Dixie Pet Underground Railroad

Partnering with Adopters and Caretakers to Help Dogs and Cats


We are committed to matching the right pet to the right family so all will have many happy years together. Our adoption process includes the completion of an application, phone interview, veterinary reference, adoption fee and contract. The standard adoption fee is $450 (dogs) and $300 (cats) for the Northeast Adoption Program and varies depending on the pet for local adoptions. If you're applying through the Northeastern Adoption Program (we will deliver the pet to you via a USDA-licensed pet transport service), once your adoption is approved and you have committed to adopting, you will be invoiced for the adoption fee via Paypal. Because the pet is removed from the adoption pool once you make a commitment to adopt, you must pay the adoption fee within 24 hours of receiving your invoice or the pet will be re-listed for adoption. If you are not committed to bringing a pet into your family at this time, please do not return your application. We have limited staff and limited resources and we prefer to invest our time working with families who are ready to commit to a pet. If now is not the right time for your family, please contact us when the time is right and we'll be happy to help you find the right pet for your family! You must be at least 18 years old to submit this application. The application is the first step in the process, and the fastest way to begin the process is to submit your completed adoption application via e-mail to [email protected] You can copy and paste this application and return it as a text document attachment to your e-mail or in the body of your e-mail.


Name of Desired Pet:

Your First and Last Name:


Your Complete Mailing Address:

Home Phone:                             

Cell/Other Phone:

Email Address:                             

Best Time To Contact:

Place of Employment:                         

Work Phone:

How did you hear about Dixie Pet Underground?

Why do you want a rescue pet?

How far are you willing to travel to pickup your rescue pet?

Please list all members of your household:

    HUMANS (names & ages):

    DOGS (name, gender, age, breed, altered?):

    CATS (name, gender, age, breed, altered?):

    OTHER PETS (type, name, age?):

Do all household members want to adopt a pet?

Will your rescue pet have regular contact with any human under the age of 10?

If yes, describe

If there are no other animals currently living in your home, will your rescue pet have regular contact / socialization with animals?

If yes, describe

Do you own or rent your home?

How long have you lived at your current residence?

If you rent, has your landlord provided written permission for you to have a pet?

Please provide your landlord’s name and phone number:


Do you have a fenced yard?

If yes, please describe:

If you don’t have a fence, are you willing to install one?

Do you have dog tie-outs?

Do you have overhead runs?

If yes, length:

How will you exercise your rescue dog?  

Are you familiar with the use of a dog crate to train and/or confine the dog during your absence or at night?

Are you planning to use a crate?

What methods will you use to train your rescue dog?

Will the rescue dog be walked daily?

Will the rescue dog receive formal obedience training?


 Will your cat be outdoors, indoors or be outdoor/indoor? 

 Do you plan to have your cat de-clawed? 


Does anyone in your household have allergies or asthma?

If yes, who/kind?

Are you aware that pets can shed all year long?

Who will care for, train and exercise your rescue pet?

If you do not currently have a pet, have you ever owned a pet in the past for which you were the primary caretaker?

If yes, what happened to the pet?

Have you ever sold, given away, surrendered or put down a pet?

If yes, please explain:

Who is your Veterinarian (provide name and phone number):

Where will the pet live?

Where will the pet sleep?

Where will the pet eat?

Will the pet be allowed on the furniture?

Will your pet(s) be allowed free run of the house?

How many hours per day will your pet(s) be home without humans on a regular basis?

Where will the pet(s) be when you are not home?

What will you do with your pet if you need to be away from home overnight?

Are you aware that costs of maintaining a pet can average $500 or more a year (food, annual check ups & shots, heartworm & flea/tick

prevention, grooming, etc.)?

Will the rescue pet be tied outside?

Will the rescue pet live outside?

Will the rescue pet be allowed to run free outside of a fenced yard?

Will the rescue pet have annual vet check-ups?

If you move, what will you do with your pet(s)?

May we visit your home prior to the application approval?

Would you allow a follow-up home visit from Dixie Pet Underground after this adoption?

Are you aware of and do you understand the state/local ordinances concerning pet licensing and leashing laws?

Has any member of your household been cited for licensing or leash law violations?

Would you call Dixie Pet Underground at the onset of any type of illness or health problem within 30 days following this adoption?

What would you do if one of your pets requires significant medical attention?









Would you consider a special needs or handicapped pet that may require medication for a permanent (but controllable) condition?  

Anything you would like to add?

By signing below, I/we understand that this is the first step of the adoption process. I/we attest that the information provided on this application istrue and accurate to the best of my/our knowledge. I/we have retained a copy of this application for my/our records and understand thatcompletion and submission of this application does not guarantee or entitle me/us to adoption of a rescue dog.

Applicant’s Signature: (Electronic Signature Acceptable)


Co-Applicant’s Signature: (Electronic Signature Acceptable)


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