Released Dog Application

Thank you for your interest in one of our released dogs!

Please keep in mind that any other dogs in your home must be spayed/neutered and up to date on vaccines prior to adopting from us.

Preferred Name

First NameLast Name

Pronouns

Date of Birth

MonthDayYear

Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

Mobile Phone

Please enter a valid phone number.Format: (000) 000-0000.

Email

example@example.com

How did you hear about our program? Please provide a name if you were referred by someone in our organization.

Have you adopted from us before?

Does everyone in your household want a dog?

Do you rent or own your home?

Do you have any restrictions on pet ownership? (breed, size, etc)

Please provide additional information on any restrictions.

What best describes your home?

What best describes your neighborhood?

Do you have a securely fenced in yard?

Please provide any additional details about your yard.

Are you able to travel to The Exceptional Sidekick in Newtown, CT to adopt a released dog in person?

Please explain potential travel challenges.

Our expectation is that an adoptable dog will leave our care within a week of contacting you. Can you accommodate this timeline?

Do you have toddler age children living in your home who visiting frequently?

Is anyone in your home allergic to dogs?

Tell us about your experience with dogs?

Do you have other dogs in your home?

Tell us about your other dogs:

Will the adopted dog be living with a cat, chickens, or other small animals?

Tell us about your cats, chickens or other small animals:

Preferences

Please select the preferred characteristics for the dog you wish to adopt. Our program dogs are all Labrador Retrievers.

Gender

Color

Age (Select all that apply)

Are you willing to use a crate if one is recommended?

Personality

Please share some information on the type of personality you are looking for in a dog.

What is your family's activity level that your dog would match with?

Are there any special/unique considerations for temperament?

Who will be primarily responsible for caring for your dog?

Provide names and ages of all people living in your home

What is your dog's desired role in your family?

Additional desired personality traits?

Have you owned pets in the past?

On average, how many hours per day would your dog be home alone?

Where would your dog be when home alone?

Where will your dog sleep at night?

If you are outside in an unfenced area, will your dog always be kept on a leash?

If your dog would not be on a leash, please explain

Will your dog have access to a pool or water element for swimming?

Will the pool/water element for swimming, be fenced and covered when not in use?

Are all other dogs in your home vaccinated and spayed/neutered?

How will your dog get exercise?

What is your desired activity level for your dog?

There are many reasons why a dog would be released from service dog training. This list includes a wide variety of behavioral and medical reasons for release. Please select any conditions that would be acceptable to you in a dog. We would discuss any known conditions in more detail before determining if a specific dog would be the right fit.

Released dog conditions acceptable to you

Is there any additional information you'd like to share for your consideration of one of our released dogs?

Please provide references. We will not contact your references until we have a dog available for release and have spoken with you.