Adoption Application

Adoption Application

Please take a few moments to complete this adoption application so we can get to know you, your lifestyle, and which dog would best fit your family!
Which dog are you interested in?*
If you don't know yet, you can write "TBD" (To Be Determined)
Name*

First NameLast Name
AGE*
MUST BE 21+ TO ADOPT
Phone Number*
Please enter a valid phone number.Format: (000) 000-0000.
Email*
example@example.com
What is the best way to contact you?*
Home Address (Cannot accept P.O. Box)*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
ABOUT YOU AND YOUR HOUSEHOLD...
Do you live in a(n)...*

ApartmentCondoHouseRanch/AcreageOther
Do you OWN or RENT your home?*

OWNRENT
Landlords Name

First NameLast Name
Landlords Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Landlords Email
example@example.com
Are there any BREED or WEIGHT restrictions in your complex/association?*

YESNOUNKNOWN
If you answered "YES" to the previous question, please explain what those restrictions are:
Do you have a...*

YARDPATIOACREAGEDOG RUN/OUTDOOR KENNELNONEOther
Is your above answer FULLY fenced?*

YESNO
If it is NOT fully fenced, how do you plan to keep this dog or puppy safe and contained to your property when outside?*
Do you have a pool?*

YESNO
If you answered "YES" to the previous question, is it fenced off?*

YESNOI DONT HAVE A POOL
Is everybody in the household ready to bring a new pet into the home?*

YESNOSTILL DISCUSSING
Please provide the NAMES and AGES of everybody living in the household:*
Note: Some dogs have preferences and do not like or are afraid of young children, men, etc or may be a bit too rambunctious and clumsy for seniors or young children. So it's good to know who the dog will be living with for their life.

Please provide the NAMES and AGES of everybody living in the household:*

Rows	NAME	AGE
Applicant (You)
Member #2
Member #3
Member #4
Member #5
Member #6
Member #7
Member #8
Member #9

Current Employment Status?*
What is your occupation?*
ABOUT YOUR DREAM DOG...
Many of our dogs are MIXED BREEDS; Is there any breed of dog you would NOT want to adopt?
Tell us what your IDEAL/DREAM dog would be?
Breed, Age, Size, Gender, Energy Level, Personality, Compatibility (kids/dogs/cats), Future Activities, Etc.
Do you want a dog that is already potty trained?*

YESNOPREFERABLYDOESN'T MATTER
Do you plan on crate training?*

YESNOIF NEEDEDI WANT A DOG THAT'S ALREADY CRATE TRAINED
Do you have current or future plans on working with a trainer or behaviorist?*

YESNOPOSSIBLY
What type of dog do you prefer?*

PRIMARILY or ONLY: INDOORPRIMARILY or ONLY: OUTDOORINDOOR and OUTDOOR
Where would this dog or puppy sleep at night?*

INSIDEOUTSIDEGARAGEOther
What is your reason(s) for wanting to adopt this pet?*

PERSONAL COMPANIONFAMILY COMPANIONCOMPANION FOR CHILDCOMPANION FOR OTHER PETGIFT FOR SOMEONE ELSEGUARD/PROTECTION FOR HOMEGUARD/PROTECTION FOR BUSINESSOther
Do you have any current travel plans, scheduled medical procedures, or anything else that is pre-planned for the near future that may prevent you from adopting a dog or puppy at this current time or allow you to provide a forever home right away?

YESNO
If YES, please explain, or provide the next soonest/approximate date that you and your household will be 100% be ready to adopt! OR...Do you already have plans for a pet sitter/boarding and are ready to adopt now regardless of your upcoming plans?
ABOUT YOUR PET EXPERIENCE
Have you owned a dog before?*

YESNO
Have you owned a rescue dog before?*

YESNO
If you've answered "Yes" to one or both of the questions above, is the dog...*

STILL WITH MEDECEASEDREHOMEDMISSINGSHELTER OR RETURNEDTHIS WOULD BE MY FIRST DOG/PUPPYOther
Do you currently have any other pets in the household?*

YESNO
If you answered "Yes", how many DOGS do you have?
If you currently have other dogs in the home, are ALL spayed/neutered?*

YESNOI DO NOT CURRENTLY HAVE OTHER DOGS
If you answered "Yes", how many CATS do you have?
If you answered "Yes", do you have any OTHER pets?
Horses, Chickens, Rabbits, Tortoises, Etc
If you currently have other pets, we want to know more about them! (specifically BREED(S), AGE(S), SIZE(S))
Please provide: Name, Age, Breed, Size, Playful or Mellow or a bit of both?, etc.
Just a few more questions!
Do any members in the household have allergies to dogs?*

YESNO
If you answered "YES" to the previous question, how would this be handled?
During what hours of the day would this dog be home alone? (Ex. 9:00 am to 5:00 pm) Please include travel times if possible.*
Some dogs may do well being left alone during work hours while other dogs cannot handle being home alone for long.
If you had to relocate, where would this dog go?*
Moving, Divorce, College, etc
If you could no longer care for this dog, where would this dog go?*
Emergencies, Sick, Allergic, Divorce, Moving, Expenses, etc
Are you planning on cropping this dogs' ears or docking this dogs' tail?*

YESNO
Please use this section to tell us more about you, your lifestyle, and any other details you would like to share for your hopeful new companion and how we can help you find the best fit possible:
We're curious, How did you hear about this dog or about our organization?*
Should be Empty:

Adoption Application

ABOUT YOU AND YOUR HOUSEHOLD...

ABOUT YOUR DREAM DOG...

ABOUT YOUR PET EXPERIENCE

Just a few more questions!