Dog Adoption/Foster App

Dog Adoption Application
Which dog(s) are you interested in?*
What is your reason for wanting to adopt a dog?*

HousepetCompanionCompanion for petGiftGuard Dog
Full Name*

First NameLast Name
Email
example@example.com
Cell Phone Number

Area CodePhone Number
Birth Date*

MonthDayYear
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
How long at this address?:*
Do you own or rent?*

RENTOWN HOME
If you answered "RENT" does your landlord allow dogs?*

YESNOOnly under certain weightOther
I you rent please list name and phone # of landlord:
Type of Dwelling (rented or owned)*
Do you have a fenced yard?*

YesNo
If yes, how tall is your fence?:*
If yes, which type of fence?*

WoodChain LinkSplit RailOther
Do you have locks and/or latches on all your gates?*

YesNoN/A
Approximately how big is your yard? Please describe in detail below.
Do you work from home? If no, please list your place of work, average hours at work, and work phone number/email.
How many total hours will your new pet be left alone during the day?*
Where would the dog be kept when alone?
What plans do you have for your new pet when you are on vacation?*
What are your plans for your pets if you move?
Name and age of ALL occupants in household (including yourself):*
Is your entire immediate family in agreement with the decision to bring a new pet into your home?*

YesNo
Are any members of your household allergic to animals?*

YesNo
Who will have chief responsibility for the care of your new pet?*
List any pets you currently own or describe your last pet (species, age, sex, temperament).
If you currently own a dog or cat, how does he/she react to new pets?
Are your present pets spayed or neutered (if no, please explain reason)?*

YesOther
Do you keep your pets up-to-date on their annual vaccines, flea/tick meds?*

YesNoN/A
Have you ever lost or given away a pet?*

YesNo
If yes, please explain?
Who is your current or most recent veterinarian? Please provide their NAME and PHONE NUMBER:*
Do you own a crate?

YESNO
Have you crate trained a dog before?

YESNO
Where will your dog sleep?*
If your dog displays behavioral problems (such as jumping on people,excessive barking, potty accidents, etc.) how would you go about correcting the behavior?*

Contact a ProfessionalUse a bookPersonal KnowledgeOther
If other, please explain:
Have you ever used a professional dog trainer? If yes, please list their contact information.
I realize that dogs can cost upwards of $300/month for routine care and even more if vet care is needed.

YESType option 2
Are you prepared to commit to a pet for 15 - 20 years (average life span)?*

YesNo
Please provide 2 personal references (only 1 can be a relative) that can testify to your responsibility and ability to care for your animals. This is required or your application cannot be approved.
Reference #1*
First and Last Name & Relationship to Self
Reference # 1 Phone Number*

Area CodePhone Number
Reference #2*
First and Last Name & Relationship to Self
Reference #2 Phone Number*

Area CodePhone Number
If there is anything else you think we should know, please note it here.
Please remember, it may take approximately 2 to 3 business days for us to get back to you.
Thank you so much for wanting to rescue a dog!!
If this application is approved, I am willing to do a walk through of my home and yard with Motley Crew Mutts.

YESNO
I understand that until I have signed the adoption contract I will not legally own this dog, and that Motley Crew Mutts retains full right of ownership?

YESNO
Should be Empty:

Dog Adoption Application

Please provide 2 personal references (only 1 can be a relative) that can testify to your responsibility and ability to care for your animals. This is required or your application cannot be approved.

Please remember, it may take approximately 2 to 3 business days for us to get back to you.

Thank you so much for wanting to rescue a dog!!