Rescue Dog Adoption Application

Adoption Application

Thank you for opening your heart to adoption!
Applicant Information
Name of the dog you are interested in:*
Name*

First NameLast Name
Date of Birth:*
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Home Phone:
Format: (000) 000-0000.
Cell Phone:
Format: (000) 000-0000.
Work Phone:
Format: (000) 000-0000.
E-mail:*
Employer:
Character reference and phone number:
Household Information
Are all members of your household in agreement with this adoption?*

YesNoDon't Know
Who will be the pet's primary caregiver?*
Do you live in a*

HouseApartmentCondoMobile HomeOther
Do you own or rent?*

OwnRent
If rent, provide name and phone number of landlord:
Does your landlord allow dogs?

YesNo
Are there any restrictions from your landlord or subdivision?*

Number of petsSize or weight restrictionsBreed restrictionsNone
Do you have a fully fenced yard?*

YesNo
Height and type of fence
Do you have any of the following?

Underground fenceKennelDog Run
How many adults are in your household?*
How many children are in your household?*
If children, what are their ages?
Have your children been around animals before?

YesNo
Does anyone in your home have allergies to dogs or have asthma?*

YesNo
Current/Previous Pet Information
List any pets you own or have owned in the past five years, and their ages
How many of these pets are spayed/neutered?
Where are these animals now?
Have you adopted from an animal welfare group before?

YesNo
If yes, what group?
Have you ever given up a pet?

YesNo
If yes, what were the circumstances?
Veterinary Information
Would you be willing to have a Sunni D Sanctuary Team Member call your veterinarian for a reference check? (Please authorize vet to speak with us):

YesNo
Please list your routine animal clinic / hospital name:
If you have a regular veterinarian, please list their first and last name:

First NameLast Name
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Phone Number
Format: (000) 000-0000.
New Pet Information
What type of personality do you want your pet to have? (i.e. calm, energetic, protective, couch-potato)*
Are you aware of crate training?*

YesNo
Have you ever house-broken a dog or puppy before?*

YesNo
If the dog has an "accident" in your home, what type of correction do you plan to use?*
How many hours each day will your new pet be home alone?*
Where will your new pet sleep at night?*
How will you supervise the dog's outdoor activity?*
Where will your new dog stay when nobody is home?*
What length of time will you allow your new pet to adjust to his new home?*
Are you willing to work through your new pet's issues, if any?*

YesNo
Are you aware that a new environment is stressful for your pet, and they may exhibit uncharacteristic behavior?*

YesNo
Are you financially prepared for vet bills, food, and supplies?*

YesNo
Do you plan to take an obedience class with your dog?*

YesNoNot sure
If yes, where?
Are you aware that a large breed dog takes about two years to mature? Is this something you're prepared for?*

YesNo
What circumstances would lead you to give up your new dog?*
If you had to give up your dog, what would you do with him/her?*
Acknowledgment & Agreement
I understand that adopting a pet is a lifelong commitment and agree to provide proper care, nutrition, shelter, companionship, and veterinary attention for the animal I adopt.

I acknowledge that adoption fees are non-refundable and help cover the cost of care, medical treatment, and rescue operations.

I acknowledge that Sunni D Sanctuary reserves the right to deny adoption if it believes that placement is not in the best interest of the pet.

I acknowledge that the pet's health and behavior have been described to me to the best of Sunni D Sanctuary's knowledge, but no guarantees can be made.

I acknowledge that I will not sell, abandon, or surrender this pet to any other individual or organization. Should circumstances arise in which I am unable to continue caring for this pet, I agree to return the animal directly to Sunni D Sanctuary.
Your Signature*
Please type your full name:

First NameLast Name
Co-Applicant name (if applicable)
Submission Date:*

MonthDayYear
Date
Should be Empty:

Adoption Application

Applicant Information

Household Information

Current/Previous Pet Information

Veterinary Information

New Pet Information

Acknowledgment & Agreement