Independent Adoption Application

Independent Adoption Application
Personal info:
What device are you using to fill out this application?*
Name:*

First NameLast Name
Age:*
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Email Address:*
Home Phone*
Cell Phone*
Work Phone
Dog info:
Dog's breed:*
Dog's name:*
Dog's age:*
Dog's sex:*
Dog's weight:*
Is the dog housebroken?*
Good with kids?*
Good with other dogs?*
Good with cats?*
Is the dog spayed/neutered?*
When was the dog last vaccinated for rabies?*
Has the dog ever snapped or bitten anyone?*
Please describe the dog's temperament and any other info you feel will help him find a new home.*
List any restrictions you have for adoption:*
Adoption Fee (one is always recommended):*
Biography:
(Please be sure to include all medical and temperament issues the dog may have):*

Pictures:

The best tool to bring attention to your foster dog is a good picture, especially a nice head/face shot with ears forward. Please don't size them smaller than about 500 pixels or 7" wide. JPG format is preferred. Don't worry if if they are too big or off center. The webmaster will size, manipulate, and optimize them for best clarity and screen compatibility.

Additionally, you will be required to provide Linnea proof of spay/neuter and rabies vaccination. This can be either via scan or snail mail. Most copy centers (Kinko's, etc.), and photo centers (Fox Photos, Wolf Camera, etc.) have scanners to scan in your photos.

Photo #1:

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Photo #2:

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Photo #3:

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Signature (re-type email address):*
example@example.com
Should be Empty: