Dog Adoption Application Form

Dog Adoption Application Form

Please fill out this detailed form to help us understand your suitability for adopting a dog.
Applicant Full Name

First NameLast Name
Date of Birth

MonthDayYear
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
CityState / ProvincePostal / Zip Code
Do you live in a house or apartment?
Do you own or rent your residence?
If renting, do you have permission from your landlord to have a dog?
What is your 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?
If yes, please specify their ages
Do all members of the household agree to adopt a dog?
What type of dog are you interested in adopting?
Why do you want to adopt a dog?
Describe your experience with dogs
How many hours per day will the dog be left alone?
Where will the dog be kept during the day?
Where will the dog sleep at night?
Do you have a fenced yard?
Who will be responsible for the dog's care?
Are you willing to provide veterinary care, including vaccinations and emergency care?
Do you have a regular veterinarian? If yes, please provide their contact information
Have you ever surrendered a pet to a shelter or rescue? If yes, please explain
Where will your dog stay should you go on vacation, in case of emergency etc?
Under what circumstances would you consider giving up/ surrenedering your dog? (please check all that apply)

Other
Please provide any additional information you think is relevant
Do we currently have a dog in our program that you are interested in? If so, who?
Applicant Signature
Date

MonthDayYear
Date
Application Fee

prevnext( X )
USDBy 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!
Payment Methods

Choose from one of the PayPal options to make your payment.
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Dog Adoption Application Form

Application Fee*

Payment Methods

Application Fee