Palamut Pooches Dog Adoption Application Form

Full Name*

First NameLast Name

Age of applicant*

E-mail*

Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry

Telephone contact number*

Area CodePhone Number

Please tell us about your home, location, size, access, etc. Do you own or rent, do you have landlord permission to keep a dog*

Please tell us about your local area, proximity to main roads, walks, countryside, beach*

Please List all People Living in the Household (Include Name, Relationship, Gender and Age)*

Please tell us about the working hours and patterns of all adults in the home*

Please describe your typical (family) routine*

Please describe your activity level*

Do you have a preference in sex of foster?*

MaleFemaleNo Preference

Are you willing to foster a dog of any age?*

YesNo

If not, what age would you consider?*

What size dog are you willing to foster? (Check all that apply)*

SmallMediumLarge

Please describe the type of dog you are willing to foster & if there is a particular Palamut Pooches dog that you are interested in adopting. (Please include breed, personality traits, energy level, etc.)*

Would you consider taking on siblings or a pair of bonded rescue dogs?*

YesNo

Please give details of any other dogs & pets you have. Please state whether any other dogs are neutered.*

Do you have any experience of owning a dog?*

YesNo

Have you had any experience with with an emotionally or physically neglected or abused dog?*

YesNo

If yes, please describe*

How many hours would your dog be left alone in any typical day?*

Do you have a garden?*

YesNo

If yes, please advise on size*

Is your garden fenced?*

YesNo

If fenced, please give details on height, material, # of gates, are gates locked or lockable?*

Would you consider adopting a dog with disabilities?*

YesNo

We cannot guarantee a dog to be housebroken, are you equipped to train with love and patience?*

YesNo

If Yes please explain*

What are you plans to exercise your foster? Please list any parks near by or trails, how many walks a day, approximate length, and activities such as agility.*

We are always careful to ensure we match the right dog with the right home. This can sometimes mean adopters having to wait up to four months to get the perfect partner. Would this length of wait be a problem to you?*

YesNo

Details given in this form may be shared as part of our home visit check. Are you happy for this to happen?*

YesNo

Finally please help us by sharing how you found out about Palamut Pooches.

By sending this electronically, I acknowledge that I have completely read this questionnaire and comprehend it fully.

I understand that applying does not ensure approval and that untruthful answers or failure to comply with the requirements of this application can result in the forfeiture of any Palamut Pooches dog adoption by me.

I certify that the above information is correct, and I understand that the information will be verified.

I understand that by submitting this form electronically, I agree to release and covenant to hold harmless Palamut Pooches and it's members from any claims, damages, costs, or actions incurred because of the care or actions of the foster dog.

I accept full responsibility for the dog(s) actions at all times, and release Palamut Pooches from any liabilities or damages that may be incurred because of adopting such dog(s).

I agree to have Palamut Pooches complete reference call checks and conduct a home visit inspection to be able to approve my adoption application.

I agree that if I'm unable to foster the dog(s) anymore that I will return the dog(s) to Palamut Pooches and try to give Palamut Pooches a 2 week period to try and find another suitable foster for the dog(s).

Date*

MonthDayYear

Your name*