Dog Adoption/Foster App

Dog Adoption Application
Which dog(s) are you interested in?*
Full Name*

First NameLast Name
Email
example@example.com
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
How long at this address?:*
Are you planning on moving within the next 6 months?*

YesNo
If yes, what are your plans for your pets if you move?
Home Phone Number

Area CodePhone Number
Cell Phone Number

Area CodePhone Number
Name of Employer:
Work Phone Number

Area CodePhone Number
Are you 18 years of age or older?*

YesNo
Birth Date*

MonthDayYear
Do you own your own home?*

YesNo
If no, name and phone # of landlord:
Does your landlord allow dogs?*

YESNOOnly under certain weightOther
Type of Dwelling:*
Name and age of ALL occupants in household (including yourself):*
If no children, do you plan on having children or will children be visiting the household frequently?*

YesNo
If you plan on having a baby in the future, what will you do with the dog once the baby arrives?
What is your reason for wanting to adopt a dog?*

HousepetCompanionCompanion for petGiftGuard DogOther
If other, please explain:
How many total hours will your new pet be left alone during the day?*
If adopting a puppy, where would the puppy be kept when alone?
Do you own a crate?

YESNO
Have you crate trained a dog before?

YESNO
Do you have a fenced yard?*

YesNo
If yes, which type of fence?*

WoodChain LinkSplit RailN/A
If yes, how tall is your fence?:*
Do you have locks and/or latches on all your gates?*

YesNoN/A
Will your adopted dog or do your current dogs be put on a tie out?*

YesNoNot sure
How big is your yard? Please describe in detail below.
Are any members of your household allergic to animals?*

YesNo
If yes, please describe:
Who will have chief responsibility for the care of your new pet?*
Have you owned a dog before? Please explain below.
List any pets you currently own (species, age, sex, temperament).
Have you and your spouse (if applicable) ever owned a pet together?*

YesNoN/A
If yes, when?
Have you ever lost or given away a pet?*

YesNo
If you currently own a dog or cat, how does he/she react to new pets?
Are your present pets up-to-date on their annual vaccines?*

YesNoN/A
If no, please explain:
Are your present pets spayed or neutered?*

YesNoN/A
If no, please explain.
Were your previous pets spayed or neutered?*

YesNoN/A
If no, please explain.
How much are you financially prepared to spend for routine/emergency medical care, licensing, etc?*
I understand that owning a dog can cost upwards of $1200/year, not including vet bills?

YES
What plans do you have for your new pet when you are on vacation?*
Can/Will you provide your dog with monthly heart worm/flea/tick prevention?*

YesNo
Who is your current or most recent veterinarian? Please provide their NAME and PHONE NUMBER:*
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:
What type of solution would you be willing to try if housebreaking accidents continue after the first week (check all that apply)?*

Try crate trainingUse positive enforcementUse potty padsHave dog examined by vetUse a dog doorReturn dogNoneOther
If other, please explain:
Is your entire immediate family in agreement with the decision to bring a new pet into your home?*

YesNo
If anyone is NOT, please explain:
Are you prepared to commit to a pet for 15 - 20 years (average life span)?*

YesNo
Do you work from home?

YESNO
If you answered NO, please list your place of work, average hours at work, and work phone number/email.
How many hours (average) a day will your pet be alone at home each day?
Where will your dog spend most of his/her time?*
If you selected outdoor, would your dog be supervised?

YesNo
Where will your dog eat?*
Where will your dog sleep?*
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!!
Do you agree to Motley Crew Mutts Foster to Adopt policy, of fostering the dog you are interested in for two weeks to make sure it is the right fit, before signing the adoption contract?

YESNOI would like more information
If this application is approved, I am willing to sign Motley Crew Mutts Foster contract.

YESNO
If, after the two week foster period I still wish to adopt this pet, I will fill out and sign Motley Crew Mutts Adoption contract.

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!!