Dog Adoption Application

Dog Adoption Application

Please complete all sections to help us find the best match for your home. Incomplete applications will not be processed. Please note that we are 100% volunteer ran and application processing times can vary (sometimes taking weeks depending on volume)
SECTION 1: Dog You Are Applying For

Tell us about your dog preferences and application type.
Which dog are you applying for?*
Second choice dog (if applicable)
Third choice dog (if applicable)
I am applying to:*

AdoptFoster to Adopt
Have you read the full bio and requirements for this dog?*

YesNoNo bio available to read
Have you already met the dog(s) you are applying for?*

YesNo
Have you already spoken with a Made a Promise Rescue volunteer about the dog(s) you are apply for, if so who?
What about this dog stood out to you and why do you feel it is a good fit?*
Why are you looking to adopt a dog at this time?*
What characteristics are you looking for in a dog?*
Do you want a dog for:*

CompanionshipGuard and ProtectionBreeding
SECTION 2: Applicant Information

Tell us about yourself.
Full legal name*

First NameLast Name
Age / Date of Birth*
Street address*

Street Address

Street Address Line 2
CityState / ProvincePostal / Zip Code
Do you live in a ?*

HouseApartmentDuplexCondoMobile Home
How long have you lived in your current home?*
Do you live within city limits?*

YesNo
If not local to Kansas City, MO are you able to travel here to meet and possibly adopt one of our dogs?*

YesNoUnsureI would need help with transport
When will you be ready to adopt?*

NowWithin a weekWithin a monthNot ready, just starting the process
Primary phone number*
Please enter a valid phone number.
Email address*
example@example.com
Your Occupation*
Your significant other's first and last name*
Your significant other's occupation*
Social Media Accounts for you and your significant other (Facebook , Instagram, etc.):*
Please list up to 3 character references (Name and Phone Number)*
Have you applied before to Made a Promise Rescue*

YesNo
Have you ever adopted from Made a Promise Rescue*

YesNo
If "yes", do you still have the dog(s)?

YesNo
Name(s) of dog(s) you have adopted form Made a Promise Rescue
How did you find us?*
If referred, please list the name of the person who referred you:
Do you agree to a home visit prior to adoption?*

YesNo
Have you ever been convicted of a felony?*

YesNo
Have you ever been cited for any animal related complaints/neglect or have you ever have an animal removed from your care ?*

YesNo
Have you ever surrendered a pet to a shelter or rescue?*

YesNo
If answered "yes" to any of the 3 previous questions please explain:
Do you agree to absolve Made a Promise Rescue and all of its representatives from any liability to the dogs in their rescue?*

YesNo
SECTION 3: Household Overview

Tell us about your household.
Adults that live in your home?
Are all adults in the household fully supportive of adopting this dog?*

YesNo
Primary caregiver for the dog*
Backup caregiver for the dog*
Are there frequent visitors the dog will regularly interact with?*

YesNo
SECTION 4: Children and Safety Management

Information about children and safety in your home.
Children that live in your home?
Do children live in the home or visit regularly?*

YesNo
Children’s experience with dogs*

No experienceLimited experienceGrew up with dogsCurrently live with a dogNo children in the home
Experience children have with large or strong dogs*

NoneSomeA lotNo children in the home
How will children and the dog be supervised together, especially during the first 90 days?
Management tools you are comfortable using around kids (select all that apply)

Baby gatesCratesLeashes indoorsSeparation during high energy timesMuzzles if recommendedNone
SECTION 5: Housing and Rules

Details about your home and pet policies.
Do you own or rent?*

OwnRentOther
Landlord name and phone number (if renting)
Does your lease allow dogs (if renting)?

YesNoNot sure
Are there weight or breed restrictions (if renting)?

YesNoNot sure
What are the weight / breed restrictions (if renting)?
Does your insurance restrict certain breeds?

YesNoNot sure
Does you HOA restrict certain breeds?

YesNoNot sure
Is their Breed Specific Litigation (BSL) in your municipality?*

YesNoNot sure
BSL Restriction requirements
SECTION 6: Yard and Property

Information about your yard and property.
Do you have a yard?*

YesNo
Yard size:*

SmallMediumLargeAcreage
Is the yard fenced?*

YesNoPartial
Fence type

WoodVinylChain linkWrought iron / Ornamental metalAluminumCompositeFarm or ranch fencingInvisible/electric fenceOther
Fence type

PrivacyNon-privacyHybrid
Fence height (in feet)
Is the gate secured?

YesNo
Is there a pool on the property?*

YesNo
Do you have a dog door?*

YesNo
When will the dog have access to the dog door (if you have one)?
How is your yard secured overall?
Please upload photos of your yard here.

Cancelof
SECTION 7: Current and Past Pets

Tell us about your current and past pets.
Do you currently have pets?*

YesNo
Current pets (add one row per pet)
Pets you’ve had in the last 10 years (not including current pets): Please list past pets and the reason they are no longer in your home.*
Have you ever returned, given away, or relinquished ownership of a dog? If so, please explain. *
Photo upload: If you have them handy, we’d love for you to upload a few photos of your current and past pets.

