Adoption Application

Adoption Application

Adoption application for Jett-Jett’s 2nd Chance Nursery, Inc. Complete the form with your applicant, household, veterinary, lifestyle, agreement, referral, and signature information. Adoption fee: $400.00 (this covers age appropriate vaccines, heartworm treatment if necessary, microchip, spay/neuter surgery at our veterinarian's clinic.)
Applicant & Contact Information
Applicant Name

First NameLast Name
Co-Applicant Name

First NameLast Name
Address

Street Address

Street Address Line 2
CityState / ProvincePostal / Zip Code
Cell Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Home Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Email Address(es)
example@example.com
Dog / Puppy Interest
Which dog(s) are you interested in?
What weight range are you looking for?
What age range are you willing to adopt?
What personality traits are most important to you?
Describe the energy level of your household
How do you plan on exercising your dog?
Do you have experience with special needs dogs? If so, please explain.
Household & Home Information
Household members (names, ages, relationship, pet allergies)
Type of home
Do you own or rent your home?
If you rent, do you have your landlord’s permission to have a dog?
Landlord’s name, address, and phone number
Do you have a secure fenced-in yard?
Location type
Do you plan on moving in the next 12 months?
Lifestyle & Care Plans
Are you prepared to walk your dog multiple times a day in all types of weather?
Family lifestyle
When did you decide to get a dog?
Who will be the primary caregiver for the dog
Intended purpose of this dog

Other
Will your dog be an indoor or outdoor dog? Please explain.
How many hours a day will your dog be alone without humans in the house?
Where will the dog stay while you are away from home?
Where will the dog sleep at night?
Who will care for your dog if you travel?
Under what circumstances would you return a dog?

Other
If you become unable to care for your dog, who will care for him/her?
How much responsibility will your children be given in the care of your dog?
How will you handle behavioral issues?
What would you like to tell us about yourself, your household, family, dog experience, etc?
How much do you estimated the annual cost is to having a dog? (Food, toys, general veterinary care, including heartworm prevention, training, etc)
Current & Past Pets
Current pets in the home (names, species, breeds, ages, spayed/neutered)
Past pets in the last 5 years (names, species, ages, cause of death if deceased)
Veterinary Information

ALL CURRENT DOGS MUST HAVE A SOLID HISTORY OF HEARTWORM PREVENTION.
Veterinary practices used in the last 8 years (names and phone numbers)
Have you notified your veterinarian(s) that we will be calling?
Are your dogs currently on Heartworm Preventative?
Are your pets current on vaccinations?
Are your pets Spayed or Neutered?
Current veterinarian(s) name, phone number, and address
Agreements / Commitments
I agree that this dog will live primarily indoors
I agree never to tether or kennel/pen this dog and leave it outside unsupervised
I agree that if I cannot care for this dog, it will be returned to JJN.
I will take my dog annually to a veterinarian for a wellness exam and recommended tests/vaccines and provide monthly heartworm preventative
I am able to financially afford basic and emergency care for this dog
Signatures
Applicant Signature
Applicant Date

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
Co-Applicant Signature
Co-Applicant Date

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
Should be Empty:

Adoption Application

Applicant & Contact Information

Dog / Puppy Interest

Household & Home Information

Lifestyle & Care Plans

Current & Past Pets

Veterinary Information

Agreements / Commitments

Signatures