Contact Information

Applicant Full Name: Age:

Co-Applicant Full Name: Age:

Address:

City:  State:  CT ME MA NH RI ZIP: 

If you cannot choose the state you reside in on the above drop down menu, please do not fill out an application. Our organization covers ME South of York; NH South of Concord; MA, CT & RI ONLY and we will not process applications for adoption from individuals outside of our coverage area. If you are outside of this area, please speak with a rescue group in your area.

Home Phone Number:

Best Time to Call:

Email Address (i.e. jdoe@aol.com):

Business Phone:

How did you hear about RRUFF? -- Please choose one -- Internet Search Referral from Vet Friend Newspaper Previous RRUFF adopter Local shelter or Humane society Other (list below)

Number of Children: Ages of Children:

What breeds of dogs have your children lived with? 

How long have you lived at this address? 

Which best describes your current home? 
House | Condo | Apartment | Mobile Home
Rent | Own | Live with Parent

Please provide the name and phone number for your landlord (renters) or land owner (mobile home)

Besides your immediate family, who else lives in your home (name, age, relationship)?


Does your home have a yard? Yes No

Is it completely fenced? Yes No
Does the gate lock? Yes No  
Is fence secure underground? Yes No

Why do you want to bring a new pet into your home?


Is everyone in your household in agreement on adopting a Rottweiler? Yes No

Where will your dog spend most of its time?
Inside | Outside | Basement | Other (specify)

What provisions will be made for your pet when no one is home during the day?


What provisions will be made for your pet when no one is home during the evening?


What provisions will be made for your pet when you go on vacation?


Do you prefer to adopt a male or female dog?  Male Female Either Age Range? 

Is there a particular dog on our web site that you are interested in? Which one(s)?

Do you have an obedience trainer?  Yes No
We can recommend many very good trainers in our area. Please ask for a list if you need a referral.

What activities do you plan to do with your adopted dog?  

Will this dog be used as a guard dog? Yes  No

Have you ever owned a Rottweiler? Where is that dog now?

Under what circumstances would you give up your dog? 

Do you have any pet(s) currently? List type, breed, age, & sex.


Tell us about the pets you have owned over the past 10 years, i.e. type of pet(s), how many years you owned them, reason for no longer owning them.


Have any pet of yours ever gotten lost? Poisoned? Killed by a vehicle? If yes, please provide explanation.


Veterinarian's Name & Phone Number. Please also tell us what name the pet is under at the vet's office.

Are your pets current on vaccinations?  Yes No

Are your pets spayed/neutered? Yes No

Are your pets on heartworm preventative? Yes No
What brand?
When did you visit your veterinarian last? 

RRUFF dogs are put through a rigid temperament evaluation to test their suitability for placement with a family and live with a foster family prior to adoption. While in foster care each dog learns basic obedience, house manners, crate training and how to live harmoniously with a family. RRUFF, Inc. will attempt to provide you with an honest evaluation of temperament on any dog we have available for adoption. Do you realize that often times the complete history of a Rottweiler may not be known and you may encounter some behavioral problems? Yes No

Are you willing to work with us on correcting these problems? Yes No

Please provide the name and phone number of three references who know your experience with and abilities to care for pets (name, relationship, phone number, email address):

Reference 1:
Reference 2:
Reference 3:

Additional Comments: 

I certify that the information I have provided on this form is true, correct, and accurate. I am financially and physically able to care for the animal that I adopt from Rescued Rottweilers United with Friends and Family, Inc. I understand and agree that falsification of any of the above information is grounds to disqualify my adoption application and nullify all adoption(s) and/or adoption agreements between the applicant and RRUFF, Inc. I understand that RRUFF, Inc. is under no obligation to adopt an animal to me, now or in the future. I understand that my electronically-generated signature [below] is valid as a means of legal signature for the purpose of this adoption application Yes No

Signature: Date: 

You will receive an acknowledgment from RRUFF within a few days of submitting this application. If you do not hear from RRUFF within 5 days, please email us at: