Adoption Application and Contract

ADOPTION APPLICATION

Operation Save A Shelter Dog

6150 Blackwater Rd, Zuni, VA 23898

757-375-1835

Venmo: @Julia-Buie-2

CashApp: heylittledoggy

PayPal: OperationSaveAShelterDog@Gmail.com

Remember this is a lifelong commitment. After answering all the questions, please ask yourself if you are ready to commit to the this companion for the duration of their life? Can you give this companion the needed time to decompress and not have unrealistic expectations? Please be honest as this is their life too!! Please note transport fees may apply.

Operation Save a Shelter Dog is a non profit rescue organization for homeless dogs, sick, and injured dogs. It is our goal to get these dogs healthy and place them in permanent, loving homes where every member of the household is committed to their lifelong care. If you are willing to take on this responsibility, please complete the application below. Your application will be reviewed, and if qualified, we will proceed with the adoption.

I certify that the information provided on this application is complete, true and accurate to the best of my knowledge. I understand that providing false information may void this application and result in forfeiture of the adopted animal, as well as any adoption fees paid

Date

Dog's Name You Are Applying To Adopt:

Where Did You Find This Dog?

Applicant's Name

First NameLast Name

Date Of Birth

Date

Spouse or Co-Applicant's Name (If Applicable)

First NameLast Name

Date of Birth of Co-Applicant

Date

Cell Phone Number

Please enter a valid phone number.Format: (000) 000-0000.

Cell Phone Number of Co-Applicant

Please enter a valid phone number.Format: (000) 000-0000.

Secondary Number (Home/Other)

Please enter a valid phone number.Format: (000) 000-0000.

Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

Email

example@example.com

Email of Co-Applicant

example@example.com

Preferred form of contact

Are You Willing to Have a Home Visit Before and/or After Adoption?

Do You Own Or Rent Your Home?

Other

If You Own Your Home Is There An HOA?

Does Your HOA Have Breed Restrictions?

IF YOU RENT YOUR HOME, OPERATION SAVE A SHELTER DOG REQUIRES A LETTER FROM YOUR LANDLORD STATING THAT YOU ARE ALLOWED TO HAVE A DOG IN THE RENTED HOME. THE LETTER MUST ALSO STATE ANY BREED AND SIZE RESTRICTIONS ON THE PROPERTY. YOUR APPLICATION WILL NOT BE PROCESSED UNTIL YOU SEND THIS LETTER TO OPERATIONSAVEASHELTERDOG@GMAIL.COM

Please Provide Landlord Name and Phone Number

Employer Name and Phone Number

Have You Ever Been Accused/Convicted of Animal Cruelty

If You Have To Move In The Future Where Dogs Are Not Allowed, What Would Happen To Your Dog?

Under What Circumstances Or Life Changes Have You Had To, Or Would you Have to Give Up A Pet (Select All That Apply)

If You Selected A Response To The Question Above About Giving Up A Pet, You Can Provide Additional Detail Here.

If You Had To Give Up Your Pet and the Rescue Could Not Take It Back Immediately What Would You Do?

How Many People Currently Live In The Home?

Rows	Number of Adults	Number of Children
Residents In Home

Age of Children?

Please put N/A if it doesn't apply.

Do You Provide Child or Pet Care In Your Home?

Describe The Activity Level In Your Home:

Where Will Your Adopted Dog Primarily Live:

If Both, Please Explain With Additional Details

How Many Hours Per Day Will Your Dog Usually Be Left Alone Due To Work, School, Etc.?

Will Your Pet Be Crated

Do You Have A Fenced Yard That Is Fully Enclosed On All Four Sides?

Other

If Yes, How Tall Is Your Fence

If Yes, What Is Fence Material (Select All That Apply)

Owning A Dog Comes With Some Recurring Monthly And Annual Expenses. Have You Thought About Those, And Feel You Are Financially Prepared To Pay For These Expenses?

Do You Own a Vehicle to Get Animal to Vet

If You Go On Vacation or are Deployed, What is Your Plan For This Animal?

Adopted Dogs Usually Have Some Potty Accidents In Their New Home For A Short Period Of Time And Puppies Need To Be Potty Trained. How Will You Handle This?

Adopted Dogs May Need Some Additional Behavior Training, Depending On Their Background And Whether They Were Previously Living In A Home. What Behaviors Would You NOT Be Able to Live With? (Please Select All That Apply)

If The ADOPTED Dog Displays Any Of The Behaviors You Selected Above, How Will You Handle It?

Have You Ever Had To Surrender A Pet You Owned To Any Animal Shelter, Including a Low or No Kill Shelter?

If You Answered Yes To Surrendering A Pet, Please Provide Detail:

Have You Ever Lost A Dog To Escape Or Accident:

If You Answered Yes To Losing A Dog To Accident or Escape, Please Provide Detail:

When Was The Last Time You Owned A Dog?

How Many Dogs Have You Owned In Your Life?

How Many Dogs Do You Currently Own?

How Many Cats Do You Currently Own?

List Of CURRENT DOGS Or CATS You Own That Are Living At Your Home, Inside And/Or Outside.

Rows	Type of Pet	Pets Name	Breed or Breed Mixes	Current Age	Is Pet Spay or Neutered?	Is Pet Current On Vaccines?	Is Your Dog On Year Round Heartworm Prevention?	Where Does The Pet Primarily Live?
Pet 1
Pet 2
Pet 3
Pet 4
Pet 5
Pet 6

If You Indicated A Pet Lives Inside And Outside, Please Provide Details On When It Is Inside And When It Is Outside.

Current Pet(s) Disposition And Behavior Towards Other Dogs? Please List Any Positive Information Or Possible Concerns If Introducing A New Dog To Your Current Pets.

Do You Plan To Give The Newly Adopted Pet Proper Decompression Time and Slow Introductions To Current Pets?

What Heartworm Prevention Do You Use, And Where Do You Purchase It?

What Flea Prevention Do You Use, And Where Do You Purchase It?

PLEASE CONTACT VET AND APPROVE PERMISSION FOR OPERATION SAVE A SHELTER DOG TO BE PROVIDED INFORMATION ON YOUR CURRENT OR PREVIOUS PET(S). Please List Name and Phone Number To Your Veterinarian/Vet Clinic You Use For Your Current Pets and Pets That you have had In the Last THREE Years. If Records Are Under Another Name Please Provide.

PLEASE USE N/A IF DOES NOT APPLY

If There Is Anything Else We Should Know About You, Current, Or Prior Dogs, Or Your Application, Please Enter It Here.

Signature

Co-Applicant Signature

SECTION 1 - PERSONAL INFORMATION

SECTION 2 - LIVING ARRANGEMENTS

SECTION 3 - TRAINING AND COSTS

SECTION 4 - HISTORY WITH CURRENT AND PRIOR PETS