Adoption Application

Bed and Biscuit Inn Adoption Application
Applicant Information
Name of the dog you are interested in:*
Your full name:*
Age*
Your full name: Joint application
Age
Address*

Street Address

Street Address Line 2

CityState

Zip Code
Cell Phone: we may TEXT you *

Area CodePhone Number
Other phone

Area CodePhone Number
E-mail:*
Please list ALL other residents of the household NAME, AGE, RELATIONSHIP *
Please list any children that are regular visitors to your home and ages
PLEASE LIST 3 PERSONAL REFERNCES

*PREFERABLY NOT REALTED TO YOU
Personal Reference #1 :*
Phone Number :*
Personal Reference #2 *
Phone Number :*
Personal Reference #3 *
Phone Number :*
Household Information
Have the children that live in your home, lived with a dog before?

YesNoNot applicable
Does anyone in your home have allergies to dogs or have asthma? WE DO NOT GUARANTEE ANY DOG TO BE HYPOALLERGENIC

YesNo
Are all members of your household in agreement with this adoption?*

YesNoDon't Know
Describe the energy level of your home

Busy/NoisyModerate comings and goingsQuiet with occasional Guests
Do you live in a*

HouseApartmentCondoMobile HomeOther
Do you own or rent?*

OwnRent
If rent, provide name and phone number of landlord
Does your landlord allow dogs?

YesNo
Are there any restrictions from your landlord or subdivision?

Number of petsSize or weight restrictionsBreed restrictionsNone
Do you have a fenced yard?*

YesNoPartial fenced area
What type of fencing?

Electric FenceCombinationSolid fencingChain link
Current/Previous Pet Information
Do you have a Cat?*

YesNo
If yes, has the Cat lived with a dog before?

YesNo
List any pets you CURRENTLY have living in your home . Name,Age Breed *
List any PREVIOUS pet you may have had Name, Age , Breed
Are your pets spayed/neutered?*
Have you adopted from an animal Rescue before?

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

YesNo
If yes, what were the circumstances?
Please provide the name and phone number and address of your CURRENT VET and/or previous veterinarian or clinic: **PLEASE CALL YOUR VET AND GIVE THEM PERMISSION TO DO A REFERENCE *
Veterinarian Phone Number *

Area CodePhone Number
New Pet Information
What type of dog are you looking for ?
Are you seeking a specific Gender

FemaleMaleDoesn’t matter
Age range pick all that apply

Puppy under 1yrYoung 1-3yrAdult 4-6Older/Senior 6+yr
Full grown weight range
How many hours each day will your new pet be home alone?*
What is your current work schedule ? *
Where will your new dog stay when nobody is home?
Are you willing to give your newly adopted dog 3-4 weeks to adjust to their new home?*
What circumstance would lead you to return your new dog?
Tell us any other information you feel is important to include in your application
Lastly, how did you hear about us or who referred you?
I UNDERSTAND THAT APPLYING DOES NOT ENSURE APPROVAL TO ADOPT.

I CERTIFY THAT THE ABOVE INFLORMATION IS CORRECT AND I UNDERSTAND THAT THE INFORMTAION WILL BE VERIFIED .
Should be Empty:

Bed and Biscuit Inn Adoption Application

Applicant Information

Household Information

Current/Previous Pet Information

New Pet Information