GWLD Rescue: Dog Adoption Application

Girls Who Love Dogs

Pet Adoption Application
Sumitting this application does not mean you are commiting to a dog, nor does it guarantee you will get that dog. It is simply a tool we use to help both you and us identify a good potential match for your family and lifestyle.

A successful adoption depends on selecting the right dog for your household and a good understanding of the dog's needs and care requirements. Please help us with this process by answering the following questions fully & completely. THANK YOU!
Name of the dog you want to adopt *
Name*
First & Last Name
Address*

Street Address

Street Address Line 2

CityState

Zip Code
E-mail*
Phone Number*

Area CodePhone Number
Phone Type*

CellHomeWork
Names and ages of all permanent residents of your home (adults/children)*
Do you currently have any pets?*

YesNo
If you currently have pets, please list them below.
Are your current pets altered?

YesNoWill be within the next 30 days, appointment has been scheduled. (We will call your vet to verify this.)
If your current pets are not altered, please explain why below.
One Personal References*
Are you able to provide a safe place for dog to decompress ?
Decompression must be followed to ensure positive outcome for dog and for you . Do you agree to allow dog to decompress before introducing to any other dogs.
When will you be ready to Adopt ?*

TodayThis weekendWithin a weekWithin a monthNot ready yet, just researching
Is anyone in your home allergic to dogs?*

YesNo
Does anyone in your home fear dogs?*

YesNo
I/We live in a*

Single Family HomeDuplex/TwinCondo/TownhomeTrailerApartment
Do you rent or own this property?*

RentOwn
Renters, have you contacted your landlord to find out if there's any restrictions on the kind or size of dog you can have?

YesNoNot yet, but I willIt's written in our lease
Do you have a yard?*

Yard, fenced with a vertical fenceYard, fenced with invisible fencingYard, no fenceNo yard (apartment/condo/townhome)
If vertical fence, what is your fence height?

2' high3' high4' high5' high6' high
Do you work outside the home?*

YesNoOne applicant is home/works from homeWe work different shifts
How many hours per day will this dog be alone? Please explain.*
Based on the description in the dog's bio, do you feel pretty confident that it will be a good fit for you?*

YesNoNot sure
Most dogs coming into a new home , are nervous and take time to adjust , are you willing to give dog time to adjust to new home?*
What activity/energy level do you prefer?*

Wild and crazy is coolLeash trained daily jogging partner would be excellentMedium energy, plays a bit then hangs out with youLow energy, walks slowly on leash, a total couch potatoOther
Please check all that apply. The dog will...

Be kept outside most of the timeBe kept indoors most of the timeBe crated when we are not homeBe kept on a lead line/cable in the yardWill be walked occasionallyBe given away to someone else if we feel it's not a good match for usBe turned in to a shelter if we can't keep itBe outside with a dog house in a fenced areaBe outside chained/tethered to a dog houseOther
Please take time to think, be honest with yourself and us when answering this question. What are you absolutely NOT willing to deal with?*

HousebreakingChewingJumpingPulling on leash during walksMouthiness (may sometimes snag your hand or arm instead of the toy in play and will need redirection/training)GrowlingRough play with my dogFood/toy aggression/not willing to share with other dogsFood/toy aggression with peopleSeparation AnxietyI will do whatever it takes to help this dog adjust and work with a trainer to help resolve any training needs.Other
What would cause you to return a dog?*
Do you have any additional comments, questions or concerns? Anything else you would like us to know to help match you up to a dog?*
I understand that completing this application does not guarantee I will be allowed to adopt dog, and that the application is a tool to help Girls who love dogs Rescue to determine if this dog and my family are a good fit for each other. I acknowledge that all information provided on this form is true and correct. I understand that any misrepresentations may result in my not being approved I also certify that I have never been convicted of animal cruelty or neglect.

I agree to allow a representative from Girls who Love dogs rescue to contact my vet for a reference and also agree to allowing a home visit prior to adoption or a virtual home check.

If approved I will be given contract to sign and the adoption will proceed.
Please read the above, check this box, sign, and click Submit.*

I/We have read and understand all of the above.
Applicant's Signature*
Signature date*
We do require a virtual home check to ensure dog is placed in safe environment, please a take a small video tour of your home including yard if you have one . Personal space , such as bedroom is not required.

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Copy of your state ID / Drivers license

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Girls Who Love Dogs