Adoption Inquiry (this is NOT an Adoption agreement)

Adoption Inquiry (this is NOT an Adoption agreement)

Pet ownership is a serious responsibility. So before you plunge into dog ownership, take time to conduct some research. Become acquainted with all that having a dog involves. While the rewards really are many, in reality, so are the requirements! A Dog is a lifetime commitment and a life-changing decision You need to be capable and willing to accept that responsibility morally, physically and financially. Please be sure to ANSWER ALL QUESTIONS. If a question does not apply type N/A.
Name of Dog you are inquiring about? *
Why are you inquiring about this particular dog? *
Adopter Name*

First NameLast Name
Email*
example@example.com
Phone Number*

Area CodePhone Number
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Your age*
Your Occupation ?*
Current Employer?*
Are you a Student*

yesno
Are you*

singlemarriedOther
Who else live in the household besides spouse and children? (Parents, Roommates, Siblings.....) *
How many adults (18 years and over) are in the household ?*
How many children (17 years and younger) are in the household ?*
Please list ages of all children in the household ! *
Is anybody in the household allergic to dogs?*

yesno
If you rent - Who is your Landlord? (if not applicable type NA*
Landlord Phone number (if not applicable type 000 0000)*

Area CodePhone Number
Is your property fenced in?*

yesnonot completelyfenced is damagedOther
How big is your fenced in property? Acres? *
What type of fencing do you have? *
Height of fencing?*
IF your property is NOT fenced in how to you keep your pet SAFE outside?*
What is your experience with owning a dog?*

Currently ownNever owned oneLast dog owned more than a year agoLived with dogs
Did you lose any pets lately?*

YesNo
If YES - HOW did you lose your pet ? (Old age, illness, accident .....) *
Have you owned a puppy the last 8 month?*

YesNO
IF YES do you still have the puppy?*

YesNo
If NO - what happened to the puppy? *
How many dogs do you current own? Please list Breed, Age & Sex! *
Are your current dogs altered (spayed/neutered) ?*

YesNo
If NOT - please explain why not!
Name of your current Veterinarian *

First NameLast Name
Name of Vet Clinic*
Address of current Veterinarian*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Phone Number of Veterinarian*

Area CodePhone Number
Do we have your permission to contact your current veterinarian for a vet reference?*

YesNoOther
What food are you feeding your current dog (s) Please name the Brand*
What Heartworm prevention do you use for your current dog(s)? PROOF REQUIRED!*
Are you aware of the monthly cost for Heartworm and Flea & Tick prevention?*

YesNoOther
Have you ever have a dog die of Heartworms?*

YesNoOther
You want a dog because .... (check ALL that apply)*

Companionship for yourselfCompanionship for childrenCompanionship for existing dogsGuard dogHunting dogOutside dogOther
Adopted Pet has to be good with*

ChildrenOther dogsCatsFarm AnimalsOther
Where will pet be kept when you ARE HOME?*

Inside cratedInside loseConfined to one room in the homeGarageLose outsideOn a runnerTethered/ChainedFenced in yardOther
Where will pet be kept when you are NOT HOME?*

Inside cratedInside loseConfined to one room in the houseGarageLose outsideOn a runnerTethered/chainedFenced in yardKennel outsideOther
How many hours will pet left alone DAILY?*

0-22-44-66-88-10more than 10 hrs.Other
How many hours will pet left alone OUTSIDE?*

Never0-22-44-66-88-10more than 10 hrsOther
Please explain WHY would pet left alone outside ?*
HOW will pet be exercised?*
How OFTEN will pet be exercised? *
How LONG will pet be exercised*
When away on vacation ...... how will dog be taken care of*

BoardedPetsitterTake dog with youIn the care of family and friendsOther
What gender (sex) would you prefer?*

FemaleMaleDoes not matter
What size would you prefer?*

Small - up to 20 lbsMedium - up to 49 lbsLarge - up to 69 lbsX-large - 70+100 + lbsDoes not matter
What temperament are you looking for*

LeaderFollowerOutgoingAloofDoesn't matter
Energy level*

LowModerateHighDoesn't matter
Where will dog sleep? (Crated, dog bed, bed, garage outside.....)*
Your new adopted dog will need to adjust. This can take weeks or even month! Are you willing and prepared to commit ?*

YesNoMost likelyOther
IF you inquire about one of our Great Danes please answer the following questions. IF not please respond with NA !
IF inquiring for one of our Great Danes - WHY are you interested in a Great Dane?*
Is your House and property set up for a XL breed? Please explain!*
Have you ever owned a Great Dane before*

YesNoN/A
Are you financial capable to take proper care of a Great Dane/XL breed? Danes require high value food and vet bills are in direct proportion to their size ! *
YES, I understand that owning a pet is a LIFE long committment.

Yes, I understand that the adopted pet has to be kept on monthly Heartworm and flea prevention.

Yes, I understand that the adopted pet has to been seen by a licensed Veterinarian at least once a year for vaccinations and Heartworm test.

Yes, I understand that the adopted pet can NOT be giving to anybody else !
I ATTEST THAT ALL ANSWERS I HAVE PROVIDED ON THIS QUESTIONNAIRE ARE CORRECT and I DO understand what it means to add a pet to my life.*

YES I doNo I don't
Additional comments or information :*
The applicants Name to serve as signature*
Date*

MonthDayYear
Date
Should be Empty:

Adoption Inquiry (this is NOT an Adoption agreement)

IF you inquire about one of our Great Danes please answer the following questions. IF not please respond with NA !