Meet/Greet and Adoption Application

Date

Name of Dog you're applying for

Did you read this dog's bio and understand the specific requirements to adopt this dog?*

YesNo

Do you meet all the requirements in this dog’s bio? Note if you answer “no” please explain in the last section of this application.*

YesNo

Name*

First NameLast Name

Names of all adults 18+ in the home including Spouse/SO/Housemates, etc.

First NameLast Name

Email*

example@example.com

Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

Phone Number

Area CodePhone Number

Cell Phone Number*

Area CodePhone Number

Date of birth (note that applicant and primary caregiver of adopted dog must be 21+)*

Date

Employer*

Why do you want to adopt a dog?*

Who will be the primary caregiver of this dog?*

Have you ever adopted a Rescue dog before?*

If yes, from where?

Have you ever had an application declined for adoption of an animal from an animal welfare group/animal control facility?*

If yes, explain

Do you live in a.....*

Full name of Property Owner*

If you rent/lease, please provide landlord's name and contact information. Your application cannot be processed without landlord approval.

List any restrictions from landlord or HOA:

Do you have a fully fenced yard (shared areas at apartment complexes and enclosed patios do not count)*

list fence material (wood, wire, etc) or enclosed patio information if applicable

Height of fence in feet*

Are all of your window wells covered?*

YesNoNA

Are you willing and able to make changes to your current fence/landscaping/patio to accommodate the safety of your adopted dog?*

How long have you lived at this residence?*

Ages of all children in the home

Child 1

Child 2

Child 3

Child 4

Do you have other visiting children or grandchildren? Please state ages and frequency of visits if so*

Has everyone in the home agreed on adopting a Rescue dog?*

Describe the activity level of your home – busy in and out all day, or is it a more quiet, structured atmosphere?*

Do you know or anticipate any major life changes over the next 1-2 years? For example marriage, children, adopting another pet, job promotion or transfer, etc)? Please explain if so.*

Do you have any of the following

Name and contact info of veterinarian you currently use or who can confirm current and/or previous pets are utd on vaccs and spayed/neutered*

List all pets currently in home (names, breeds, and ages)*

How long have you owned each of these pets?

Will the current pets in the home willingly accept a new dog/puppy into the home?*

YesNoNot sure

Do the current pets in the home have any medical or behavioral issues. Please explain if so.*

List any pets you've have in the last 5 years other than those listed above

Where are those pets now?

Are all of your current and previous pets utd on vaccinations?*

If not, why?

Are all of your current/previous pets spayed/neutered*

If not, why?

How many hours per day are you away for work? *

Where will your new dog be when you aren't home (please be specific)?*

Where will your new dog sleep at night?*

If you need to move, will you make every effort to keep and take your dog with you?*

Are you prepared for normal dog behavior such as chewing, digging, housetraining, barking and leash pulling?*

YesNoNot sure

How do you plan on handling those behaviors if they occur?*

If you lost your job, would you be able to keep and afford your dog still?*

How much do you believe a new dog costs on an annual basis (food, vet, toys, boarding, etc.)?*

What is the most you would be willing and able to afford for an emergency vet visit for your dog?*

What will you do if an emergency vet visit costs more than the amount you stated above?*

Are you willing to take the time to housebreak a dog and do you understand that changing a dog's environment may cause the dog to have accidents?*

If you are applying for a puppy/dog who is not potty trained, how will you potty train your new dog?*

What level of dog experience describes you best?*

Have you researched the breed(s) you are interested in adopting?*

YesNo

What collar or other equipment will you use to walk your dog?*

Do you have the time, patience, and physical ability to train, exercise and care for your new dog?*

YesNoNot sure

Have you ever used or do you plan on using using choke, prong, electronic, or bark collars on your dogs?*

YesNo

If yes, please explain

Do you have any health concerns that could impact your ability to care for your new dog?*

Does anyone in your home have allergies*

If yes, what are they allergic to?

Describe your current dog’s feeding schedule. (e.g. regulated at certain time(s) of the day, free feed/unregulated/eat when they’re hungry, feed in kennel, use of slow bowls, etc.*

What brand(s) of food will you feed your dog?*

Do you have the time and financial resources to attend obedience/socialization classes with your new dog/puppy?*

What trainers or training classes have you used and would go to again with your new dog?

What activities will you do and how will you exercise your new dog/puppy?*

What will you do if your new dog runs away?*

Have you or anyone in the home ever received a citation or warning for a dog in your home?*

If so, for what?

Have you ever had to relinquish or rehome a previously owned pet?*

If yes, explain

What changes will occur in your life if you adopt this dog?*

What provisions have you made for this dog if you become hospitalized, incapacitated or unable to care for him/her?*

List any reasons you would consider returning this dog*

Are you willing to forfeit the adoption fee if you return your dog for reasons other than listed above?*

YesNoNot sure

If approved, when will you be ready to bring your new dog home?*

How did you hear about us?

Please provide any additional information you would like us to know or if you need to qualify any of your answers to the questions above.

Please list two personal references (NOT A RELATIVE OR HOUSEHOLD MEMBER), whom you have known for at least three years, who can vouch for your character as a pet owner. * Please note your application will not be considered without two references filled out

Reference 1 name:*

Reference 1 contact information *

Reference 1 relationship to applicant*

Reference 2 name:*

Reference 2 contact information *

Reference 2 relationship to applicant*

Trainer reference if applicable:

I have read the above information carefully and have filled out this application honestly. I understand that omission of information and/or failure to answer all questions and sign the application can result in this application being declined. Also, if an omission or untruth is discovered after an adoption takes place, I understand that CCFR reserves the right to annul the adoption and reclaim the animal. I give CCFR permission to fully investigate the information provided as well as contact veterinarians and related officials. If the application passes this review, I agree to a home and yard visit on a mutually agreed date by a CCFR volunteer before an adoption decision is made. In addition, I understand the adoption decision is dependent on many factors, including but not limited to the compatibility of the family and home to the individual animal, and other applications received on this animal. I understand it is CCFR’s prerogative to decide which home is most appropriate and that their decision is final and, therefore, I will not argue with the decision.

Signature*

Date

To expedite the adoption process, please upload a video of your yard. Take video of your fence line and include close-ups of all gates and window wells. Include your current pets in the video.

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