Canine Adoption Application

Full Name*

First NameLast Name
I am interested in adopting:*
I am 18 years or older:

YesNo
Current Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
I am over 18 years old.

YesNo
Email Address*
Phone Number*

Area CodePhone Number
The last time I owned a dog was:

Type option 1Type option 2Type option 3Type option 4
I am looking for a dog that can be a (select all that apply):

guard doghunting dogherding dogemotional support animalservice dogtrial dog (agility, fly ball, obediencecompanionOther
The last time I owned a dog was:

Currently own dog(s)Not within the last two years2-10 years agoOver 10 years agoI have never owned a dogFamily dog growing up
My dog needs to get along with:

Other dogsChildren under 8 years oldChildren over 8 years oldElderly peopleCatsAnimals other than cats and dogs
My dog will primarily be an*

Inside dogOutside dog
How many hours will your dog spend outside per day?*
My dog needs to be able to be alone (per day)...*

2 hours or less2-4 hours4-8 hours8-10 hours10 hours or more
When I'm at home, I want my dog to be by my side...*

All of the timeSome of the timeLittle of the time
When I'm not at home, my dog will spend their time...*

In the garagein a crate in the houseIn the yardLoose in the houseConfined to one area of the houseOther
I want my dog to be the type that is very enthusiastic in the way they show they love people.*

VerySomewhatNot at all
I want my dog to be playful.*

VerySomewhatNot at all
I want my dog to be laid back.*

VerySomewhatNot at all
I am comfortable doing some training with my dog to improve manners such as jumping, stealing food, and pulling on the leash.*

Not at allSome trainingA lot of training
It is most important to me that my dog...*
Is there anything else you would like to add to your application?
Signature

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