Freeway's Adoption Application
Name
First Name
Last Name
Email:
example@example.com
Phone:
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
How did you hear about this pup?
Please Select
Social Media
Friend / Word of mouth
JJDR Employee
Are there children in the home or children that visit regularly?
Please Select
Yes
No
If so, please list the ages of the children.
What would be the ideal energy level of a new dog for your current lifestyle?
Please Select
Very active - daily runs/multiple walks
Semi active - walks/backyard romps
Couch potato / cuddle buddy
Approximately how much time do you spend away from the home each day?
Please Select
1-4 hours
4-8 hours
8-10 hours
10+ hours
How are you planning to contain your new pup when away from the home?
Please Select
Crate
Single room
Free roam
Which best describes your home environment?
Please Select
Single Family Home
Apartment
Duplex
Mobile Home
Where would a new pet spend most of their time?
Please Select
Indoors
Outdoors
Is your property completely fenced in?
Please Select
Yes
No
Partial
If so, what is the height and current status of your fencing?
Please Select
> 5 feet, needs some repairs
> 5 feet, great condition
6+ feet, needs some repairs
6+ feet, great condition
If not fenced in, how do you plan to keep them contained when they are outdoors?
Approximately how much time do you spend away from the home each day?
Please Select
1-2 hours
3-5 hours
6-8 hours
9+ hours
Have you previously owned a dog and/or do you currently own a dog?
Please Select
Yes
No
Are there other pets in the household?
Please Select
Yes
No
If yes, please list the breed, age, and intact/neuter/spay status for each pet:
Are all pets up-to-date on vaccinations?
Please Select
Yes
No
Please list your current veterinarian / veterinarian's office:
Are you prepared to take on the financial requirements for a new dog's veterinary care?
Are you prepared to take on the financial and time requirements for continued training with a new dog?
Do you have a specific trainer or training company in mind? If so, who?
What training methods do you plan to use and / or have you used in the past?
How do you plan to meet the exercise needs of a new dog?
What prompted you to apply for this pup? Why do you think you're a great fit for them?
Is there any additional information you would like for us to know?
Submit
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