Dog Adoption Application

Thank you for submitting this application. This does not obligate you to adopt and also does not guarantee the adoption. The purpose of this application is to best match the perfect dog for the perfect home!

Thank you!!

Name of the dog you want to adopt

Adopter's Name

First & Last Name

Co-Adopter's Name

First & Last Name

Address

Street Address

Street Address Line 2

CityState

Zip Code

Adopter's E-mail

Co-Adopter's E-mail

Phone Number

Area CodePhone Number

Phone Type

Names and AGES of all permanent residents of your home (adults/children)

Current pets in your home

Vet reference (please call your vet and give permission to release information to us)

Vet name, address & phone number

Are you planning to move in the near future?

If moving soon, to what city/state?

When will you be ready to adopt this dog?

Is anyone in your home allergic to dogs?

Does anyone in your home fear dogs?

Are you familiar with dog regulations in your area?

If you answered no to the question above, please contact your town/county/condo assoc and ask them what the regulations are.

If yes, please describe local dog regulations and restrictions:

I/We live in a

Do you rent or own this property?

If you rent, you must show us a written letter from your landlord or a copy of the section of your lease stating that you are allowed to have dogs and showing any limitations.

If you live in a condo or townhome, you must show us written proof that you are allowed to have a dog there and show any restrictions.

Approximate square footage of your home

Do you have a yard?

If fenced, fence height is:

Approximate dimensions of your lot:

Do you work outside the home?

If you both work outside the home, how many hours per day are you away?

How many hours per day will this dog be alone? Explain

Have you discussed this adoption with all members of your household?

Based on the description in the dog's bio, do you feel pretty confident that you will be likely to adopt this dog upon meeting it?

Upon meeting the dog, what would give you cause to not want to adopt it? Please explain.

How much do you feel you can reasonably afford and would be willing to spend on your dog per year (for things like veterinary care, licensing, ID tag, food, toys, crate, other supplies, training, pet sitting, etc)?

What activity level do you prefer?

Other

Please check all that apply. I want to adopt this dog...

Please check all that apply. My adopted dog will...

Please take time to think, be honest with yourself and us when answering this question. What are you absolutely NOT willing to deal with at the time of adoption or at any time during the life of the dog?

What would cause you to return a dog?

What do you feel is a reasonable amount of time for a dog to adjust to life with you/your family?

What brand of dog food do you plan to feed?

How long have you been looking for a dog?

Do you plan to take formal obedience classes?

Additional reference (if desired)

Do you have any additional comments, questions or concerns? Anything else you would like us to know to help match you up to a dog?

Please read the above, check this box, sign, and click Submit.

Applicant's Signature

Co-Applicant's Signature

Signature date