Adoption Application

Adoption Application
Which dog are you interested in adopting?*
If you don't know yet, you can write "TBD" (To Be Determined)
Your Name*

First NameLast Name
Your D.O.B.*

MonthDayYear
MUST BE 21+ TO ADOPT
Home Address (CANNOT ACCEPT P.O. BOX)*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Your Phone Number*
Please enter a valid phone number.
Your Email*
example@example.com
Best Way to Contact You Is...*
Your Occupation*
Do you work...*

FULL TIMEPART TIMEWORK FROM HOMENONEOther
Are you head of the household?*

YESNO
Do you have permission from the head of the household to bring home a new dog?

YESNOSTILL DISCUSSING
ABOUT YOU AND YOUR HOUSEHOLD...
First & Last Name of Spouse/Significant Other:

First NameLast Name
Their D.O.B.

MonthDayYear
Date
Their Occupation
Do they work...

FULL TIMEPART TIMEWORK FROM HOMEOther
Please provide the NAMES and AGES of everybody living in the household:*
Note: Some dogs have preferences and do not like or are afraid of young children, men, etc or may be a bit too rambunctious and clumsy for seniors or young children. So it's good to know who the dog will be living with for their life.
Do any members in the household have allergies to dogs?*

YESNOUNKNOWN
How would these allergies be handled/managed?*
Do you live in a(n)...*

APARTMENTCONDOHOUSERANCH/ACREAGEOther
Do you OWN or RENT your home?*

OWNRENT
Are there any BREED or WEIGHT restrictions in your apartment, association, or complex?*

YESNOUNKNOWN
Do you have permission from your landlord to bring home this dog?

YESNOSTILL DISCUSSINGOther
Please provide your landlords FULL NAME, PHONE NUMBER, AND EMAIL:
Do you have a pool?*

YESNO
Is there a fence around the pool?*

YESNO
Do you have a...*

YARDPATIOACREAGEOUTDOOR DOG RUN/KENNELNONEOther
Is your above answer FULLY FENCED?*

YESNOPARTIALLY FENCED
How do you plan to keep this dog or puppy safe and contained to your property when outside?*
ABOUT YOUR PET EXPERIENCE...
Have you ever owned a dog before?*

YESNO
Have you ever owned a RESCUE dog before?*

YESNO
Do you CURRENTLY have pets in the home?*

YESNO
How many DOGS do you have in your home?
If you have other dogs in the home, are they spayed/neutered?*

YESNOSOME ARE BUT NOT ALL
How many CATS do you have in your home?
Do you have any "OTHER" pets in your home?
Chickens, Horses, Rabbits, Tortoises, Etc
Please use this section to tell us a little more about your current pets!
Please provide: Name, Age, Breed, Size, Playful or Mellow or a bit of both?, etc.
ABOUT YOUR DREAM DOG...
Describe your IDEAL/DREAM dog
Breed, Age, Size, Gender, Energy Level, Personality, Compatibility (kids/dogs/cats), Future Activities, Etc.
Many of our dogs are mixed breeds, is there any breed of dog you would NOT want to adopt?
Do you want a dog that is already potty trained?*

YESNOPREFERABLYDOESN'T MATTER
Do you plan on crate training?*

YESNOIF NEEDEDI WANT A DOG THAT IS ALREADY CRATE TRAINED
Do you have current or future plans on working with a trainer or behaviorist?*

YESNOPOSSIBLY
What type of dog do you prefer?*

PRIMARILY/ONLY INDOORPRIMARILY/ONLY OUTDOORINDOOR/OUTDOOR
Where would this dog sleep at night?*

INSIDEOUTSIDEGARAGEOther
What is your reason(s) for wanting to adopt this pet?*

PERSONAL COMPANIONFAMILY COMPANIONCOMPANION FOR CHILDGIFT FOR SOMEONE ELSEGUARD/PROTECTION FOR HOMEGUARD/PROTECTION FOR BUSINESSOther
JUST A FEW MORE QUESTIONS...
During what hours of the day would this dog be home alone? (Ex. 9:00 am to 5:00 pm) Please include travel times if possible.*
Some dogs may do well being left alone during work hours while other dogs cannot handle being home alone for long.
If you had to relocate, where would this dog go?*
Moving, Divorce, College, etc
If you could no longer care for this dog, where would this dog go?*
Emergencies, Sick, Allergic, Divorce, Moving, Expenses, etc
Are you planning on docking this dogs' tail or cropping this dogs' ears?*

YESNOPOSSIBLY
Please use this section to tell us more about you, your lifestyle, and any other details you would like to share for your hopeful new companion and how we can help you find the best fit possible:
How did you hear about this dog or about our organization?*
Should be Empty:

Adoption Application

ABOUT YOU AND YOUR HOUSEHOLD...

ABOUT YOUR PET EXPERIENCE...

ABOUT YOUR DREAM DOG...

JUST A FEW MORE QUESTIONS...