ENG Casa Sheila - Adoption Application

*PLEASE BE SURE TO HIT THE "SUBMIT" BUTTON AT THE END OR WE DO NOT RECEIVE THE APPLICATION*

This application is designed to help Casa Sheila and yourself determine if a specific dog is the right one for you and your household. Our top priority is to ensure our dogs will be well cared for.

All adopting parties are required to complete this form prior to adoption. Casa Sheila reserves the right to deny any adoption based on answers to this questionnaire and/or interviews prior to adoptions.

Casa Sheila's adoption fee for dogs is $175 USD, which includes: disease testing/treatment, 2 rounds of deworming, age appropriate vaccines, Nexgarde (tick/flea treatment), spay/neuter and one set of travel papers (if needed).

Name of the dog you are interested in *

If no specific dog yet, just put type of dog

Applicant full name(s)*

Separate by comma if more than 1

Your age(s) *

Separate by comma if more than 1

Address*

Street Address

Street Address Line 2

CityState / Country

Postal / Zip Code

Phone Number*

Email*

example@example.com

Why do you want to adopt a dog?*

What type of qualities are you looking for in a dog?*

(Temperament, energy level, etc)

What is your experience with dogs in the past?*

What age dog are you looking for?*

What Size Dog Are You Looking For?*

Do you live in a*

HouseCondoApartmentOther

Do you own or rent your home*

OwnRent

If you rent, does your landlord allow dogs?

YesNo

How many rooms does your household have? *

How many people live with you and what are their ages? *

Do you have a fully fenced in yard?*

YesNo

If yes, how tall is your fence?

Do you have young children or grandchildren living in or visiting the home often?*

YesNo

If yes, how many kids and what are their ages? *

If yes, have they been in contact with dogs before? *

What is your energy/activity level?*

What is your occupation?*

How many hours a day will the dog be left alone? *

If you are leaving for a few hours, what will you do with the dog?*

What would you do with your dog if you had to move?*

Do you have other pets in your home?*

YesNo

If yes, how many?

If yes, please list each one's type (cat, dog, etc) age, size, breed, and gender.

What would you do with the dog if you’re leaving for an extended period of time?*

Do you have a veterinarian you currently use? If yes, please put name, city/state, and phone number*

Do you understand that a dog needs yearly (and possibly emergency) veterinarian care and are you willing and able to provide that?*

YesNoUnsure

Are you aware that a new environment can be stressful for your dog, and they may exhibit uncharacteristic behavior?*

YesNoUnsure

Do you understand that rescue dogs can take many weeks to adjust to a new environment and are you willing to be patient with your new dog?

YesNoUnsure

Are you willing to work through your dogs new issues, if any arise?*

YesNo

Do you understand that adopting a dog is a lifetime commitment?*

YesNo

If you do not get chosen for the dog you are approved for, yet are pre-approved... you can be added to the list for first-choice in the future. Would you like to be added, just in case?*

YesNo

I agree that the above information is true and accurate to the best of my abilities*

I agree

Applicant signature(s)*

DOG ADOPTION APPLICATION