Dog Adoption Application
I Name
*
Birthdate
*
-
Month
-
Day
Year
Date
Cell Phone
*
Full address
*
Option 1
What is your occupation?
*
How many hours do you work per week
*
Do you own or rent?
*
Own
Rent
If you rent, what is your landlord's name and phone number?
What is your spouse/domestic partner's name and birthdate?
*
What is his/her occupation?
*
How many hours does he/she work per week?
*
List all people who live in your home, their ages and relationship.
*
List all current pets (dogs and cats) in your home. Include breed and age.
*
Are your current pets spayed/neutered?
*
Yes
No
N/A
List all your former dogs, including age at death and cause of death.
*
What is the name of the dog you are interested in?
*
What breed experience are you bringing to the table?
*
Are you applying for a number of dogs from different rescues or just this dog? We ask that you wait until you are fairly certain this is the dog for you before you apply. We understand that you may adopt another dog as we coordinate your adoption so please be courteous and notify us if you are no longer interested in adopting this dog.
*
We are applying for a number of different dogs.
We are applying for only this dog.
Do you prefer a male or female dog?
*
Male
Female
No preference
What is your preferred age range?
*
What qualities do you want in your dog?
*
What qualities do you NOT want in a dog?
*
Provide two (2) references, not related to you, who know you and your dog(s). Include their phone number, please.
*
How will you keep your dog socialized?
*
How will you exercise your dog?
*
Where will your dog be when you have to work? Will they be with anyone? Left inside/outside?
*
Where will your dog sleep at night? Please be specific. (ie dog bed, couch, with you etc)
*
How will you correct your dog's inappropriate behavior?
*
What will you do with your dog when you go on vacation?
*
Will you commit to caring for your dog for the entirety of its life?
*
Yes
No
Do you have a plan in place for somebody to care for this dog, in the event of your death?
*
Yes
No
Certain breeds require professional grooming on a routine basis. Can you afford this expense?
*
Yes
No
If you relocate to a place where you cannot keep your dog, what will you do?
*
If someone in your family develops a pet allergy, what will you do?
*
What behavioral problems (excessive barking, chewing) would be valid reasons to give up your dog?
*
Would you consider having a trainer help you with the problem before giving up your dog?
*
Have you ever, for any reason, surrendered a pet to an animal shelter?
*
Yes
No
Describe your backyard fence (include type and height).
*
If you don't have a fence completely surrounding your backyard, how will you keep your dog safe when he/she needs to go potty or exercise?
*
If you currently have pet(s), please share your vet's name, address and telephone number.
*
May we contact your vet as a reference?
*
Yes
No
Pets can have medical issues that we don't know about, medical needs can be discovered weeks, months or years after adoption. Are you financially prepared to pay for the care for this pets lifetime?
*
Yes
No
If you decide to adopt one of our dogs, you will be asked to pay a fee (non-refundable). The adoption fee is payable via Zelle/Cash/Venmo/ Apple Pay /Cash App and is due when you take the dog home. Do you accept?
*
Yes
No
Disclaimer: Your Love Unleashed is not responsible for injury, illness, or property damage caused by interactions between the rescue dog and people or other animals. Your Love Unleashed makes no representations regarding the truth and accuracy of any statements contained in this dogs biography. The dog's current foster parent provides all representations contained therein. We will provide a healthy dog at the time of adoption, unless otherwise stated, in the best health as we know it. By typing your name here, you acknowledge and accept this statement.
*
Back
Next
Your Love Unleashed Rescue
By typing your name here, you agree that the information presented in this application is true to the best of your knowledge.
*
Submit
Should be Empty: