Joyrides Rescue www.joyrides.org Page 1
JOYRIDES RESCUE
ADOPTION APPLICATION/CONTRACT INFORMATION
Our goal is to place pets in permanent
, loving homes. Please complete this application so Joyrides Rescue may assist
you in finding a special, compatible companion to join your family. With this information, we minimize the risk of a failed
adoption. Our application questions are designed to ensure that you have considered important facets of pet ownership.
We do not adopt dogs or cats on a “first come, first served” basis, but rather make every attempt to use the information
that you provide to match families with the most compatible pets. WE RESERVE THE RIGHT TO DECLINE ANY
APPLICATION. YOU MUST BE AT LEAST 25 YEARS OF AGE TO ADOPT.
The adoption fees are as follows: $495/dog, $150/cat and $200/kitten. There is a $10 microchip registration fee
for all pets. These fees help to defray the costs of spaying/neutering, testing, vaccinating, micro-chipping and
transporting our pets, but rarely, if ever, cover all expenses. Therefore, additional tax deductible contributions are
welcomed. Please make check payable to Joyrides Rescue.
Please email your completed application to info@joyrides.org or fax to (832) 553-7633.
ADOPTIO
N APPLICATION - Please print clearly.
Applicant Name __________________________________________________________________________________
Name of animal in which you are interested Date
Breed/Description Male/Female
How did you hear about the pet you’re interested in?
Petfinder Adopt-a-Pet FacebooK Instagram Other__________________________
Information on Applicant(s):
Driver’s License No. __________________________________State:_______Date of Birth ______________________
Email _____
______________________________________________________________________________________
Address
_________________________________________________________________________________________
City:_________________________________________State:____________________Zip:________________________
Home phone __________________ Work phone __________________ Cell phone______________________________
Employer___________________________________________________ What are your hours? ____________________
Spouse/Partner Name _________________________________________Date of Birth ___________________________
Spouse/Partner Email _______________________________________________________________________________
Spouse/Partner Work phone _______________________ Cell phone _______________________________
Spouse/Partner Employer _____________________________________ What are their hours? ___________________
Release for Veterinary Reference: to be completed by potential adopter if you have a current vet.
Please provide all information to help us identify the correct Veterinary Practice
I, , hereby give permission for any veterinarian providing
service to me to release medical information on any/all of my animals to Joyrides Rescue.
Signature of applicant:
Vet Clinic:______________________________________ Vet Name:__________________________________________
Address: ____________________________________________________________ Phone: ______________________
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Information on Family & Home:
Do you live alone or with family? ___________ Does every adult in the household agree on owning this pet?__________
Does anyone in the household have allergies? ___________ If so, are they allergic to animal dander? _______________
Do you have children? _______ Grandchildren?____ What ages? ____________________________________________
Do they live in the household? ________ If they do not live with you, how often do they visit? _______________________
Do you own or rent? _______ House or apartment? ______ If renting, how long at this location? ____________________
If renting, does your lease allow pets?________ Breed or weight restrictions? ______________________________
Pet deposit? ___________________________ (We will need confirmation of payment of any required pet deposit.)
Rental manager’s name and phone number ___________________________________________________________
Apartment Complex Name (if applicable) ________________________________________________________________
Do you have a fenced yard? _______________ What type of fence and how high? ______________________________
Do you have any Sago Palms? _____ If yes, are you willing to remove these plants which are highly toxic to dogs? _____
Information on Lifestyle:
Do you have any trips planned or do you expect houseguests in the next 30 days? _______________________________
Do you or your spouse/partner travel frequently? _______________ If so, how often? ____________________________
What major life changes (new baby, moving, marriage divorce, etc) do you expect in the next five years:
_________________________________________________________________________________________________
Rescued animals need time to adjust to new environments. How long do you feel is a fair amount of time for the dog to
take to fit into your home/family/lifestyle? ________________________________________________________________
Please describe your definition of an aggressive pet:
_________________________________________________________________________________________________
What do you consider valid reasons for returning/ giving up a pet? Please mark all that apply:
New baby Moving Shedding
Barking Want to travel Pet illness / vet bills
Soiling in house/urine marking Divorce New Job
New household member dislikes pet Protective on leash Allergies
New pet not getting along with current pet Destructive (digging/chewing) Pet Anxiety
Protective at home / dislikes strangers Illness of family member No Time
Behavior Problems_____________________________________________________________________________
Other_______________________________________________________________________________________
Have you ever been convicted of a felony, been
arrested, had any restraining orders placed against you or been involved in
a domestic distubrance in which the police were called? ___ (note: affirmative answer will not necessarily disqualify you from
adoption)
If yes, state nature of offense(s), date(s), city, state, and disposition:
_________________________________________________________________________________________________
Information on Pet Care:
How long would the pet be left alone? _______________ Where will the pet stay during the day? ___________________
Where will the pet sleep? ____________________________________________________________________________
What will you do with the pet when you travel? ___________________________________________________________
What will you do with this pet if you move? ______________________________________________________________
Are you willing and able to purchase and use a crate if needed or advised? _____________________________________
Are you willing and able to commit to behavior and/or obedience training? ______________________________________
What are you willing to spend annually on a pet? $_______________________________________________________
Are you able and willing to pay for emergency care, which could result in a bill of $1000 or more? ___________________
Are you willing to devote the time, patience, and love necessary to help a shy pet adjust to home life if it takes several
weeks or months? __________________________________________________________________________________
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How would you reprimand your pet for mischievous behavior?_______________________________________________
Do you have a pet door? _________ How will you handle the pet’s potty needs?_________________________________
Information on Pet Care (continued):
Have you housetrained a pet before? ______ Describe how you have/will housetrain a pet:
________________________________________________________________________________________________
How will you exercise the pet? ________________________________________________________________________
As a dog ages, it often has age related health issues like arthritis and incontinence. How will you handle this?
