ADAC, AC Adoption Application Form

Adoption Application
Applicant Information:
CONFIRM THAT YOU HAVE READ THAT OUR RESCUES ARE “OUT OF TOWN PETS” FOSTERED IN MEXICO AND/OR TEXAS AND THAT CAN BE TRANSPORTED TO EAST COAST OR PNW IF ADOPTED!!*
Your Name (First & Last):*
Your Facebook / Instagram Name?: PLEASE ADD THE LINK TO YOUR PROFILE ***
Age *
Street Address:*
City, State, Zip*
Phone Number:*

Area CodePhone Number
Alternate Phone:

Area CodePhone Number
E-mail:*
Employer:*
Employer reference & phone number:*
How do you prefer to be contacted?*

PhoneText WHATSAPPEmail
APPLICATIONS WITHOUT HOME CHECK PHOTOS/VIDEO WILL NOT BE CONSIDERED! PLEASE DO NOT SATURATE OUR FILES IF YOU ARE CONSIDERING NOT SENDING PREVIOUS HOME REVIEW*

I understand
About Applicant:
Please provide the name of the pet you are interested in, or "No Preference"*
The pet you listed may be pending, please tell us about the type of pet you’d like to adopt*
Please list all current pets in the household: (Breed, age, spayed/neutered)*
Please list previous pets who have died or disappeared and the reason:*
Are you considering adopting more pets in the future?*

YesNo
Choose which best describes your level of dog owning experience:*

Advanced (Dog behavior & training background)Intermediate (Always owned dogs)First Time (Never had a dog)
Choose which best describes your level of patience and tolerance regarding pets:*

HighIntermediateLow
How much time do you consider a dog needs to discompress and start to feel secure, comfortable and get used to his new home? *
Are you willing to give a pet a chance applying the RULE OF 3 ? 3 days to decompress, 3 weeks to learn a routine, 3 months to start to feel home !! *
What qualities are you looking for in a companion?*
Are you concerned with any of the following behaviors?*

JumpingBarkingPulling on leashRefusal to be handledMouthingFear/AnxietyI am not concerned with any of these behaviorsOther
Are you willing to train your pet in case it is not potty house trained ?*
If your pet becomes sick do you have the ability to pay Vet Care? Do you consider buying Health Insurance for your pet? *
Which of these behaviors are you willing to work through, with training & support from a certified trainner?*
What activities would you like to do with your new pet?*
Briefly describe your average day:*
Are there any specific preferences or personality traits you are looking for?*
What kind of food do you plan on feeding your new pet?*
Would you consider adopting a pet with existing medical needs, that are currently being treated?*

YesNoMaybe
If ADAC is unable to board your animal, who will care for the animal during times you are away?*
What do you plan to do with the animal if you move? What if there are restrictions pertaining to your pet?*
Who will inherit the animal in the event of a death? (Please list two references with phone numbers)*
Household Information:
Do you consent to a brief home visit, prior to finalizing the adoption of your new pet?*

YesNo
Are all members of your household in agreement with this adoption?*

YesNoI Don't Know
Who will be the pet's primary caregiver?*
Do you live in a*

HouseApartmentCondoOther
Do you own or rent?*

OwnRent
If renting, please provide name and contact number for landlord/property management:*
Does your landlord/property management/HOA allow dogs at your residence?*

YesNo
Are there any restrictions from your landlord/property management/HOA?*

Number of petsSize or weight restrictionsBreed restrictionsNone
Size of your backyard:*

SmallAverageLargeExtra Large (Corner lot)Patio (No Yard)
Do you have a fully fenced yard?*

YesNo
Height & type of fence: (N/A if not applicable or no fence)*
Where will the pet be kept when you are not home?*
Does your yard include a pool?*

YesNo
How many adults are in your household?*
How many children are in your household?*
Please list children's ages:(N/A if no children)*
Have children in the home been around animals, before?*

YesNo
Does anyone in your home have asthma or pet related allergies?*

YesNo
Household Activity Level:

QuietActiveVery ActiveJust MeOther
Please list 2 personal references with phone numbers: *
Current/Previous Pet Information:
Are your pets up to date on vaccines & preventatives? If not, briefly explain why:*
How many of these pets are spayed/neutered?*
Have you adopted from a rescue group or shelter, previously?*

YesNo
If yes, which rescue/shelter?*
Have you ever had to surrender an animal?*

YesNo
If yes, please briefly explain the circumstances?
Do you have a vet you use, currently?*

YesNo
If so, please provide the name, address, & phone number of your vet:
Please call your veterinarian's office and allow them to release information to ADAC, AC
Adoption Information:
Briefly explain why you are interested in adopting? (N/A for Fosters)*
Preferred activity level:*

High Energy/Jogging buddyModerate ActivityLow ActivityCouch Potato
Do you plan on crate training your new pet?*

YesNo
Our dogs are important to us and we want to keep in touch! Are you willing to send regular updates and photos of your dog?*

YesNo
Would you be willing to join our adopters group on Facebook?*

YesNo
Have you ever potty-trained an animal before?*

YesNo
How do you plan on exercising your new pet & how many days per week?*
How many hours each day will your new pet be home alone?*
Where will your pet stay when your are not home?*
Where will your new pet sleep at night?*
How do you plan on helping your new pet best adjust to their new home?*
What will you do if bad habits form?*
Please tell us about a past behavioral challenge you have had with a pet in your past experience and how you worked through that challenge?*
How hear about ADAC, AC?*

GooglePetfinder.comFacebookInstagramFriend/FamilyOther
Under what circumstances would you have to give up your pet?*
- Please send photos of your home, backyard/fence line and common areas where the dog will occupy to:
- eyelemei@gmail.com
- Please note - applications without home check photos will NOT be considered.Include photos where the pup would spend the most amount of time. Bedrooms, living areas, backyard, etc.
- I agree that the information I have provided is true
- I understand that applying does not mean adoption is guaranted
- I understand that ADAC spends a minimum of $350.00 in vetting costs per intake (for healthy pets) & adoption fees are donations towards care & medical needs to continue to help each rescue dog who takes the place of an adopted one.
www.adacmx.com
Should be Empty:

Adoption Application

Applicant Information:

About Applicant:

Household Information:

Current/Previous Pet Information:

Adoption Information: