Your full name:   First Name   Last Name   
Your age   Age   
Phone Number:    Area Code   Phone Number   
Email Address:    Email   
Occupation:    Occupation   
Employer name:   Employer name   
Employer phone number:   Area Code   Phone Number   
Character Reference Name:    First Name   Last Name   
Character Reference Phone Number:    Area Code   Phone Number   
Please provide the name, address and phone number of your current veterinarian or clinic:    Vet's Name          City   State                             
Vet's Phone:   Area Code   Phone Number         
Are you financially able and willing to provide annual checkups, vaccinations and ANY medical care necessary?    Yes    No        
Household Type    House    Apartment    Mobile Home    Other                
Own/Rent:    Own    Rent      
If rent, provide name and phone number of landlord:    First Name   Last Name   Area Code   Phone Number   
Are dogs allowed?           Yes    No             
Are there breed limitations   Yes    No  
What breeds are restricted?   restricted breeds      
Are there limits on the number of pets you can own (Association limits, City Limits, County limits?   Yes   No         
Do you have a fully fenced in yard?     Yes     No        
   If so, what is the height of your fence?    Height              
If you do not have any fencing or gates, how will you keep the animal secured while outside? Leash Kennel   Tie Out    Run   Free Roam
How many adults are in your household?    # of Adults      
Do all adults approve of your desire to get a new pet?   Yes    No    
Do you have children?   Yes    No   If so:       
Have your children been around animals before?   Yes   No           
Does anyone in your home have allergies to pets?   Yes   No   
Do you currently have pets?   Yes    No    
Number of Pets   #      
Please list the  Species/Breed/Age/Sex/ Spay or Neutered?
Species/Breed/Age/Sex/ Spay or Neutered    
Species/Breed/Age/Sex/ Spay or Neutered    
Species/Breed/Age/Sex/ Spay or Neutered    
Species/Breed/Age/Sex/ Spay or Neutered    
Species/Breed/Age/Sex/ Spay or Neutered    
Species/Breed/Age/Sex/ Spay or Neutered    
Species/Breed/Age/Sex/ Spay or Neutered  
Species/Breed/Age/Sex/ Spay or Neutered        
Species/Breed/Age/Sex/ Spay or Neutered    
Species/Breed/Age/Sex/ Spay or Neutered   
Do any of your current pets have any medical conditions or special needs?    Yes    No          
Have you ever given up a pet?    Yes    No       
If yes, what were the circumstances?    If yes please explain   
How do you train your dogs, do you have a system?    Training preference   
If the dog has an "accident" or undesirable behavior in your home, what type of correction do you plan to use?    How do you correct?   
Are you aware that a new environment is stressful for your pet, and they may exhibit uncharacteristic behavior?    Yes   No      
Are you familiar with the 3/3/3 ?   Yes    No    
Are you willing to work through your new pet's issues, if any?   Yes    No Are you willing to hire a trainer if needed?   Yes   No    
How many hours each day will your new pet be home alone?    Number    
Where will your new pet sleep at night?    Where will pup sleep at night?    
How will you supervise the dog's outdoor activity?    How do you supervise outdoor activity    
Where will your new dog stay when nobody is home?    Where does dog stay if you aren't home?   
Who will care for your dog should it outlive you?     First Name   Last Name Street Address      City   State   Zip   Area Code   Phone Number   
     Email   
If you must move, what will you do with the animal?    
Take it with mee  Rehome       
Are you willing and able to pay the adoption fee?    Yes    No      

IMPORTANT : By signing this application you hereby grant approval for Woof Tribe to check all provided reference information including all Employment, Landlord, Veterinarian, and Character references. ****PLEASE CONTACT ALL LISTED REFERENCES AND LET THEM KNOW WE WILL BE CALLING******

SIGNATURE:
Applicant Name (Print):   First Name   Last Name   
Signature:   Signature   
Date:   Date   
Address:   Street Address      City   State   Zip   
Email:   Email   
Cell Phone Number:   Area Code   Phone Number