ADOPTION APPLICATION
I am humbled by your coming to Dog Lover Rescue! I am also extremely appreciative of your decision to rescue and save innocent lives in need of a chance at life and love, instead of going to a breeder or otherwise buying a dog and supporting a cruel and inhumane industry where dogs are literally produced for profit- like a pair of jeans! Your commitment to choosing compassion through adoption will be recognized soon by more than just myself, though, but by the sweet furbaby(s) that are about to fill your whole heart!
Date
*
Name of Dog(s) interested in *if applicable
*
If you are looking to adopt a certain dog(s) with any medical issues, including heartworm, you agree to assume the responsibility and cost
*
Yes
No
You agree to maintain flea, tick and heartworm prevention for the dog(s), as well as routine annual veterinary care and any other veterinary care that becomes necessary.
*
Yes
No
You agree to have a spay or neuter done with your vet, as soon as is possible, for any adopted dog(s) that is not yet fixed prior to adoption.
*
Yes
No
Name
*
Address (city, state and zip included)
*
Cell Phone
*
Email
*
example@example.com
Car / State / Plate
*
Do you work outside of the home
*
Yes
No
Occupation / Place of Employment
*
Work schedule days/ hours
*
Do you travel for work? If yes, please explain
*
How many hours a day would the dog(s) be alone for
*
Where will you keep the dog (s) when you are not home
*
List ALL members of household (Name/ age/ relationship)
*
Whose responsibility will the dog (s) be
*
Are all members of the household in agreement on adopting
*
Yes
No
Is there a move or household dynamic change possible in the next 3 years? If yes, please explain
*
Please share all current dogs in the household (Name, gender, age, breed(s), size & where they came from )
*
Are all pets spayed and neutered
*
Yes
No
If no, please explain
Are all pets up to date on vaccinations
*
Yes
No
Have there ever been any incidents / aggression with any of your dogs and other dogs? If yes, please explain
*
Please list all pets you have HAD (Name, gender, age, breed(s) sizes, length of time you had them & where they came from)
*
Please list name & contact for current veterinarian. Please contact your vet to provide permission to release of info/ records to Dog Lover Rescue.
*
Do you live in a:
*
House
Apartment
Condo
Other
Do you:
*
Own
Rent
If you rent, please provide the name and contact for the landlord or management company.
*
Are they aware of and agreeable to a dog(s) in the home?
*
Yes
No
Any restrictions according to the landlord/ management co.?
*
Yes
No
Do you have a yard
*
Yes
No
Do you have a fence
*
Yes, completely fenced in
Yes, partially fenced in
No
Fencing
*
Wood
Vinyl
Chain Link
Electric Fence
Other
Height of fence
*
Do you have a balcony
*
Yes
No
Is there protection in place for the dog(s) on the balcony(s)? Please explain
*
If you have cats, are they declawed?
Yes
No
Do you intend to crate the dog(s) during the day
*
Yes
No
If yes, please explain when, for how long, each day
*
Do you intend to crate the dog(s) at night
*
Yes
No
If crating, maximum hours in a day the dog(s) would ever be crated
*
The dog(s) will be...
*
Allowed on furniture
Sleeping in bed with you or someone in the home
Allowed throughout home
Allowed only in certain areas of home
Going to work with you
Traveling with you
The collar intended for dog(s)
*
Harness
Regular soft collar
Chain/ Choke collar
Prong/ Choke Collar
Electric/ Shock Collar
When dog(s) is outside, he/she will be
*
Only when leashed
Off Leash
Tethered
Chained
Fenced in Yard
Electric fenced in yard
How often do you plan to walk your dog(s)?
*
If you cannot walk the dog(s) enough during the day, do you have someone in place for walks or would you plan on bringing them to a doggie daycare? Please share
*
Are you willing to go to professional training with your dog(s), if needed?
*
Yes
No
How would you react to chewed furniture
*
How would you react to learning of disease
*
If the dog(s) got loose, what would you do
*
If the dog(s) became overweight, what would you do
*
If the dog(s) is not housebroken, are you willing to work patiently to help them achieve this
*
Please share your reasons for wanting to adopt a dog(s)
*
Does anyone in the household have allergies to dogs
*
Yes
No
If yes, what plans are in place for allergies
*
What training methods have you used in the past or would you use?
*
Have you ever surrendered a dog? If yes, explain
*
Please check if there are any circumstances in which you would consider surrendering the dog(s)
*
Please check if there are any circumstances in which you would consider surrendering the dog(s)
*
Moving
Marriage
Divorce
New baby
Allergies Exacerbated
Finances
Other dogs/ pets do not get along
Dog requires routine medical care
New partner doesn't like or want dog(s)
Dog becomes sick, requires expensive medical care
Dog requires training
Dog sheds too much
Dog barks too much
Dog has separation anxiety
Kids not keeping up with responsibility
Too much damage/ chewing
Dog becomes disabled
Dog gets too "old"
Dog becomes incontinent
Other
The following questions are for people openly applying~ looking for Dog Lover Rescue to find a good match/ fit and not applying for a specific dog(s)
Do you have any requirements or expectations of the dog(s)
*
What activity level do you feel would be best for your home and why
*
What personality traits do you feel would be best for your home and why
*
Please provide at least 2 personal references (not family members) Name, contact and relationship
1.)
*
2.)
*
3.)
*
Please print your name & sign below
*
Signed
*
Clear
Date
*
/
Month
/
Day
Year
Date
Saving one dog will not save the world, but FOR THAT ONE DOG, their world will be forever changed! And so will yours!
Submit
Should be Empty:
Now create your own Jotform - It's free!
Create your own Jotform