Petey Adoption Form

Applicant(s) Name(s):

Applicant(s) age(s):

Street Address:

City, State, Zip

Primary Phone:

Format: (000) 000-0000.

Secondary Phone:

Format: (000) 000-0000.

E-mail:

Employer:

Residence Type:

If you answered "other" above, please describe:

Do you...

If renting, this landlord has given me permission for pet ownership.

What restrictions are there for dog ownership in your apartment, HOA, or subdivision?

My home has a fully-fenced yard.

Fence height and material:

On the property of my home, I have:

All members of my household are in agreement with this adoption.

The primary caretaker of the pet will be:

Number of adults living in my home and their relationship to me:

Number of children in my home and their ages:

The children in my home have experience with dogs or other animals.

Other

If you answered "other" above, please describe.

In my home, someone has allergies to dogs or asthma,

Other

If you answered "yes" above, please describe how allergies/asthma are managed.

Please list all pets who CURRENTLY live in your household.

Include name, type/breed, age, gender, alteration status, how long owned, indoor/outdoor.

Please list previous pets who've lived in your household.

Include name, type/breed, how long owned, what happened to the pet.

In the past, I have taken a pet to the shelter or given an animal away.

If yes, please explain the circumstances.

I have previously adopted from a shelter or animal welfare group.

If yes, please list the name of the group.

I have previously worked with a trainer to manage a dog's behavior

If yes, please explain the circumstances and how you managed your dog's behavior.

The name and phone number of my current and/or previous veterinarian or vet clinic:

I am willing to provide my new dog with at least this much time to adjust the new home environment:

I am aware that a new environment is stressful for a dog and acknowledge they may exhibit unexpected behaviors:

I understand that vet costs for the dog may amount to hundreds of dollars per year:

I have successful experience with house-training a dog or puppy.

This is my plan to let my dog relieve itself:

If/when the dog has an "accident" in my home, this is my plan to address it:

I have an awareness of crate training.

The maximum number of hours each day my new pet will be home alone:

When/if I work full-time or am gone more than 4-5 hours at a time, this is my plan for the dog:

Location where my new pet will sleep at night:

My exercise and activity plans for my dog:

I understand that I assume full responsibility for the welfare of this pet from the date of adoption.

PETEY!

HOUSEHOLD INFO

Current/Past Pet Information

New Pet Information