Main Line Animal Rescue

Animal Application Form

Main Line Animal Rescue does adoptions in our local community in and around the western suburbs of Philadelphia ONLY, to families with excellent vet references and an installed fenced yard (please do not apply if you do not have a secure fenced area in which a dog can safely play without getting out). If you live outside of our adoption area we strongly urge you to adopt through your local shelter found through petfinder.

We recommend that you read about our Adoption Process.

Any false, incomplete or withheld information will cause us to void your application.
Please include contact information for your veterinarian so we can check the vet references indicated on your application.
If you are interested in adopting a dog please check your fence to make sure it is secure. We approve only traditional above ground fences and the following brands of in-ground fence systems: Invisible Fence, DogWatch and Pet Stop. They must be working properly and you must have a collar to fit the dog. We will need to approve the fence on site before we will release a dog to you.
When your application, fence and vet are approved we will contact you to schedule an appointment. It usually takes 48 hours for us to complete this process.
Please submit ONE APPLICATION only

*First Name:
*Last Name:
*Address 1:
Address 2:
*City:
*State:
*Zip Code:
*Home Telephone:
Work Telephone:
Mobile Telephone:
*Email:
*Email Again:

Name of Animal (if featured in petfinder or our web site):
Type of Animal:
Would you prefer?:
Do you currently have pets at this time?:
If so, what type? Ages of pets?:
If no, when did you last have a pet? What type? How long did you have the pet?:
Do you have children?:
If so, what are their ages?:
Do you have a fenced yard or fenced area in which to contain the dog?:
Your Veterinarian's Name/Address:
Do we have permission to contact your veterinarian about your previous history as a pet owner?:
How did you hear about Main Line Animal Rescue?: