Dog Adoption Application

  • Dog Adoption Application

    Please complete all sections as thoroughly and honestly as possible. Vaccination records are requested to be attached at the end of this document, please have them ready before you begin as Jotform does not save!
  • If this animal is no longer available, would you like to still be contacted about similar animals in our organization that might be a good fit?

  • About You

  • Format: (000) 000-0000.

  • Your pets

  • Are all of your current pets spayed or neutered?*
  • Are your pets currently on monthly heartworm prevention?*
  • Have you ever surrendered a pet to a shelter?

  • About your new pet

  • Where will this pet stay when you’re out of the house? (When you go to work, the store, etc)
  • Where will this pet sleep at night?

  • About Your Lifestyle

    Please answer thoroughly and truthfully, we will be verifying all parts.
  • Does anyone in your home have any known allergies to dog dander?
  • Where will this pet stay if/when you travel?
  • Do you live in a:
  • Are you the primary homeowner/renter?
  • If you are renting, does your landlord have breed restrictions?

  • We do not discriminate against different types of housing. If renting, we will require a copy of and verify the pet policy or ESA letter.

  • Safety

  • Do you have a fenced in yard?
  • What type of fence? If applicable
  • Do you have a pool?
  • Would you be willing to hire a trainer or behavioralist, if needed?

  • Just a Few More Things!

    Please attach documents and sign where needed. If you have any difficulties with attachments, please email them to acesplacerescue@gmail.com.
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