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Adoption Application

To be considered for an adoption, please complete each section thoroughly. The information we obtain is for the health, safety, and best interest of our pets.

PLEASE NOTE: As part of our adoption process, we may verify with your veterinarian or conduct a home visit to ensure your current pets are spayed/neutered, up-to-date on vaccinations, have heartworm testing completed, and are on monthly preventatives.

It will help the process if you check that your records are up-to-date and if there are no regulations for your housing before you apply.

We do not ship pets.


Please email us any questions prior to filling out the adoption application and a member of our team would be happy to assist you.

  • Adoption Information

  • Contact Information

  • Your Household

  • Your Pets

  • Your Adoptive Pet

  • Certification

    I certify the above information I have given is true and authorize verification of all statements made above. I understand that Raccoon River Pet Rescue has the right to refuse any request for adoption.
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