Cancelof
SECTION 8: Experience and Training

Your experience with dogs and training methods.
Have you owned a dog before?*

YesNo
Have you owned a bully breed before?*

YesNo
Training methods used (select all that apply)*

Reward basedClickerCrate trainingLeash trainingBalanced trainingProfessional trainerNoneOther
Comfort level with training*

Very comfortableSomewhat comfortableWilling to learnNot comfortable
Would you enroll your dog in training is needed?*

YesNo
Tell us any additional information pertaining to experience/training: *
SECTION 9: Daily Routine

Help us understand your daily routine and plans for your new dog.
Will this dog please Indoors/out-doors*

In-doorsOut-doorsOut-doors, in-doors in bad weather
Hours dog will be alone per day?*
Where will the dog when alone?*

Loose in the houseCrate in the houseCreate until housetrainedGarageBasementOutside in fenced yardPen or dog run outsideOn a chain or tied up outsideOutside not contained in fence or pen
Where will the dog sleep at night?*

Bed in bedroomDog bedCrateOther
Will you allow your dog on furniture?*

YesNoNot sure
How will you exercise the dog and how often?*
When traveling with dogs, dog will be:*

Looses inside vehicleRestrained in vehicleIn truck bed
SECTION 10: Dog Type Preference

Let us know what type of dog you are seeking.
Do you prefer:*

PuppyYoungAdultSeniorAge doesn't matter
Do you prefer:*

MaleFemaleSex doesn't matter
Dog type you are seeking (select all that apply)*

Low energyModerate energyHigh energyTraining focusedBest match
SECTION 11: Behavior and Management

Your comfort level with common dog behaviors and management tools.
Behaviors that you have worked with previously (select all that apply)

Leash pullingJumpingChewingBarkingSeparation anxietyResource guardingDog reactivityCat prey driveHuman AggressionNervous/anxious dispositions
Behaviors that would be hard for you to live with:*
What do you expect or think is a reasonable amount of time for a new dog to adjust to life with you/your family?*
Dogs of any breed can be selective with other dogs. Bully type breeds may be more likely to show dog selectivity due to genetics. Please describe any experience you have with dog selective or dog reactive dogs, or how you would manage this if it occurred. *
Management tools you are comfortable using (select all that apply)

CrateBaby gatesLong linesMuzzles if recommendedNone
SECTION 12: Veterinary and Financial Readiness

Your veterinary and financial preparedness.
Current and previous vet clinic and phone number:*
Please call your vet clinic prior to applying to give consent to release medical information to Made a Promise Rescue. If vet requires authorization and doesn't have prior to our call it will result in delays in application processing.
Can you afford routine care, training, and prevention?*

YesNoNot sure
SECTION 13: Travel and Emergency Planning

Tell us about your travel habits and emergency plans.
Do you travel regularly?*

YesNo
Who will care for the dog when you travel?*
What are reasons you personally would rehome your dog(s)?*

Pet allergiesDivorce / separationFinancial issuesMovingChange in schedule / work (limited time)Destructive dogDog not housebrokenDog aggressive towards other petsDog aggressive towards peoplePersonal HealthI can't think of any
If I rehomed my dog for any reason, I'd:

Find my dog(s) good homesRelinquish my dog(s) to Made a Promise RescueRelinquish my dog(s) to a shelterGive my dog(s) to a trusted friend / family memberOther
If I move one day, I will:*

Take my dog(s) with meRehome my dog(s)
SECTION 14: Rescue Agreements

Please review and agree to the following rescue policies.
I understand that my application needs to be approved in order for me to be able to adopt from Made a Promise Rescue. Pease Initial below*
I understand that the approval process may involve contacting my vet, references, conducting a background check, and a home visit. Please Initial below*
I understand I may be subject to occasional homes visits to ensure the safety of the dog(s) I am adopting. Please Initial below*
I understand that Made a Promise Rescue cannot guarantee future behavior any dog. Please Initial below*
I understand that Made a Promise Rescue makes no express or implied warranties or guarantees regarding any dog’s age, health, breed, temperament, behavior, training, suitability, or safety. Information in a dog’s bio including descriptions such as “good with dogs,” “good with kids,” or similar reflects observations at the time and is provided for general informational purposes only. Behavior may change over time and vary by environment and situation. No description is a guarantee of future behavior or compatibility with any person, child, animal, or setting. Adopters are responsible for supervision, training, and management. Please Initial below*
I agree to absolve Made a Promise Rescue and all of its representatives from any liability to the dogs in their rescue. Please Initial below*
Signature

Powered by Jotform SignClear
Should be Empty:

Dog Adoption Application

SECTION 1: Dog You Are Applying For

SECTION 2: Applicant Information

SECTION 3: Household Overview

SECTION 4: Children and Safety Management

SECTION 5: Housing and Rules

SECTION 6: Yard and Property

SECTION 7: Current and Past Pets

SECTION 8: Experience and Training

SECTION 9: Daily Routine

SECTION 10: Dog Type Preference

SECTION 11: Behavior and Management

SECTION 12: Veterinary and Financial Readiness

SECTION 13: Travel and Emergency Planning

SECTION 14: Rescue Agreements