_________________________________________________________________________________________________
Have you owned this breed/mix before? __________ Have you owned a rescued animal before? ___________________
Have you ever adopted from a rescue group/ shelter? _____ If so, what group/shelter? ___________________________
Have you applied to adopt an animal and been declined? _____ If so why? _____________________________________
Have you ever given up animal(s)? ________ If so, why?
________________________________________________________________________________________________
If so, what did you do with the animal(s)?
_________________________________________________________________________________________________
If there is drastic change in your life (marriage, divorce, death, major illness or injury, children, move, etc.) what will you do with
this pet? If you are in a relationship, what is your plan in the unfortunate event of a breakup or divorce?
________________________________________________________________________________________________
Information on Desired Pet Characteristics:
Do you have a preference on pet’s age, gender, size, breed, hair length, etc.?
________________________________________________________________________________________________
What qualities are you looking for in a pet? (Please be specific, also indicate activity level you are looking for in a pet)
__________________________________________________________________________________________
What traits or characteristics are you sure you do NOT want? (Please be specific) __
_________________________________________________________________________________________________
Do you give permission for a Joyrides Rescue representative to visit your home prior to adoption to do a home
check and after adoption to do follow up checks on the pet? _____________________________________________
Anything else you would like us to know? _______________________________________________________________
PERSONAL REFERENCES (Please provide two non-relative references):
Name #1:
__________________________________Email:__________________________________________________
Name #2 :__________________________________Email:_________________________________________________
If you are a current or past pet owner, please fill out your pet ownership history on page 4.
Pleas
e review our adoption contract on pages 5 and 6. You do not need to sign the contract until we finalize the adoption
of your new pet; however we want to be sure that you have reviewed the contract and agree with its terms and conditions.
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PET OWNERSHIP HISTORY
Do you or did you have other pets? If yes, please state the breed, sex, etc. of each pet, including whether it was spayed
or neutered and on heartworm preventive, and how and when the pet was acquired and why you no longer have the
animal. If necessary, attach another sheet or write on the back.
Name Dog or cat? How acquired?
Breed Weight? ______ Male or Female? Spayed/neuter? ___________
Age of pet Length of ownership
Heartworm preventative? What kind of Heartworm preventative? When last given?
Is your pet current on all shots? If no, please explain.
Where did this animal sleep?
Where did the pet stay while you were away or at work?
Did this pet have any problems or conditions?
What happened to this pet?
Name Dog or cat? How acquired?
Breed Male or Female? Spayed/neutered?
Age of pet Length of ownership
Heartworm preventative? What kind of Heartworm preventative? When last given?
Is your pet current on all shots? If no, please explain.
Where did this animal sleep?
Where did the pet stay while you were away or at work?
Did this pet have any problems or conditions?
What happened to this pet?
Name Dog or cat? How acquired?
Breed Male or Female? Spayed/neutered?
Age of pet Length of ownership
Heartworm preventative? What kind of Heartworm preventative? When last given?
Is your pet current on all shots? If no, please explain.
Where did this animal sleep?
Where did the pet stay while you were away or at work?
Did this pet have any problems or conditions?
What happened to this pet?
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ADOPTION, RELEASE AND INDEMNITY AGREEMENT
A BINDING AGREEMENT made as of the date set forth above.
