Dog Adoption Application

Dog Adoption Application

Adopt for Life and Fulfill Every Pet's Dream!
Dog of Interest or let us match you with a dog*
What attracted you to this particular dog*
Your Information
Name*

First NameLast Name
Age*
Applicants must be 18 years or older
Address*

Street Address

Street Address Line 2

CityState

Zip Code
Cell Phone Number*

Area CodePhone Number
Home Phone Number

Area CodePhone Number
Email*

Confirmation Email
Names of other adults in household*
Relationship to you*

SpousePartnerSonDaughterParentRoommateBoyfriendGirlfriendSibling(s)
Number of children living in home (full or part-time)*
Names and Ages of Children, if applicable or type "N/A"*
Is anyone in the household allergic to dogs*

yesno
Explain
Employment Information
Employer Name*
Occupation/Position*
How long have you worked there*
Address*

Street Address

Street Address Line 2

CityState

Zip Code
Work Phone Number

Area CodePhone Number
Your Home
Type of dwelling*

apthousecondo/townhouse
What is your living situation*

OwnRentLive with parents
Years at this address*
If you are not the homeowner, do you have the landlord's permission to have a dog? Landlord permission is required for adoption*

YesNoN/A
Landlord Name/Phone Number*
Does this home have a yard*

YesNo
If you have a yard*

FencedNAUnfenced
How high is your fence*
Does your home have a pool*

YesNo
If you have a pool is it gated*

YesNo
Your Current Pets

Tell us more about your current pets
How many pets do you currently have living with you*
Please list NAME, AGE, GENDER, BREED, SIZE, and whether they are SPAYED/NEUTERED - for each pet currently living with you and where did you acquired your pet?*
Are all of your dogs up to date on vaccines*

YesNoNot SureN/A
Family Vet Name*
Family Vet Phone Number

Area CodePhone Number
Your Previous Dogs
How many dogs have you had?*
Tell us about your most recent previous dog # 1
Name and Age of the dog?
How long did you have the dog?
Where did you obtain your dog?
What happen to this dog?
Tell us about your most recent previous dog # 2
Name and Age of the dog?
How long did you have the dog?
Where did you obtain your dog?
What happen to this dog?
Your New Dog
Who would be the primary caretaker of the dog*
What if your primary reason for adopting a Dog*

CompanionHuntingGuard DogChild's dogGiftFamily dog
Describe your activity level*
How many hours per day would the dog be left alone?*
Where would the dog sleep*

Inside homeOutside home
Where would the dog be left when he/she is alone?*
When the dog is outside, what outside space is available for dog*

Fenced YardDog RunPatioBalconyGarage
What behavioral problems are you willing to deal with*
What behavioral problems are you * NOT *willing to deal with*
What level of experience do you have with dogs*

First time dog ownerHad dog as a kidI will need helpSomewhat experiencedVery experienced
Are you willing to take your new dog to training?*

YesNo
What training methods will you use?*
What will you do if the dog is not housebroken? What techniques will you use?*
When you travel, who will care for your new dog while you are gone?*
How much are you willing to spend in veterinary costs for your new dog, not including annual checkups and shots?*
If the dog becomes ill or injured, are you financially prepared to provide medical care?*

YesNo
Have you ever surrenderd a pet to a Shelter/Rescue*

YesNo
Explain:
Describe a typical day in your home.*
What else would you like us to know about you*
References
REFERENCE #1: Please provide a reference not living with you. NAME and RELATIONSHIP*
Phone Number*

Area CodePhone Number
REFERENCE #2: Please provide a reference not living with you. NAME and RELATIONSHIP*
Phone Number*

Area CodePhone Number
How did you hear about Every Pet's Dream*
Do you promise to contact Every Pet's Dream if at any point, you can no longer care for this animal?*

YesNo
Adoption Agreement

By electronically signing and submitting this application, I acknowledge that I answered all questions truthfully. Failure to provide truthful answers can result in the forfeiture of your adopted dog back to Every Pet's Dream.
Print Name of the person completing this form*
Thank you for choosing to adopt a dog!

Please allow 24-48 hours for your application to be approved
Should be Empty:

Dog Adoption Application

Your Information

Employment Information

Your Home

Your Current Pets

Your Previous Dogs

Your New Dog

References

Adoption Agreement