Adoption Application

Please fill out all below information to the best of your knowledge and ability. It is vital for us to capture accurate information about you, your family, your home, and your lifestyle so we can properly match the right Airedale to you and your family.  We believe in matching dogs to forever, loving homes!

Please note that our placements require that a physical fenced yard be in place (no electric fences).

(All fields marked with an asterisk [*] are required)

Prior to filling out the form, please read the Sample Placement Agreement.  **YOU MUST CLICK ON THE BOX BELOW INDICATING THAT YOU HAVE READ THE AGREEMENT OR YOUR APPLICATION WILL NOT BE SUBMITTED FOR REVIEW!**

NOTE: You must check the box above or your application will not be submitted for review!
Ex. 123 Main St., Apt 4
xxx xxx-xxxx
xxx xxx-xxxx
Family members, partners, frequent visitors, live-in help, etc
Name of Rescue orgnization
DD/MM/YYYY format
Please give a timeframe and/or description of circumstances.
Ex. 2013-2015
N/A if not applicable
N/A if not applicable
Please include ages, if applicable
If applicable
It is a requirement to have a fenced-in yard. If you do not have a fenced-in yard, your application will be discarded. There are NO exceptions.
Ex. 123 Main St., Apt 4
Ex. Merion Station, PA 19066
xxx xxx-xxxx
Ex 123 Main St., Apt 4
Ex. Merion Station, PA 19066
xxx xxx-xxxx
Ex. 123 Main St., Apt 4
Ex. Merion Station, PA 19066
xxx xxx-xxxx
Remember, the more we know about you and your life, the easier it will be to find the right dog for you!

**YOU MUST CLICK ON THE BOX AT THE TOP OF THE FORM INDICATING THAT YOU HAVE READ THE SAMPLE PLACEMENT AGREEMENT OR YOUR APPLICATION WILL NOT BE SUBMITTED FOR REVIEW!  If your application is properly completed and submitted, you will see a “Thank You” screen after hitting “SUBMIT”.**

By submitting the above application to Airedale Rescue and Adoption of the Delaware Valley you accept and agree to abide by the Sample Placement Agreement. The submission of this application does not guarantee that an Airedale will be placed in your home.

ARADV reserves the right to deny placement to any applicant for any reason.