Applicant Information
Dog Adoption Application
Please fill out the adoption application below.
Name of the dog you are interested in:
*
Your name:
Your age:
*
Street Address:
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City, State, Zip
*
Cell Phone:
*
Format: (000) 000-0000.
E-mail:
*
What's your profession?
*
Employer:
*
Character reference and phone number:
*
Briefly describe a bit about yourself:
*
Household Information
Are all members of your household in agreement with this adoption?
*
Yes
No
Don't Know
Who will be the pet's primary caregiver?
*
Do you live in a
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House
Apartment
Condo
Mobile Home
Other
Do you own or rent?
*
Own
Rent
If rent, provide name and phone number of landlord:
*
How long have you lived at this residence?
*
Does your landlord allow dogs?
Yes
No
Are there any restrictions from your landlord or subdivision?
*
Number of pets
Size or weight restrictions
Breed restrictions
None
Do you have a fully fenced yard?
*
Yes
No
Height and type of fence
How many adults are in your household?
*
How many children are in your household?
*
If children, what are their ages?
*
Have your children been around animals before?
Yes
No
Does anyone in your home have allergies to dogs or have asthma?
*
Yes
No
Do you smoke cigarettes?
Yes
No
Current/Previous Pet Information
List any pets you own or have owned in the past five years, and their ages
*
How many of these pets are spayed/neutered?
*
Where are these animals now?
*
Have you adopted from an animal welfare group before?
*
Yes
No
If yes, what group?
*
Have you ever given up a pet?
*
Yes
No
If yes, what were the circumstances?
*
Please provide the name and phone number of your current and/or previous veterinarian or clinic:
*
New Pet Information
What type of personality do you want your pet to have? (i.e. calm, energetic, protective, couch-potato)
*
Are you aware of crate training?
*
Yes
No
Have you ever house-broken a dog or puppy before?
*
Yes
No
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?
*
Where will your new pet sleep at night?
*
How will you supervise the dog's outdoor activity?
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Where will your new dog stay when nobody is home?
*
What length of time will you allow your new pet to adjust to his new home?
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Are you willing to work through your new pet's issues, if any?
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Yes
No
Are you aware that a new environment is stressful for your pet, and they may exhibit uncharacteristic behavior?
*
Yes
No
Do you understand that a dog can be an 18 year commitment, and can cost $2000-3000 per year to care for?
*
Yes
No
Are you planning on purchasing Pet Insurance for your dog?
*
Yes, with Trupanion
Yes, with another company
No
Do you plan to take an obedience class with your dog?
*
Yes
No
Not sure
If yes, where?
*
What circumstances would lead you to give up your new dog?
*
If you had to give up your dog, what would you do with him/her?
*
How did you find out about Barney's Furry Friends?
*
Petfinder.com
Facebook
Other website
Bosleys
Instagram
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