Rescue Dog Adoption Application

Atlanta Texas Area Spay Neuter Project Adoption Application
Atlanta Texas Spay Neuter Project is an all-volunteer, non-profit organization that was organized to spay and neuter dogs and cats for low-income families in the immediate Tri-State area of Texas, Arkansas and Louisiana.

The adoption fees for these puppies, kittens, dogs and cats fund our spay program as well as the continued rescue of abandoned and stray animals in the immediate tri-state area.
This questionnaire is designed to help Atlanta Texas Area Spay Neuter Project and yourself determine if a specific dog is the right one for you and your household. All adopting parties are required to complete this form prior to adoption. Atlanta Texas Area Spay Neuter Project reserves the right to deny any adoption based on answers to this questionnaire and/or interviews prior to adoptions!
Applicant Information
Name of the dog you are interested in:*
Your full name:*
Co-Applicant name*
Your age:*
Co-Applicant age:*
Street Address:*
City, State*
Zip Code*
County of residence*
How long have you lived at this address?*
Home Phone:*

Area CodePhone Number
Work Phone:*

Area CodePhone Number
Cell Phone:*

Area CodePhone Number
Co-applicant Cell Phone:*

Area CodePhone Number
E-mail:*
Co-Applicant email*
Employer/Position*
Co-Applicant Employer Position*
Character reference relationship, name and phone number:*
Household Information
Are all members of your household in agreement with this adoption?*

YesNoDon't Know
Who will be the pet's primary caregiver?*
If adopting pet for a child who will care for the dog when/if the child loses interest?*
Do you live in a*

HouseApartmentCondoMobile HomeOther
Do you own or rent?*

OwnRent
Does your landlord allow dogs?

YesNo
If rent, provide name and phone number of landlord. Be prepared to provide written proof that pets are allowed.
If rent, can you provide a written agreement from your landlord approving your new dog? We will require this so please have it on hand or send to us now at atasnp@gmail.com to expedite adoption process.
Are there any restrictions from your landlord, SUBDIVISION OR CITY?*

Number of petsSize or weight restrictionsBreed restrictionsNoneCitySubdivision
If any of the above restrictions apply please detail.
Do you have a fully fenced yard?*

YesNo
Height and type of fence*
If no fence how will you make sure your dog gets outside and is supervised when he needs to go out?
Do you have any of the following?

Underground fenceOutdoor KennelOutdoor Dog RunCrate
How many adults are in your household?*
How many children are in your household?*
If children, what are their ages?
Names, ages, occupations of all adults living in the home.*
Have your children been around animals before?

YesNo
Puppies play bite and have very sharp teeth. Are you aware of this and have you prepared to teach them not to do this?.*
Does anyone in your home have allergies to dogs or have asthma?*

YesNoOther
Current/Previous Pet Information
List any pets and type/breed you own or have owned in the past five years, and their ages*
How many of these pets are spayed/neutered?If not spayed or neutered why not?*
Where are these animals now?*
Have you adopted from an animal welfare group before?*

YesNo
If yes, what group?*
Have you ever given up a pet?*

YesNo
If yes, what were the circumstances?
Are you aware that puppies can get sick very quickly and require veterinary attention or they could die? Puppies should be kept away from dog parks and other areas where strange dogs have been. Please type 'I am aware"*
Potty training can take time. Your puppy needs to be on a regular meal schedule, walked regularly and often. If you have never potty trained before have you researched how to do it and if you have is everyone in your family prepared to do it again?*
Please provide the name and phone number of your current and/or previous veterinarian or clinic:*
How do/will you handle heart-worm, flea and tick prevention?*
New Pet Information
What type of personality do you want your pet to have? (i.e. calm, energetic, protective, couch-potato)*
What type of activity do you plan to do with your dog?*
Have you ever house-broken a dog or puppy before?*

YesNo
Are you aware of crate training?*

YesNo
Are you aware of bell potty training?*

YesNo
If the dog has an "accident" in your home, what type of correction do you plan to use?*
How many hours each day will your new pet be home alone?*
Have you considered daycare for your new puppy if home alone for long periods?*
Will this pet be a mostly inside, mostly outside?*
How many hours would this pet be left outside alone?*
Where will your new pet sleep at night?*
How will you supervise the dog's outdoor activity?*
Where will your new dog stay when nobody is home?*
Are you willing to work through your new pet's issues, if any?*

YesNo
Are you aware that a new environment is stressful for your pet, and they may exhibit uncharacteristic behavior?*

YesNo
Do you plan to take an obedience class with your dog?*

YesNoNot sure
Do you understand that a dog can be an 18 year commitment, and even a healthy pet is still a hefty annual expense to care for?*

YesNo
Are you aware that a large breed dog takes about two years to mature? Is this something you're prepared for?*

YesNo
Puppies and young dogs are GOING TOO CHEW. It’s what they do. Is everyone in your household prepared to pick up their possessions and watch/train the dog?*
What circumstances would lead you to give up your new dog?*
Have you ever given a dog up to a shelter?*
If you had to give up your dog, what would you do with him/her?*
How did you find out about us?*

Adoptapet.comPetfinder.comFacebookFriend/Family MemberOther websitePetSmartOther

Atlanta Texas Area Spay Neuter Project Adoption Application

Applicant Information

Household Information

Current/Previous Pet Information

New Pet Information