Form
Date
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Month
-
Day
Year
Date
Email
example@example.com
Name
First Name
Last Name
Phone Number
Please enter a valid phone number.
Format: (000) 000-0000.
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
NAME OF ANIMAL YOU ARE APPLYING FOR
Do you own your home or rent your home? If you rent, please provide the landlords information and phone.
How many people live in your house? Number of children in the house and ages. Are you getting this pet for your kids?
Do all household members share your decision to adopt a pet? Is anyone in your family allergic to pets?
How long have you been thinking about getting a pet?
Are you aware that the average cost of a pet per month is $100 without vetting? Are you ready to take this on financially? Yes or No
What would you do if you had to move somewhere that did not allow pets?
Are you employed, retired? What is your source of income?
Are you a college student or in the military?
Can you realistically commit to this dog for 10 to 15 years? Will you lose interest?
Number of hours that you work per week
How many hours will this pet be home alone on an average day?
Will you have time to exercise this pet and where will the pet be when you are not at home?
What will you do if the dog has an accident in the house?
List any reasons that you would rehome a dog? ( too big, unable to house train, sheds, to active, barks too much, shy, doesn't like other dogs or kids or cats, health reasons, dog aggressive)
Who will be the primary caretaker of this pet?
Will this dog be an indoor or outdoor dog? Do you have a dog house on the property?
Is your yard fenced in? Please describe fence. Wood, Picket, Electric, or ect.?
If your yard is not fenced, how will you make sure the pet is safe and under control when outside?
Are you familiar with housetraining techniques? How long do you think it will take to housetrain a dog? What technique will you use?
Will you use a crate? If you plan on crate training, what is the longest time on an average day that the dog will be crated?
Where will the dog sleep at night? Are they allowed on the furniture?
Would you be willing to use doggy daycare, dog trainers or puppy classes?
Have you ever adopted from a shelter or rescue group? Which one?
List all current pets, age and breed and are they spayed or neutered. Will this be your first pet?
Are you aware that there may be special problems associated with dogs that may have been neglected or abused such as puppy mill dogs and are you prepared to deal with these problems and maintain your commitment to this dog?
Vets name and phone number
Does your vet have records for all of your past and present pets?
Are all of the pets you have now current on their rabies vaccination and other shots?
Is it ok if we contact your vet for a reference?
Name and number of a personal reference
How did you hear about us?
Are you willing to bring your current dog for an introduction?
Please Select
Yes
No
Signature
PLEASE UNDERSTAND WE ARE ALL VOLUNTEERS. YOU WILL BE CONTACTED ONLY IF SELECTED. PLEASE ALLOW US 7 DAYS TO LOOK OVER APPLICATIONS. YOU MUST COMPLETE A NEW APPPLICATION FOR EACH DOG. THANKS FOR APPLYING
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