Please fill out the form completely. You may enter NA for not applicable if needed. There is a $25 non-refundable Adoption Application Fee. Please use the PayPal Donate button on the top right side of this page to submit the fee. Our volunteers will pair your name on the PayPal transaction with the name on the application to confirm receipt and begin processing your application. If you prefer to submit your application fee via a personal check, submission instructions are at the end of the application form. 

Before completing the application, please read the Adoption Process and Things to Know About Dog Rescue articles on the Adopt page of this website. Also, please be sure you live in our service area in Southeastern Virginia.

Please complete the application ONLY if you live in our service area in Southeastern Virginia.

Applicant Information

Living Environment

Renters, please note! If you are renting, please email documentation stating that you are allowed to have a dog (e.g., pet agreement, lease addendum, letter from landlord) to This email address is being protected from spambots. You need JavaScript enabled to view it.

In the subject line, include your name and "Rental Agreement". We will not be able to proceed with your application until we receive the documentation.

Family Environment

Your Adopted Dog

Previous Ownership Experience


Please note:

If you pay by check, please be aware that the approval process will be delayed by one to two weeks while we wait for the check to arrive and be processed. You do not need your own PayPal account to pay on this site. You only need a credit or debit card.

After you submit your application, you will receive an email acknowledgement from us, usually within 3-4 days. We may have questions or something may be missing from your application that we will need in order to proceed. If you do not see something in your inbox, please check your spam folder.