Dog Adoption Application

Dog Adoption Application

Rescue pups have often gone through tough times. You are giving them their second chance at love. Thank you from the bottom of our paws!
1. We reserve the right to approve or deny any application and the right not to disclose the reason.
2. You must be at least 18 years old to apply for adoption.
3. We reserve the right to visit the home where the dog will be residing prior to adoption.
4. All family members living in the prospective home must meet the dog prior to adoption.
5. We do not allow any dogs to be chained, tied up, or locked in a garage or crated for 5+ hours.
6. Our dogs are "family" dogs. We do not allow our dogs to be "outside only."
7. Adoption donations allow Second Chance Dogs (SCD) to pursue our goals of vetting and rehoming dogs in need.
8. Adoption fees are determined on an individual basis. Expenses for out-of-state transports and vet care are factored into the amount. Our primary goal is to find responsible and loving forever homes.
Which rescue dog(s) are you interesting in meeting?
Dog names
Adopter Information
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
Household Information
Household composition
Who will be the primary care-giver for your new dog?
Has anyone in the house been convicted of an animal-related charge?
What type of home do you reside in?
Do you have a fenced yard?
Do you have an outside shelter?
Do you have allow smoking in your home?
Do you own or rent?
Does your landlord approve of dog(s)
Are there any restrictions regarding dogs from the landlord?
Landlord

First NameLast Name
Landlord email
example@example.com
Landlord address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Is your home subject to an Home Owner's Association (HOA)?
Does your HOA have any restrictions on pets?
Would you take your dog(s) if you move?
Would you take your dog(s) if you move out of country?
Pets currently living with you

Please provide information on all pets in your household. Include breed, age, weight.
Do you have any pets?
Do you have any dogs?   yes   no
Do you have any cats?   yes   no
Do you have any other animals?   yes   no

Are your dogs and/or cats spayed/neutered?   yes   no
Are your dogs and/or cats microchipped?   yes   no
Have any of your dogs ever been food, toy, or dog aggressive?   yes   no
What are the breeds, ages, and weights of your pets?
Dog preferences
What are your expectations regarding the training and manners of the dog?
Would you seek professional dog training advice if help is needed?
What dogs would you consider?
Would you consider a dog with special needs?
What dogs would you NOT consider?
Pet history
Have you ever given up a dog?
Why did you give up a dog?
What would cause you to give up a dog?
Nutrition and care
What type of food will you be feeding your next dog?
dog food brand
What type of exercise will the dog get, and how often?
How many hours a day will the day be left alone?
hours per day
Where will the dog be when left alone?
If your dog is injured, and the costs are expensive, what would you do?
Do you have a plan in place for your pets in the unexpected event of your demise?
Veterinarian care
Veterinarian for routine care
Clinic/office location
Veterinarian email
example@example.com
Do we have your permission to contact your vet as a reference?
References

Please provide two (2) references
Reference person #1

First NameLast Name
Email
example@example.com
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Reference person #2

First NameLast Name
Email
example@example.com
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Please upload photos of the inside and outside areas of your home. You may select up to 6 files (type: jpg, jpeg, png, gif).
Photos of home:

Home photos
Cancelof
Should be Empty:

Dog Adoption Application

Adopter Information

Household Information

Pets currently living with you

Dog preferences

Pet history

Nutrition and care

Veterinarian care

References