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

Bold field names designate required fields
NOTE: New Rattitude rescues dogs we believe are 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 full Rat Terrier, either Type A (standard) or Type B ("Teddy").

Please fill out entire form as completely as possible to speed processing
Dog you are applying for (if known):
AND/OR Characteristics you are seeking in a dog (gender, age, size, temperment, etc.)

ABOUT YOU
First name: Last name:
Street Address: City: State: Zip:
How long at this address: Email:
* Please be sure to type your email address in correctly
Home Phone: Cell Phone:
* 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:
Email:
Employer/Occupation:

HOUSEHOLD
Any Adults not listed above & their relationship to applicant:
* Type "none" if no other adults
Any children in household & their ages (including 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/Managment 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 himself:
Are you willing to allow us to visit your home by appointment to ensure that the environment
is safe and suitable? Yes 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:
Are all current dogs on 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
Is this a vet you have used before: Yes No
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:

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 No Not yet

REFERENCES
Please provide the names and contact information for 3 people not related to you, who can recommeend you as an adopter.

Reference 1

Name:     City/State:
Home Phone: Cell Phone: Work Phone:
* Please type telephone numbers in this format xxx-xxx-xxxx only
Relationship (neighbor, friend, co-worker, etc.):

Reference 2

Name:     City/State:
Home Phone: Cell Phone: Work Phone:
* Please type telephone numbers in this format xxx-xxx-xxxx only
Relationship (neighbor, friend, co-worker, etc.):

Reference 3

Name:     City/State:
Home Phone: Cell Phone: Work Phone:
* 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
A Rat Terrier interest group (please list) Other (explain)


By checking this box and submitting this form below, you are attesting to the truthfulness of your answers and that you are 21 years of age or older. 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 your home. If not checked we will assume you are not at least 21 years of age and your application cannot be accepted:

Remember that it can take time to process your application. We will contact you to let you know we have recieved your application and to discusss next steps.
Thank you!