Form
Adoption Application
Name(s) of animal(s) you are looking to adopt:
Applicant Name:
First Name
Last Name
Co-applicant Name:
First Name
Last Name
Phone Number
Please enter a valid phone number.
Secondary Phone Number
Please enter a valid phone number.
Email
example@example.com
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
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Please list the family members living in the household, including ages:
Is the dog primarily for:
an adult
a child
a family
How would you describe your/your family's activity level?
High
Medium
Calm
What qualities are you looking for in a dog?
Companionship for family
Company for other pet(s)
Protection
Walking/Hiking
Other
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Do you:
Own your home
Rent your home
If renting, do you have permission to have pets in your home?
If renting, are there breed or weight restrictions?
Do you have a fenced in yard?
Yes
No
Will the dog be (check all that apply):
Leash walked daily
Exercised in fenced yard
Other
For "other" above, please explain:
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How will your dog spend their days?
Where will the dog be kept when you are away from the home during the day/work hours?
How many hours will the dog be left alone each day?
Where will the dog stay if/when you travel?
Please describe your lifestyle and your family/household and how a dog would fit into your home:
Have you previously owned pets and/or do you currently have any other pets living in the home?
If you currently have other pets please list their species/breed/age/gender and if they get along with other animals.
Are the animals in your home spayed/neutered and current on vaccinations?
Please list current or previous veterinarian. Please include the clinic name, address and phone number:
Have you ever given away a pet?
What would cause you to return your adopted dog?
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