Dog Adoption Application Form
Please fill out this detailed form to help us understand your suitability for adopting a dog, and help you find the best possible match!
Applicant Full Name
*
First Name
Last Name
Date of Birth
*
-
Month
-
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Email Address
*
example@example.com
Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Please Select
Afghanistan
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antigua and Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
The Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bosnia and Herzegovina
Botswana
Brazil
Brunei
Bulgaria
Burkina Faso
Burundi
Cambodia
Cameroon
Canada
Cape Verde
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Cocos (Keeling) Islands
Colombia
Comoros
Congo
Cook Islands
Costa Rica
Cote d'Ivoire
Croatia
Cuba
Curaçao
Cyprus
Czech Republic
Democratic Republic of the Congo
Denmark
Djibouti
Dominica
Dominican Republic
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Ethiopia
Falkland Islands
Faroe Islands
Fiji
Finland
France
French Polynesia
Gabon
The Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guernsey
Guinea
Guinea-Bissau
Guyana
Haiti
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Israel
Italy
Jamaica
Japan
Jersey
Jordan
Kazakhstan
Kenya
Kiribati
North Korea
South Korea
Kosovo
Kuwait
Kyrgyzstan
Laos
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macau
Macedonia
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Myanmar
Nagorno-Karabakh
Namibia
Nauru
Nepal
Netherlands
Netherlands Antilles
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
Turkish Republic of Northern Cyprus
Northern Mariana
Norway
Oman
Pakistan
Palau
Palestine
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn Islands
Poland
Portugal
Puerto Rico
Qatar
Republic of the Congo
Romania
Russia
Rwanda
Saint Barthelemy
Saint Helena
Saint Kitts and Nevis
Saint Lucia
Saint Martin
Saint Pierre and Miquelon
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Slovakia
Slovenia
Solomon Islands
Somalia
Somaliland
South Africa
South Ossetia
South Sudan
Spain
Sri Lanka
Sudan
Suriname
Svalbard
eSwatini
Sweden
Switzerland
Syria
Taiwan
Tajikistan
Tanzania
Thailand
Timor-Leste
Togo
Tokelau
Tonga
Transnistria Pridnestrovie
Trinidad and Tobago
Tristan da Cunha
Tunisia
Turkey
Turkmenistan
Turks and Caicos Islands
Tuvalu
Uganda
Ukraine
United Arab Emirates
United Kingdom
United States
Uruguay
Uzbekistan
Vanuatu
Vatican City
Venezuela
Vietnam
British Virgin Islands
Isle of Man
US Virgin Islands
Wallis and Futuna
Western Sahara
Yemen
Zambia
Zimbabwe
Other
Country
Do you live in a house or apartment?
*
House
Apartment
Other
Do you own or rent your residence?
*
Own
Rent
Other
Do you have permission from your landlord to have a dog?
Yes
What is your/your partner's occupation? (Please include est. yearly gross income.)
*
Do you have any pets? If Yes, Please list the types and number of pets you currently own.
How many people live in your household?
*
Are there children in the household?
*
Yes
No
Please specify their ages.
Do all members of the household agree to adopt a dog?
*
Yes
No
Why do you want to adopt a dog?
*
Simply Companionship? An off-leash hiking-buddy? The ideal family dog? Give us all the details!
Type out your most ideal, dream dog of any breed, age, gender, temperament, training, and personality.
*
This helps us gauge which dog(s) may be the best match possible.
Describe your experience with owning and caring for dogs.
*
How many hours per day will the dog be left alone on average?
*
Where will the dog be kept during the day?
*
Indoors
Outdoors
Both indoors and outdoors
Where will the dog sleep at night?
*
Indoors
Outdoors
Both indoors and outdoors
Do you have a fenced yard? (Fenced yards are NOT required for adoption, but it is important information for matchmaking purposes!)
*
Yes
No
Who will be responsible for the dog's care?
*
Are you prepared to provide veterinary care, including vaccinations and emergency care?
*
Yes
No
Do you have a regular veterinarian established? If yes, please provide their contact information. If no, mark N/A and please begin your research prior to adoption to ensure care can be established.
*
Have you ever surrendered a pet to a shelter or rescue, or rehomed privately? If yes, please explain.
*
In the case of an emergency, vacation, etc; where will your adopted dog stay and be cared for?
*
Under what circumstances would you consider giving up/surrendering/rehoming your dog? (Please check all that apply.)
*
Behavior Problems
Large vet bills
Job change/loss
Moving
Incontinence
Dog develops chronic illness/ disability
Dog does not meet my expectations
Dog nips/bites kids
Divorce/ Separation
Old age
None of the above
Other
Do we currently have a dog in our program that you are interested in? If so, who?
Please check all qualities that are required for a dog you would be interested in.
*
Small (4-30 lbs)
Medium (31-60 lbs)
Large (61> lbs)
Non-Shedding.
Hypo-Allergenic.
Low Energy ( Less than 1 hour of high impact/moderate activity. )
Medium Energy ( 1-2 hours of moderate/high impact activity. )
High Energy ( 3+ hours of moderate/high impact activity. )
Extremely Social ( Can be best friends with absolutely everyone & anything! )
Fully House Trained.
Off-Leash Trained.
Does NOT require grooming.
Please provide any additional information you'd like us to know about you, your family, your living situation, your lifestyle, etc.
Do you understand that Quinn’s K9 Services // Rescue Done Right is NOT a shelter, nor a traditional rescue? We are a professional dog training and placement organization focused on rescue & rehabilitation work. Adoption fees directly reflect the individual training of each dog, and are an investment for the lifetime of the dog, their compatibility with your lifestyle, and overall disposition.
Yes. I understand.
Applicant Signature
*
Date
*
-
Month
-
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Application Fee.
*
prev
next
( X )
USD
By submitting this application, you acknowledge that it does not guarantee approval for adoption through Quinn’s K-9 Services LLC. Your application will be reviewed by our team, and you will be contacted regarding next steps. If you are applying to be added to our waitlist while we work to find your perfect match, please feel free to email us at quinnsk9services@gmail.com with any additional questions. Thank you for your interest and support!
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