What is the name of the pet you are interested in?
Ace (Cat - 19-0368)
Agamemenon (Cat - 19-0333)
Baby (Nursing) (Dog - 19-0339)
Bandit (Cat - 19-0267)
Barkley (Baby) (Dog - 20-0001)
Beau (in foster) (Dog - 19-0360)
Brady (Dog - 19-0353)
Bristol (Cat - 19-0224)
Bucky (Cat - 19-0278)
Cassandra (Cat - 19-0334)
Chucky (Jack) (Dog - 19-0321)
Cruise (Dog - 19-0356)
Dre (Cat - 19-0365)
Ducati (Bella) (S/N Agreement) (Dog - 19-0296)
Emcee (Tulip) (Cat - 20-0002)
Fable (Cat - 19-0366)
Fred (Dog - 19-0357)
Gatsby (Cat - 19-0309)
Gordon (Cat - 20-0005)
Harry (Cat - 19-0312)
Helen (Harley) (Cat - 19-0336)
Henry (Cat - 20-0011)
Juniper (Dog - 20-0009)
Leia (Dog - 19-0351)
Lena (S/N Agreement) (Dog - 19-0367)
Molly (S/N Agreement) (Cat - 19-0343)
Mr. T (Dog - 19-0350)
Newt (in foster) (Cat - 19-0318)
Paris (Cat - 19-0337)
Penelope (Cat - 19-0332)
Percy (Cat - 20-0003)
Pippi (Cat - 19-0363)
Pumpkin (Dog - 19-0348)
Rex (Dog - 19-0355)
Sasha (Baby) (Cat - 19-0302)
Shay (Cat - 19-0306)
Sheba (S/N Agreement) (Cat - 19-0304)
Sir Topham Hatt (Cat - 20-0010)
Sirius (Dog - 19-0358)
Snuffy (Dog - 20-0008)
Sylvie (Cat - 19-0303)
Tango (Cat - 19-0290)
Tardar Sauce (Cat - 20-0007)
Thea (in foster) (Cat - 19-0266)
Theo (Cat - 19-0292)
Thomas (Cat - 20-0004)
Tiny (Cat - 19-0369)
Tyke (Dog - 19-0354)
Ulysses (Pita) (Cat - 19-0335)
Uma (Dog - 19-0349)
Ursula (Cat - 19-0370)
Wendy (Cicero) (S/N Agreement) (Cat - 19-0257)
Wilma (Dog - 19-0352)
Zen (Waffles) (Cat - 19-0345)
Zepplin (Cat - 20-0006)
Why are you interested in this particular animal?
Are you 18 years of age or greater? (You must be 18 years of age or greater to adopt a pet)
Primary Phone Number
Secondary Phone Number (we require a second phone number)
Physical Address (no PO boxes please)
How did you hear about us?
Would you like to receive our quarterly newsletter online or through the mail?
Name of Employer
Before adopting, we want you to think about and understand the commitment it takes to own a pet. Please select from the options below what you think is the average annual cost of caring for a cat or dog.
If your new pet falls off a ledge and breaks its leg, and the vet told you it would cost $1200 for surgery, what would you do?
How much interaction will your pet(s) have with kids? What do you hope those experiences will be like?
How much time will your kids be allowed to spend with your new pet unsupervised? (if applicable)
Are there other pets in your household? Please list species, sex, age, and spay/neuter status.
Would you like help introducing your pets to the animal you want to adopt?
Does anyone in your family suffer from pet allergies?
Have you ever adopted from GRR before?
If yes, what is the name of that pet(s) and do you still have him/her?
Do you own or rent your residence? (Most rental properties have pet policies. Please understand and abide by those policies before you decide to adopt. By signing this application, you are certifying that you are aware of and abiding by your property’s pet policies. Also, please know that we do not offer refunds on adoptions.)
How long have you resided at your current address?
Is everyone aware of your decision to bring home a pet?
Who will be the person responsible for the daily care of this pet?
For dog adoptions: What might a typical day look like for your dog? How much exercise and outdoor time do you anticipate he'll get, and how will he get it?
Where will this animal be kept when you are not at home?
On average, how many hours per day will this animal be left at home alone?
Who will be responsible for the pet when you are away for a great length of time, such as on vacation?
What will you do if your cat or dog is destructive when left alone?
What will you do if your pet has other behavior issues such as urinating outside the litter box, scratching furniture, or excessive barking?
What will you do if you have a major lifestyle change such as moving, getting married, or having a baby?
Do you agree to provide regular care by a licensed veterinarian?
Please provide the name and phone number of your veterinarian.
Please provide the name and phone number of one non-family reference.
Would you like us to microchip your pet for an additional $30? Microchipping your pet greatly increases the chances that it will get home safely if it is lost.
If you do not want a microchip, why not? We can talk with you more about the importance of microchipping.
I understand that if I am adopting a dog, I must provide adequate shelter for the dog pursuant to MN Statute 343.40. (Please type your name in the box)
I certify that the information I have given is true. I realize that any misrepresentation of facts may result in my losing the privilege of adopting or fostering an animal from Great River Rescue. I understand that Great River Rescue has the right to deny my request to adopt or foster an animal for any situation not in the best interest of the animal as determined by GRR. I understand that Great River Rescue reserves the right to conduct a criminal background check as part of the review process of my application. I authorize verification of all statements in this application and I also authorize my veterinarian to release any information requested by Great River Rescue. (Please type your name in the box)
We are also glad that you are considering adopting from Great River Rescue. Can you guess how much money you save by adopting from us rather than getting your animal somewhere else?
Anywhere from $100 - $500
More than $500
Which category includes your age?
18 - 20
21 - 29
30 - 39
40 - 49
50 - 59
60 or greater
Are you White, Black or African-American, American Indian or Alaskan Native, Asian, Native Hawaiian or other Pacific Islander, or some other race?
Black or African American
American Indian or Alaskan Native
Native Hawaiian or Pacific Islander
What is your gender?
Prefer Not to Say
Are you now married, widowed, divorced, separated, or never married?
What is the highest level of school you have completed or the highest degree you have received?
Less than a high school degree
High School Diploma or Equivalent
Some college but no degree
Which of the following categories best describes your employment status?
Employed, working 1-39 hours per week
Employed, working 40 or more hours per week
Not employed, looking for work
Not employed, NOT looking for work
Disabled, not able to work
How much total combined money did all members of your household earn in 2018?
$0 - $9,999
$100,000 or greater