Dog Adoption Application

Dog Adoption Application

Apply to adopt a dog from Eddys Lost Boys Dog Rescue. Please fill out all required fields honestly and completely.
Full Name

First NameLast Name
Email Address
example@example.com
Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Home Address

Street Address

Street Address Line 2
CityState / ProvincePostal / Zip Code
What type of home do you live in?

Other
Do you own or rent your home?
If you rent, do you have your landlord's permission to have a dog?
Do you have a fenced yard?
Please list all people living in your household (names and ages).
Do you currently have any pets?
If yes, please list all current pets (species, breed, age, sex, spayed/neutered).
Have you previously owned dogs?
If yes, what happened to them?
What age and size of dog are you interested in?
Do you have a specific dog in mind? If so, please provide the dog's name.
How many hours per day will the dog be left alone?
Where will the dog stay when you are not home?
Where will the dog sleep at night?
Are you prepared for the financial responsibility of owning a dog (food, vet care, etc.)?
Is everyone in your household in agreement with adopting a dog?
How did you hear about Eddys Lost Boys Dog Rescue?
Additional comments or questions
Reference 1 Full Name

First NameLast Name
Reference 1 Relationship
Reference 1 Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Reference 1 Email Address
example@example.com
Reference 2 Full Name

First NameLast Name
Reference 2 Relationship
Reference 2 Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Reference 2 Email Address
example@example.com
Should be Empty: