Adoption Application

Please be honest when completing this application. There are NO wrong answers. The questions are designed to help place our dogs in the right homes.

  • Please enter a value between 1 and 100.
  • All Contact Information of the person who would take responsibility for the rescue pet
  • Provide your veterinarian's phone number, address & email.
  • By entering my full name below I certify that the above information is true and understand that false information may result in nullifying this adoption. Also, if an omission or untruth is discovered after an adoption takes place, I understand that Maxx And Me, Inc. reserves the right to annul the adoption and reclaim the animal. I give Maxx and Me, Inc. permission to fully investigate the information provided as well as contact veterinarians, landlords, etc. I give permission for my veterinarian to release any information asked by a representative from Maxx and Me, Inc. If the application passes this review, I agree to a home visit on a mutually agreed date and time by a volunteer before an adoption decision is made.

  • Please add any other information that you would like including background, pictures and other details to add to your application
  • Our adoptions are decided on what is the best match for the animal and its potential family, not on a first come first serve basis. We reserve the right to refuse an adoption. My signing the above I certify that the above information is true and accurate. I understand that false information may result in nullifying this adoption. Also if an omission or untruth is discovered after an adoption takes place, I understand that Maxx & Me, Inc reserves the right to annul the adoption and reclaim the animal. I give Maxx & Me Pet Rescue, Inc. permission to fully investigate the information provided, as well as contact the veterinarians, landlords, etc. I give full permission for my veterinarians to release any/all information asked by a representative of Maxx & Me Pet Rescue Inc. If this application passes review, I agree to a home visit by a volunteer before an adoption decision is made. Maxx & Me reserves the right to refuse any adoption and adoptions are based on the sole discretion of Maxx & Me Pet Rescue

  • This field is for validation purposes and should be left unchanged.