Brittany Foundation Adoption Application

Brittany Foundation Adoption Application
Name

First Name Last Name
Email
example@example.com
Phone Number

Area Code Phone Number
Which dog would you like to adopt?
Who shares your household?

Spouse or Significant Other Children Roommate
Ages of children, if any, who live in your household
Where do you live? (city)
Type of dwelling

House Apartment Condo Townhouse
Do you rent or own?

Rent Own
If renting, are dogs allowed?

Yes No N/A
What is your occupation?
What is the occupation of your housemate?
Who is more the "dog person," you or your housemate?
If your present relationship were to change, with whom would the dog remain?
At what age do you feel children are responsible enough to care for a dog without assistance (walk, feed, etc)?
Is anyone in your household allergic to dogs?
What percentage of time will the dog be in the house? In the yard?
Which rooms, if any, are off limits to the dog?
Is the dog allowed on the furniture?
Where will the dog sleep at night?
When you go to work, where will the dog be?

House Yard
When you go on vacation, who will care for the dog?

House sitter Pet sitter who does not stay Vet Kennel/boarding Friend's house Friend feeds but does not stay
Do you have a doggie door?

Yes No
If you do not have a doggie door, will you install one for your new dog?

Yes No
Is anyone home during the day? If so, who?
How many hours will the dog be alone during the day?
Do you have a gardener?

Yes No
Do you have a person who cleans the pool?

Yes No N/A
If yes, where will the dog be while they're working?
Do you trust these workers not to let the dog out?

Yes No N/A
Does the meter reader enter your yard when you're not home?

Yes No
Do you have a housekeeper who enters your home when you're not there?

Yes No
If yes, how long have you had this housekeeper?
If you rent, does your landlord have a key to your house?

Yes No N/A
If you rent, does your landlord have a key to your gate?

Yes No N/A
If you rent, does your landlord have access to your home without your permission?

Yes No N/A
Do you share your yard with other tenants?

Yes No N/A
Do you have a fenced back yard?

Yes No
Do you have a fenced front yard?

Yes No
What type of fencing do you have?
If chain link, wood, or iron, what is at the bottom of the fence?

Dirt Grass Cement
How high is the fence at its highest point?
How high is the fence at its lowest point?
How high is your gate?
Which of the following is used to secure your gate?

Latch Keylock Deadbolt Padlock
During a 24-hour period, when is your gate locked?

Days only Nights only Only when I leave the house At all times
I don't lock my gate because:

I live in a safe neighborhood I (and/or my housemate) use it a lot My kids or other household members use it a lot Meter readers or other workers must enter N/A
If your dog has gotten out, which of the following did you do?

Check shelters Use social media to look for the dog Put up signs Flyers door to door Wait, because my dog might come back N/A
Will you feed your dog canned or dry food?
What brand of dog food will you feed your dog?
Will you feed your dog "people food?" If so, what kind?
Who in your household will be mostly responsible for feeding the dog?
How many times per day will you feed the dog?

Once Twice Three times
What do you think is a good way to keep your dog's teeth clean?

Never really thought about it Do it myself It's not necessary Feed dog biscuits Have the vet do it
What will you use for flea and tick control?
Have you ever trained a dog in obedience class?

Yes No
If yes, what training methods did you use?
Do you still use these training methods?
What method do you use to housebreak your dog?
In which of these situations are you able to have your dog off leash?

Park Hike Beach Neighborhood walk My front yard
What discipline will you use if your dog chews your favorite shoes?
Which of the following disciplines will you use if your dog just won't listen and is really naughty?

Spank with hand Spank with newspaper Swat nose Stern voice Scruffing
When will your dog wear a choke chain?

Always Never Only on walk
Do you think it's necessary for your dog to wear an ID tag?

Yes No
If yes, what kind?

License Vet/Rabies Microchip Owner's contact info
What is the name and location of your veterinarian?
Which of the following would force you to give up your dog?

Move locally Move out of state Move overseas None of these
Under what circumstances would you not keep your dog?

Divorce/separation Allergies Dog barks a lot Dog digs a lot Dog nips at strangers Dog bites kids Dog loses control of bladder Dog develops chronic illness Big vet bills Dog is just untrainable Dog is not the kind of dog I thought it would be Having a baby
If you've been forced to give up a dog in the past, what did you do?

Gave to relative Gave to friend Gave to adoption group/rescue Gave to shelter Found home through newspaper or social media
Please describe your animal history. List the animal, length of ownership, and if you still have the animal; or if you no longer have the animal, what happened.
How did you find us?

Driving by Ad in newspaper or magazine Social media Petfinder Adopt-a-Pet Referral
Is there anything else you would like us to know?
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