WHEREAS, Adopter wishes to take custody of Pet:
Name: Sex: Male Female, Approximate Age: ____________
Color: __________________________________ Breed/Description: ____________________________________
Altered: Spayed Neutered Heartworm Status: Positive Negative
Enrollment in the Pet Recovery services provided by HomeAgain, Avid, or other comparable service is included in your
adoption fee. Joyrides Rescue will remain as the Primary contact and Adopter will be enrolled as the Alternate contact.
NOW, THEREFORE, for and in consideration of Joyrides Rescue’s relinquishment of custody of Pet and other good and
valuable consideration provided to Adopter by Joyrides Rescue, which Adopter acknowledges is good and sufficient
consideration for Adopter’s agreements herein, Adopter hereby gives and grants unto Joyrides Rescue, as a basis on which
Pet is released, this Adoption, Release and Indemnity Agreement, and promises, covenants and agrees as follows:
HOLD HARMLESS/ INDEMNIFICATION
JOYRIDES RESCUE (AND ITS OFFICERS, BOARD OF DIRECTORS, VOLUNTEERS, AFFILIATED ENTITIES, AND/OR AGENTS)
SHALL NOT BE LIABLE TO ADOPTER ON ANY THEORY OF LEGAL LIABILITY INCLUDING BUT NOT LIMITED TO THE
NEGLIGENCE OF JOYRIDES RESCUE (AND/OR ITS OFFICERS, BOARD OF DIRECTORS, VOLUNTEERS AND/OR AGENTS),
FOR ANY INJURY, DEATH OR DAMAGE DIRECTLY OR INDIRECTLY CAUSED BY PET. ADOPTER DOES HEREBY RELEASE
JOYRIDES RESCUE (AND ITS OFFICERS, BOARD OF DIRECTORS, VOLUNTEERS AND/OR AGENTS) FROM ANY AND ALL
LIABILITY, CLAIMS, SUITS, OBLIGATIONS, DEMANDS, OR CAUSES OF ACTION, KNOWN OR UNKNOWN, FORESEEN OR
UNFORESEEN, ARISING OUT OF OR RELATING IN ANY WAY TO PET OR JOYRIDES RESCUE’S RELEASE OF PET TO
ADOPTER. IT IS THE EXPRESSED INTENTION OF ADOPTER AND JOYRIDES RESCUE THAT THE RELEASE PROVIDED FOR
IN THIS PARAGRAPH IS DESIGNED AND INTENDED TO PROTECT JOYRIDES RESCUE (AND ITS OFFICERS, BOARD OF
DIRECTORS, VOLUNTEERS, AND/OR AGENTS) FROM ANY PERSONAL INJURY CLAIMS BY ADOPTER OR OTHERS AND
FROM THE CONSEQUENCES OF ANY HARM, BEHAVIOR, OR OTHER ACTION BY PET, AND FROM THE CONSEQUENCES OF
ANY ACT OR OMISSION OR NEGLIGENCE ON THE PART OF JOYRIDES RESCUE (AND ITS OFFICERS, BOARD OF
DIRECTORS, VOLUNTEERS AND/OR AGENTS) IN OBTAINING CUSTODY OF PET, IN PROVIDING CARE FOR PET, IN
TRAINING OR NOT TRAINING PET, OR IN FAILING TO PROVIDE TIMELY OR ADEQUATE WARNING TO ANY PERSON
CONCERNING PET.
____________ADOPTER'S INITIALS:
ADOPTER further promises, covenants and agrees:
1. to pay an adoption fee in regards to this adoption prior to the transfer of said pet to the Adopter. The adoption fee
is NON-REFUNDABLE even if the pet is returned to JOYRIDES RESCUE.
2. to never sell, trade, or give away this pet to anyone. I will never relinquish this pet to any shelter or pound, whether
“no-kill” or otherwise. I will notify JOYRIDES RESCUE if I am unable or unwilling to keep this pet for any reason,
and I will return this pet to JOYRIDES RESCUE after arrangements have been made for such return. I will be
responsible for all costs related to the return of the pet to JOYRIDES RESCUE. If this pet is lost or stolen, I will
notify JOYRIDES RESCUE immediately.
____ 3. that all future medical and health maintenance treatments are my responsibility, unless JOYRIDES RESCUE has
specifically agreed in writing to pay for them under the “special provisions” at the end of this contract. I will seek immediate
(at time of injury or signs of illness) veterinary care if this pet becomes ill or is injured. I understand this is for the lifetime of
the pet.
