone Number:  Is this: home cell work
Alternate Phone Number:  Is this: home cell work
* Please type telephone numbers in this format xxx-xxx-xxxx only
Relationship (neighbor, friend, co-worker, etc.): 

Reference 3

Name:      City/State: 
Main Phone Number:  Is this: home cell work
Alternate Phone Number:  Is this: home cell work
* Please type telephone numbers in this format xxx-xxx-xxxx only
Relationship (neighbor, friend, co-worker, etc.): 
How did you hear about us:
New Rattitude Website Petfinder AdoptAPet PetSmart Adoption Day Friend or Relative Another Adopter
Facebook A Rat Terrier interest group (please list) Other (explain)


Acceptance of Terms:   By checking this box and submitting this application, I attest that I am 21 years of age or older and that the above answers are truthful. I understand that falsification of any of the above information will be grounds for disallowing the adoption of a dog or possible removal of the dog, if adopted, from my home. I have had an opportunity to read the terms and conditions of New Rattitude's adoption contract and am prepared to agree to those terms if approved to adopt.

Please be aware that it takes time to process your application. We will contact you to let you know we have received your application and to discusss next steps.
Thank you for choosing rescue!