Dog Adoption Application

Name of Pet(s) you are interested in

Full Name*

First NameLast Name

Names of all persons 18+ living in household

Email Address*

Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry

Phone number*

Do you own or rent your home?*

OwnRent

If you rent, do you reside in an apartment?

YesNo

What is the name of the apartment complex?

If you rent your home/apartment, does your lease allow pets?

YesNo

Does your lease have breed or weight restrictions? If so, please list them here.

Do you have a fenced yard?*

YesNo

What type of fence do you have?

Chain linkBoardOther

If other, please describe

How tall is your fence?

4'6'8'over 8'

How many people live in your home?*

How many children are in your home?

Ages of children in home

Does everyone in your home know you are getting a pet?*

YesNo

Why do you want to adopt this pet? What characteristics are you looking for in a pet? *

Where will this pet be kept while you work or not at home?*

Where will this pet be kept at night?*

How many other pets do you have?

Animal 1- name, species, breed, age

Animal 1 - is this animal spayed/neutered?

YesNo

Animal 1- does this pet get along with other animals? If no, please describe.

Animal 1- Where does this pet stay when you are at work/not home? Where does this pet stay at night?

Animal 2- name, species, breed, age

Animal 2 - is this animal spayed/neutered?

YesNo

Animal 2- does this pet get along with other animals? If no, please describe?

Animal 2- Where does this pet stay when you are at work/not home?Where does this pet stay at night?

Animal 3- name, species, breed, age

Other than the animals listed above, have you had any other pets in the last 3 years? Where are they now?

Have you previously adopted an animal from ARF?*

YesNo

If yes, which pet and when did you adopt?

Name and phone number of your veterinarian(s). Please include the name your pet(s) records are under if not your own.

Are you familiar with heartworm disease?*

yesno

If you currently own a dog, what heartworm preventative do you use?

Please provide two (2) personal references. Include name and email and/or phone number.*

I am at least 18 years old. Note: you must be at least 18 to adopt from ARF.