I will administer monthly heartworm preventative to the pet year round. If the pet is heartworm positive, I
understand that Heartgard® or ivermectin is the only preventative that may be administered, as any other type
could cause the pet to become seriously ill or even die. If the pet is heartworm positive, I will follow a heartworm
treatment plan recommended by a veterinarian approved by JOYRIDES RESCUE.
4. to keep all immunizations current and updated according to a veterinarian’s schedule.
5. to keep the Pet primarily indoors, interacting with my family, and will not to be banished to the back yard. I will never tie my
pet to a chain or rope or leave him/her unattended for long periods. The Pet will be exercised in a fenced yard or on a
leash, and not be allowed to roam the streets.
____ 6. If pet is a cat, to keep the Cat indoors at all times and will never be subjected to surgical removal of its claws
7. that the pet SHALL NOT be physically altered in any manner (docking tails, cropping ears, declawing, etc.).
8. to comply with all state and local ordinances in the confinement, care, and licensing of this pet. I will reclaim this pet
promptly, and pay any required fees if it is picked up by an animal control agency. IF THIS PET IS EVER STOLEN OR
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LOST, ADOPTER AGREES THAT HE/SHE WILL TAKE ALL REASONABLE STEPS TO FIND THE PET AND WILL
IMMEDIATELY NOTIFY JOYRIDES RESCUE. SUCH REASONABLE STEPS, INCLUDE, BUT ARE NOT LIMITED TO,
POSTING SIGNS IN THE VICINITY OF WHERE THE PET WENT MISSING AND CHECKING AREA POUNDS AND
SHELTERS. IN THE EVENT THAT JOYRIDES RESCUE OR ANY OF ITS AGENTS HAVE TO RETREIVE THE DOG
FROM ANY POUND, SHELTER OR PERSON THAT IS IN POSSESSION OF THE DOG AFTER ADOPTER HAS BEEN
NOTIFIED, ADOPTER AGREES TO IMMEDIATELY REIMBURSE JOYRIDES RESCUE OR ITS AGENT FOR ANY
AMOUNTS EXPENDED IN PROCURING THE DOG’S SAFE RETURN AND JOYRIDES RESCUE RESERVES THE
RIGHT IN ITS SOLE AND ABSOLUTE DISCRETION TO DETERMINE WHETHER THE DOG SHALL BE RETURNED TO
ADOPTER OR RETAINED BY US.
9. Rabies and ID tags will be kept on the animal at all times. Cats will only wear a breakaway collar specifically designed for
cats.
10. THAT JOYRIDES RESCUE DOES NOT MAKE ANY GUARANTEES REGARDING THE AGE, NATURE, TEMPERAMENT,
OR HEALTH OF THIS PET. Adopter assumes all risks and responsibility including the financial responsibility of ownership
of this pet once he/she is in my possession and that JOYRIDES RESCUE is not in any way responsible for such costs
incurred.
11. that if I fail to fully and timely comply with the terms of this contract, I will, voluntarily, immediately release
ownership, possession, custody and control of this pet to JOYRIDES RESCUE, and if I fail to do so, JOYRIDES
RESCUE will be entitled to enforce specific performance of this contract in addition to any other legal remedy
available to JOYRIDES RESCUE.
12. that all information in the Adoption Application is true, complete and correct and agree that any false or misleading
statement thereon will constitute a breach of this contract. If any information contained on Adopter's Adoption Application is
untrue, Adopter expressly agrees that JOYRIDES RESCUE may retake custody of Pet without refunding adoption fee and
without recourse by Adopter and adopter agrees to relinquish such pet to JOYRIDES RESCUE.
13. that this Agreement shall be governed and construed in accordance with the laws of the State of Texas; and
14. that any disputes between the parties to this Agreement concerning the subject matter of this Agreement shall be submitted
for resolution to the courts of Harris County, Texas.
15. I am at least 25 years of age.
16. Special provisions of this contract, if any, are as follows:
My signature below affirms that I have read and agree to all the above conditions:
SIGNED, this ______________ day of (month/year)_____________________________
______________________________ ________________________________________
Signature of Adopter(s) Signature of Joyrides Rescue Representative
______________________________
Signature of Adopter(s)
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ACCEPTED BY Joyrides Rescue
Adoption Fee Received
Microchip Fee: $10
Additional Contribution Received ____________________
Cash Check #
Out of state adoptions:
PayPal confirmation # ____________________
Medical Records Delivered:
Heartworm Preventative Due On:
Flea/Tick Preventative Due On:
Microchip Information: (see note below)
Note: All microchips are registered and will remain registered
under the JOYRIDES RESCUE account. Upon finalization of
adoption, JOYRIDES RESCUE will update microchip contact
information as appropriate.