Valley Dogs Adoption Consultation Form

ADOPTION REQUIREMENTS: REVIEW PRIOR TO APPLYING.

We require an application, home visit, and adoption contract that outlines ownership expectations.
Valley Dogs Rescue has a policy against placing medium/large breed puppies/dogs in rental properties. This was implemented due to the large number of dogs returned as the adoptive family's current lease was up and they were unable to find another rental that would take a large dog or specific breed.
For homeowners, we will verify ownership with county or state records. If you are not listed on government records, we will verify you have permission to have the size/breed dogs with the owner of record.
The home must have a secure and appropriate height fence for the perspective dog.
All family members living in the household must be present for the meet and greet. All family members must also agree to the adoption terms.
The applicant must be eighteen years of age or older.
If within the first 14 days there is a health issue we may, at our discretion, pay for the animal to be seen by our approved veterinarians for necessary treatment.
Valley Dogs Rescue does not reimburse for any cost or expense that you have incurred for the dog after the adoption process has been completed.
We reserve the right to deny any adoption application.

Additional Expectations:

You will keep your adopted dog on a leash or inside a fence any time it is outdoors.
You will provide proper introduction to other animals in the household or animals met outside the household. Valley Dogs Rescue can provide assistance with this process.
If the adoption is not working out, please contact VDR to make arrangements. Do not take the animal to another shelter, rehome or give it away.
You are responsible for verifying city, county or state laws regarding the keeping of dogs, including the legal number of dogs allowed, licensing requirements and whether certain breeds of dog are banned or restricted in your HOA community.

I have read through the adoption requirements and would like to apply to adopt a dog.

Name*

First NameLast Name

Signature*

Date*

Date

Email*

example@example.com

Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

Phone number where you can be reached:*

Area CodePhone Number

Current employer and how long with company:*

Tell us which Valley Dogs Rescue dog(s) you're interested in:

What age of dog are you looking for? (select all that apply)*

What gender of dog are you looking for? (select all that apply)*

MaleFemale

Do you want your new dog to be: (select all that apply)*

OutdoorIndoorOutdoor mostlyIndoor mostly

What physical characteristics do you want your new dog to have?

Coat Length: (select all that apply)*

ShortMediumLongNo Preference

Size: (select all that apply)*

SmallMediumLargeNo Preference

Other physical characteristics:

What personality characteristics do you want your new dog to have?

Activity Level: (select all that apply)*

High ActivityMedium ActivityLow ActivityNo Preference

We want our new dog to do the following with us: (select all that apply)*

Characteristics: (select all that apply)*

Other personality characteristics:

Have you adopted an animal(s) from Valley Dogs before?*

YesNo

If yes, what type of animal(s)? (select all that apply)

CatDog

If yes, what are the animal(s) names?

Have you had animals before?*

YesNo

If yes, what kinds? (select all that apply)

CatDogOther

If yes, what happened to them?

Do you have any animal(s) currently?*

YesNo

If yes, how many animals do you have now?

If yes, describe your current animals:

	Type	Breed	Age	Gender	How long owned	Where was the pet acquired?	Spayed or neutered?	Vaccinated?	Date next vaccine due:	Comments
1st Animal:
2nd Animal:
3rd Animal:
4th Animal:

Current veterinarian information:

Please give us any additional information that will help us find you the right canine companion:

Is your primary residence a:*

HouseApartmentOther

Do you rent or own your primary residence?*

RentOwn

If you rent, does your landlord allow animals?

YesNo

If you rent, are their breed restrictions?

YesNo

If there are breed restrictions, what breeds are not allowed?

Does your home have a dog door?*

YesNoNot currently, but we are considering installing one

Is your yard fenced?*

YesNo

If your yard is fenced, what type of fence?

BlockWoodChain LinkOther

If your yard is fenced, how tall is the fence?

Does your home have a pool?*

YesNo

If your home has a pool, is it fenced?

YesNo

How many children live in your home?*

What are their ages?

How many adults live in your home?*

Is anyone in your home allergic to cats/dogs? (select all that apply)*

CatsDogsNo allergies to cats or dogs

Children visit our home:*

Is this animal a gift?*

YesNo

How many hours per day would your new dog be unattended while your family is at work or school?*

Where will your dog be kept during the day while you are away? (select all that apply)*

InsideOutsideOther

Where will your dog be kept during the night? (select all that apply)*

InsideOutsideOther

Our family's activity level is:*

When you are out of town do you plan to: (select all that apply)*

Under what circumstances would you give this pet up? (select all that apply)*

If other, please explain:

Are you familiar with crate training?*

YesNo

If yes, will you crate train?

YesNo

Would you be willing to take your dog to obedience training?*

YesNo

How much are you willing to spend on your dog on medical expenses per year?*

How did you learn about Valley Dogs?

If newspaper, event, or other website, please specify:

I acknowledge that all of the information contained in this form is true and correct to the best of my knowledge. I understand that any misrepresentations of fact may result in the removal of the adopted dog from my home by Valley Dogs*

Date*

Date

Valley Dogs Rescue Adoption Application

Adoption Consultation Questionnaire

About your new dog

About your home and your family

Signature