Adoption Application

Adoption Application

Waggy Butts & Happy Mutts
Email*
example@example.com
Name*

First NameLast Name
Phone Number*
Please enter a valid phone number.
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
How can we contact you?*
Applicants Employer*
Applicants Position*
Co-applicants Employer
Co-applicants Position
What kind of housing do you reside in?*

HouseApartmentCondoTownhouseOther
Do you rent or own?*

RentOwn
If you rent, what are your dog restrictions, if any?
If you rent, please list your landlord's name and contact information
Do you have a yard?*

I have a yardI have a fenced yardI do not have a yardType option 4Other
If you have a fence, what kind of fence and how tall is it?*
How long have you lived at this address?*
What will you do with the dog if you have to move?*
Why do you want to adopt this pet?*
Is the pet a gift for someone?*

YesNo
Please list all pets you have owned in the past 5 years, including their species, breed, age, and what happened to each pet (e.g., rehomed, passed away, still with you). If the pet is no longer with you, please provide a brief explanation. *
If own a cat, how do they respond to dogs?
Are your current pets dog friendly? Do they have any triggers?*
Please list your current veterinarian and also the veterinarian you plan on using for this pet*
Do you give us permission to contact your vet?*

YesNo
If no please explain why
Please list all members of your household, including you. Please list their names & ages*
Is every member of your household in agreement with adopting a dog?*
What are the schedules of the household members? (Such as work schedules/time the dog will be left alone)*
How much time will you give the dog to decompress?*
What percentage of time will this dog spend outdoors and indoors?*
When outside, where will the dog be? (Fence, leash, chain, line, kennel, etc)*
Where will the dog sleep?*
Please provide three personal references not related to you. Please provide their name and phone number or email address*
Are you willing to financially provide care for this dog?*

YesNo
Do you agree to take the dog to a trainer if problems arise?*

YesNo
Which pet are you considering? If there is not a specific pet you are applying for- what are you looking for in a dog? We will do our best to find one that best suits you*
When are you looking to adopt?
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