• Dog Adoption Application

    Dog Adoption Application

  • Thank you for taking the time to fill out this application. Your information will remain confidential and used only to determine if the dog you are interested in is the right fit for your family!

  • PERSONAL INFORMATION:

  • Today's Date
     / /
  • Format: (000) 000-0000.
  • Format: (000) 000-0000.

  • HOUSEHOLD INFORMATION:

  • For best match purposes only...

    How many people are in your household?

    Adults age 21+ (Including self):

  • Does anyone in the household have asthma or allergies to dogs?
  • Does anyone in the household have emotional or physical challenges?
  • Do you live in:
  • Do you:
  • If renting/leasing, are there pet restrictions?
  • Format: (000) 000-0000.

  • AHDRNC requires a home check before adopting any dog into his/her new family. If renting, we will contact your landlord to ask if animals are permitted in your home is acceptable. Positive confirmation is required prior to adopting.

  • Rows
  • Is your dog(s) current on heartworm and flea/tick prevention?
  • Describe your yard:
  • Made of?
  • If you don’t have a fenced in yard, do you agree to keep your adopted dog on leash at all times outdoors?

  • VETERINARIAN INFORMATION:

  • Format: (000) 000-0000.

  • YOUR PERFECT POOCH:

  • Which best describe the type of personality you’re seeking in a dog? Please select all that apply:
  • Is there a specific breed or mixed breed you prefer?
  • Are all members of your household aware and in agreement with this adoption?
  • Have you previously adopted from a rescue or shelter?
  • Do you agree to contact AHDRNC if you can no longer keep this dog?
  • Do you agree that this dog will never be surrendered to a shelter, sold or transferred from your possession?
  • Do you have experience with:
  • What situations do you feel unprepared for?

  • PERSONAL REFERENCE:

  • Format: (000) 000-0000.

  • By signing below, you are indicating that all information provided on this adoption application is true and accurate to the best of your knowledge. Please understand that the submission of this application does not guarantee acceptance or adoption of a pet from AHDRNC. We are committed to finding the best suited home for both our dogs and adopters alike. We’ll be in touch soon!

  • Date
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