IDAWG Adoption Application

Today's Date

Is there a particular dog you are interested in?

Name

First NameLast Name

Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

Cell Phone Number

Please enter a valid phone number.Format: (000) 000-0000.

Email

example@example.com

Names and relations of other adults in household

Alternate Phone Number

Required if there is another adult in household--spouse, roommate, etc.Format: (000) 000-0000.

Name of adult at that alternate number

Ages of children in household

If none, type None.

Do you have other pets?

If so, names, types, ages, and sex.

Required if you answered yes to question above.

Are other dogs in household spayed/neutered?

Current Veterinarian

First NameLast Name

Veterinarian's Phone Number

Please enter a valid phone number.Format: (000) 000-0000.

Reference #1 (can't be a relative)

First NameLast Name

Reference #1 Phone Number

Please enter a valid phone number.Format: (000) 000-0000.

Reference #1 Email

example@example.com

Reference #2 (can't be a relative)

First NameLast Name

Reference #2 Phone Number

Please enter a valid phone number.Format: (000) 000-0000.

Reference #2 Email

example@example.com

Do you own or rent?

If you rent, please provide landlord's name and phone number. If you do not own or rent, please explain your living situation.

What kind of dwelling do you live in? Please describe it. (house, apartment, condo, townhouse, etc.)

If accepted, where do you plan to keep the dog?

Please describe your yard and fence below. Include size of yard and type of fence (material and height).

What type of shelter would the dog have outside?

How many hours a day would the dog be alone?

Please describe the routines of adults in household.

Where would the dog sleep at night?

Other than your current pets listed above, have you previously owned a dog?

If yes, what happened to the dog(s)?

Briefly explain why you would like to adopt a dog.

Do you have a breed, age, or sex preference?

Feel free to add any other pertinent or beneficial information that will help us determine if this dog is right for you.