Dog Adoption Application

Your Name

First NameLast Name

Spouse/Roommate Name

First NameLast Name

Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

Email

example@example.com

Dog for this inquiry? Dog's name or a specific breed?

Home Phone Number

Please enter a valid phone number.Format: (000) 000-0000.

Cell Phone Number

Please enter a valid phone number.Format: (000) 000-0000.

How long have you lived at this address?

Are you planning to move in the next year?

Do you rent or own?

Please Specify the type of property the dog will live on.

If you rent, do you have your Landlord's permission and contact information?

What is your age?

How many people live in your home?

List ages of other residents, (Children).

How long will the dog be alone on average?

What is the occupation for each member of the household? We ask this question because some dogs are not suited for a busy household.

Do you have a fully fenced in yard or enclosure on your property?

Type of fencing and height.

Do you have a pool, pond, river or lake on your property?

If yes to a pool do you have the pool area fenced in or a secure safety cover?

Where will the dog live

Where will the dog stay during the day?

Where will the dog sleep at night?

Are there any other animals at present in the home? List number, species, sex, age and breed mix (for dog).

Will you have the dog/puppy Spayed/neutered?

Will you take your dog for annual check ups and routine vaccinations with a veterinarian?

If you currently or previously owned animals can you provide your Vet Clinic's name and number. PLEASE CALL YOUR VET so they can release your pets records to us when we call.

Can you please provide 2 personal references -Name, Email address, phone number.

If you currently or previously owned animals can you please tell us where the animal came from? e.g.: Breeder, Shelter, Rescue, Purchase etc...

What is your previous experience with dogs and list breeds.

What training tools do you have experience with? ie-Leash types- 6ft,harness,ecollar, extended muzzles. Collars- Martingale, Prong. Treats, Kong, Crate etc...

Have you ever used a trainer? If so please provide trainers info.

Have you ever had to rehome an animal for any reason?

Why do you feel this is the right time to adopt a dog?

Any additional information you would like to add?

Outrun Rescue Dog Application