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!!
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Your Name (First & Last):
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Your Facebook / Instagram Name?: PLEASE ADD THE LINK TO YOUR PROFILE **
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Age
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Street Address:
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City, State, Zip
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Phone Number:
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Format: (000) 000-0000.
Alternate Phone:
Format: (000) 000-0000.
E-mail:
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Employer:
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Employer reference & phone number:
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How do you prefer to be contacted?
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Phone
Text WHATSAPP
Email
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
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I understand
About Applicant:
Please provide the name of the pet you are interested in, or "No Preference"
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The pet you listed may be pending, please tell us about the type of pet you’d like to adopt
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Please list all current pets in the household: (Breed, age, spayed/neutered)
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Please list previous pets who have died or disappeared and the reason:
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Are you considering adopting more pets in the future?
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Yes
No
Choose which best describes your level of dog owning experience:
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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:
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High
Intermediate
Low
How much time do you consider a dog needs to discompress and start to feel secure, comfortable and get used to his new home?
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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 !!
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What qualities are you looking for in a companion?
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Are you concerned with any of the following behaviors?
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Jumping
Barking
Pulling on leash
Refusal to be handled
Mouthing
Fear/Anxiety
I am not concerned with any of these behaviors
Other
Are you willing to train your pet in case it is not potty house trained ?
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If your pet becomes sick do you have the ability to pay Vet Care? Do you consider buying Health Insurance for your pet?
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Which of these behaviors are you willing to work through, with training & support from a certified trainner?
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What activities would you like to do with your new pet?
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Briefly describe your average day:
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Are there any specific preferences or personality traits you are looking for?
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What kind of food do you plan on feeding your new pet?
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Would you consider adopting a pet with existing medical needs, that are currently being treated?
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Yes
No
Maybe
If ADAC is unable to board your animal, who will care for the animal during times you are away?
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What do you plan to do with the animal if you move? What if there are restrictions pertaining to your pet?
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Who will inherit the animal in the event of a death? (Please list two references with phone numbers)
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Household Information:
Do you consent to a brief home visit, prior to finalizing the adoption of your new pet?
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Yes
No
Are all members of your household in agreement with this adoption?
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Yes
No
I Don't Know
Who will be the pet's primary caregiver?
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Do you live in a
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House
Apartment
Condo
Other
Do you own or rent?
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Own
Rent
If renting, please provide name and contact number for landlord/property management:
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Does your landlord/property management/HOA allow dogs at your residence?
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Yes
No
Are there any restrictions from your landlord/property management/HOA?
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Number of pets
Size or weight restrictions
Breed restrictions
None
Size of your backyard:
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Small
Average
Large
Extra Large (Corner lot)
Patio (No Yard)
Do you have a fully fenced yard?
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Yes
No
Height & type of fence: (N/A if not applicable or no fence)
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Where will the pet be kept when you are not home?
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Does your yard include a pool?
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Yes
No
How many adults are in your household?
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How many children are in your household?
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Please list children's ages:(N/A if no children)
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Have children in the home been around animals, before?
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Yes
No
Does anyone in your home have asthma or pet related allergies?
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Yes
No
Household Activity Level:
Quiet
Active
Very Active
Just Me
Other
Please list 2 personal references with phone numbers:
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Current/Previous Pet Information:
Are your pets up to date on vaccines & preventatives? If not, briefly explain why:
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How many of these pets are spayed/neutered?
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Have you adopted from a rescue group or shelter, previously?
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Yes
No
If yes, which rescue/shelter?
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Have you ever had to surrender an animal?
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Yes
No
If yes, please briefly explain the circumstances?
Do you have a vet you use, currently?
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Yes
No
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)
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Preferred activity level:
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High Energy/Jogging buddy
Moderate Activity
Low Activity
Couch Potato
Do you plan on crate training your new pet?
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Yes
No
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?
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Yes
No
Would you be willing to join our adopters group on Facebook?
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Yes
No
Have you ever potty-trained an animal before?
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Yes
No
How do you plan on exercising your new pet & how many days per week?
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How many hours each day will your new pet be home alone?
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Where will your pet stay when your are not home?
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Where will your new pet sleep at night?
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How do you plan on helping your new pet best adjust to their new home?
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What will you do if bad habits form?
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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?
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How hear about ADAC, AC?
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Google
Petfinder.com
Facebook
Instagram
Friend/Family
Other
Under what circumstances would you have to give up your pet?
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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.
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