AIF Dog Adoption Questionnaire

AIF Dog Adoption Application
Driver’s License information will be requested when you adopt. Please have your driver’s license with you. Please Print.
Full Name
Occupation
Street Address
City/Zip
Home Phone
Cell Phone
Work Phone
Email
Name of Spouse/Significant Other
List other people in household
Who will be responsible for the dog’s care (feeding, walking/playing, taking to vet, pick up after them)?
Has anyone in your household experienced allergies or asthma?

Yes No
Do you have any of the following: (check all that apply)

Patio Balcony Pet Door Unscreened Windows No Screen Doors Back Yard Front Yard Other
Children that regularly visit (with ages):
Children (with ages):
Is your home a

House Apartment Condo Other
Do you rent your home?

Yes No
Landlord’s name and phone #:
If you live in a home what type of fence do you have around your property?
What type of fence encloses your backyard?
Is there spaces under the fence in which the dog could fit through?

Yes No
Is the fence or gates over dirt or cement?
Do you have a gardener?

Yes No
If so, where would you secure your dog when he is at your house?
Do you have a pool or an in ground Jacuzzi?

Yes No
If so, does it have a fence around it?

Yes No
If you live in a condo what are the association’s rules about pets?
Do you have plans to move in the near future?

Yes No
Where to?
Are you aware that a part of the adoption process is to have a home and yard check?

Yes No
(This is nothing personal, just apart of the procedure. It will only insure that the dog cannot get out of the yard or get injured. Through experience, we know how to "dog proof" a yard and house. This will only help in the long run.)
In what areas of your home will your dog be allowed?
Where will they stay when they are alone and no one is home?
Where will they sleep at night?
How many hours of the day will your dog be left alone?
Is this your first pet?

Yes No
Do you have other pets?

Yes No
If yes, what other pets do you have. Please include all, even birds, bunnies, etc.
What brand of pet food do you feed your pets?
What are their favorite toys?
Please list any pets you previously owned:
What happened to the pets that you previously owned?
If deceased, what was the cause of death
Do you have a veterinarian?

Yes No
Vet’s name and phone
Are your other pets spayed or neutered?

Yes No
If you currently have a pet, how often do they visit the veterinarian?
When was their last visit and for what service?
Are you prepared to cover any vet expenses your pet may incur throughout its life?

Yes No
Is there a limit?

Yes No
How much is too much
Have you in the past had bad experiences with a pet? If so, please explain:
What do you think you will do if something like this happens again
What is a behavior that is not acceptable to you?
Do you have a dog trainer that you have used in the past?

Yes No
If you do not have a dog trainer we would be happy to refer you to one
What will you do with your new dog?If you move to a new home that does not allow pets?
If you get married (if you are single)?
If a new boyfriend/girlfriend is allergic to dogs?
If you travel?
If you move locally? Out of state?
Under what circumstances would you not be able to keep this new dog? (Please check all that apply)

Pregnancy/baby Divorce/separation Dog requires daily treatments Dog is digger or chews something in house or yard Dog needs too much attention Job change/loss New House/Apt Expensive Vet Bills Conflicts with other pets Spouse/child is allergic Behavorial problems Dog is disabled Barks too much Needs a special diet Option15
Other, please specify
If you have to give up this dog for any of the above reasons, what will you do with the dog?
If you were to pass away, how would insure the care of your pets?
Were you ever in a situation where you were not able to keep a pet?

Yes No
If yes, please explain:
THIS QUESTIONNAIRE BECOMES PART OF OUR CONTRACT.
I certify that all the above information is true and accurate. I understand that if I adopt this dog from "Angels in Fur Dog Rescue", this document will become part of the adoption record.

Adoption fees start at: $350.00
By checking this box you are signing this contract *

Yes, I agree that I have signed this application No, I do not agree to sign this application
Click to edit

Month Day Year Hour Minutes AM/PM Option
DOG(S) INTERESTED IN:
Thank you for your application. You will receive a confirmation email shortly. Your application will be reviewed and we will contact you within a week. Our process is to find the best match for our dogs and you, therefore applications are reviewed individually and not in which application comes in first.
Should be Empty:

AIF Dog Adoption Application