Adoption Application

Adoption Application

This application helps us match you with possible candidates if you're undecided, schedule meet and greets, and give any beneficial advice related to each adoptable dog. :)
What puppy/dog are you interested in? (If not a specific dog, put "any" or any major defining characteristic - like, "mellow adult female", etc)
Name*

First NameLast Name
Email*
example@example.com
Phone Number*

Area CodePhone Number
What is your date of birth?*
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Do you have other dogs?*

YesNoNo, but family/friends often bring theirs
If you have other dogs, or dogs that visit the home, please briefly describe them (age, personality, energy level, dog social manners, dislikes)
Do you have other animals in home? (This can help us advise on suitability of our dogs)

CatsIndoor birdsLivestockPoultryReptilesSmall Fuzzies
Who else lives at home? (If there are residents under the age of 16, please include ages and numbers of kids under 16 - most of our dogs are smaller child friendly, but there are a few that are a little uncomfortable with younger kids, or can be overwhelmed with too many young children)*
Is there a fully fenced/contained area for your dog to go out in? How tall is the fencing (please include all heights if there are any variations in fence height).*
What do you/your co-dog raiser (if you have one) do for work? How many hours a day/week?*
How long will your dog be home alone? How do you intend/prefer to leave them if they're home alone? (Crated, kenneled, contained to a specific area, free roam?)*
Have you owned dogs before currently that you no longer own? Please include details of why they're no longer with you.*
Do you own or rent your residence? If renting, please include landlord contact info to verify pet allowance/any breed restrictions.*
If you were unable to continue caring for your dog(s) due to life or health emergencies, do you have a family member who would assume care of your dog(s)? Would this be a short term or permanent arrangement? Please include their contact information if so. [We ALWAYS take our dogs back should unexpected circumstances arise, but also have supported adopter's family members adopting one of our dogs if the adopters had health or life problems]*
Do you have a veterinarian you use already? If so, who?
What are you looking for in a dog to adopt? -- Friendly? Low-energy or hiking buddy? Center of attention and constant companion, or easy-going and hanging out? Shared couch time, or a new training challenge?
What would be things that would be highly undesirable/risk relinquishment or return in a dog?*
If your dog needed training in an area, would you enlist the help of a trainer? Do you have a specific trainer you would use?*
We offer highly discounted training for any dogs adopted from us, as well as existing dogs in the house! Be sure to ask us if you need any training help!
Are you willing to allow the rescue to do a home check prior to sending a dog home?*
Would you update the rescue if you moved or changed numbers, so we can keep our files up to date in case of emergency?*
Should be Empty: