Adoption Application

Thank you for your interest in adopting a dog from Gimme Shelter Animal Rescue. Our goal is to find the perfect forever home for each dog based on their individual needs. We believe that every dog deserves a safe and loving home, companionship, proper medical care, nutrition, exercise and training. We thoroughly screen each potential adopter for the safety of our animals and to ensure the best possible home for each dog. The screening process includes completing this application, followed by a phone interview and a home visit. We do not place dogs in the order the application is received. We choose homes that best fit the needs of each dog. We do our best to move through the process quickly but depending on the volume of applications it may take up to 7 days before we contact you. We try to contact every applicant. But in the event you do not hear from us within 14 days please feel free to follow up with us or assume that you were not a match for the dog you applied for.

Make sure to fill out every field or application will not submit. A confirmation page and follow up email means that your submission was successful.


Contact Info


Personal References

Please list 2 people who are NOT RELATED and notify them that we will be calling.

If you don't currently have any animals, please provide Vet for any previous pets.

Home Environment

If renting, please provide a letter from your landlord giving permission to own a pet.

Name, Age, Gender, and Relationship to the Applicant

Name, Breed, Age, Gender, Year Acquired and from Where


Adoption Fees

Under 6 months: $475 | 6 mos – 5 years: $375 | Over 5 years: $275



Medical records are provided upon adoption documenting all the vetting the animal has received.

I have read the above information carefully and filled out this application honestly. I understand that omission of information and/or failure to tell the truth or answer all questions fully and honestly will result in this application not being processed and/or being denied. Also, if an omission or untruth is discovered after an adoption takes place, I understand that GIMME SHELTER Animal Rescue (GSAR) reserves the right to annul the adoption and reclaim the animal. I give GSAR permission to fully investigate the information provided as well as to contact veterinarians, landlords, references, and other relevant parties disclosed on this application. If this application is submitted to GSAR from the Applicant’s email address then the application will be deemed to be signed.

If this application passes review, GSAR reserves the right to also conduct a home visit as part of the approval process and before any adoption is confirmed. I understand the approval is dependent on many factors, including but not limited to, the compatibility of the family and home to the individual animal, as well as other applications received on this animal. I understand it is GSAR’s sole prerogative to decide which home is most appropriate and that their decision is final; therefore I will not argue with the decision.


You will be required to provide a copy of this license upon signing the adoption contract.