Puppy Adoption Application

Puppy Adoption Application

Please complete this puppy adoption application using the provided reference PDF. Preserve the original questions and options as closely as possible.
Applicant Information
Full Name

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

Street Address

Street Address Line 2
CityState / ProvincePostal / Zip Code
City/State/ZIP
Preferred Method of Contact
Household and Living Situation
Who lives in your household? Please include adults, children (ages), and other pets (species).
Does anyone in the household have allergies to dogs?
Does everyone in the household agree to getting a puppy?
Housing Situation

Other
If Other, please describe
If renting, does your landlord allow dogs?
Do you have a fenced yard?
Puppy's Home Environment
Where will the puppy spend most of its time?
Where will the puppy sleep?
How many hours will the puppy typically be alone each day?
Current and Previous Pet Experience
Do you currently have pets?
If yes, please list their species, ages, and approximate temperament.
Have you owned a dog before?
If yes, please describe your previous experience with dogs.
Care, Veterinary, and Activity Plans
Who will be primarily responsible for the puppy's care?
Which veterinarian do you plan to use?
What type of exercise and activities do you plan to provide?
Are you interested in a specific puppy?
Puppy Preferences and Goals
Preferred sex
What temperament are you looking for?

Other
What are your primary goals for the puppy?

Other
If Other, please describe
Why do you feel you are ready to bring a puppy into your home?
What will you do if the puppy develops behavioral or training challenges?
What arrangements will you make for the puppy when you travel or are away from home?
Are you prepared to make a long-term commitment to this dog for its entire lifetime?
References and Final Approval
Veterinarian's Name
Veterinarian's Phone
Please enter a valid phone number.Format: (000) 000-0000.
Personal Reference #1

First NameMiddle NameLast Name
Personal Reference #1 Phone
Please enter a valid phone number.Format: (000) 000-0000.
Personal Reference #2

First NameMiddle NameLast Name
Personal Reference #2 Phone
Please enter a valid phone number.Format: (000) 000-0000.
Applicant Signature
Date

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

Puppy Adoption Application

Applicant Information

Household and Living Situation

Puppy's Home Environment

Current and Previous Pet Experience

Care, Veterinary, and Activity Plans

Puppy Preferences and Goals

References and Final Approval