Dog Ownership Application Form
  • Dog Adoption Application

  • Please give careful consideration to adopting an animal.

    Animals are not toys or short-term commitments.

    Make sure your lifestyle allows the time, patience and expense this animal will need over the years.

  • If approved for adoption, there will be a contract to return the dog to Nikki Bukouras if adopter is no longer able to care for the dog, for the entire life of the dog.

  •  -
  • Phone Type*
  • Have you had other animals as pets in the past?*

  • Are you planning to move in the near future?*
  • When will you be ready to adopt this pet?*

  • Is anyone in your home allergic to animals?*

  • Does anyone in your home fear this type of pet?*

  • Does anyone in your home smoke?*
  • Are you familiar with pet regulations in your area?*
  • If you answered no to the question above, please contact your town/county/condo assoc and ask them what the regulations are.

  • I/We live in a*

  • Do you rent or own this property?*

  • If you rent, you must show us a written letter from your landlord or a copy of the section of your lease stating that you are allowed to have dogs and showing any limitations. Or you can provide us with your landlord's contact information below.

    If you live in a condo or townhome, you must show us written proof that you are allowed to have a dog there and show any restrictions.

  • Do you have a pool?*

  • Do you have a yard?*
  • If fenced, fence height is:
  • Do you work outside the home?*
  • Have you discussed this adoption with all members of your household?*
  • We will be speaking to all household residents to confirm everyone is aware of this application process and wants to have a dog added to the family. Please do not submit this application if you are "trying to talk someone into" adopting this dog or think "once they meet the dog, they will want one" or "I'm getting this dog as a birthday present for them." In those scenarios, you are welcome to email us to discuss the dog, but we would like all adults in the home to be involved in that email discussion.

  • Based on the descritpion in the dog's bio, do you feel pretty confident that you will be likely to adopt this dog upon meeting it?*
  • What activity level do you prefer?

  • Please check all that apply. I want to adopt this dog...*
  • Please check all that apply. My adopted dog will...

  • Please take time to think, be honest with yourself and us when answering this question. What are you absolutely NOT willing to deal with at the time of adoption or at any time during the life of the dog?*

  • Do you plan to get pet health insurance?*
  • Grooming (please check all that apply)*
  • Do you plan to take formal obedience classes?*
  • Today's Date*
     - -
  • Should be Empty: