Pre-adoption form

Today's Date*

Date

Primary Adopter*

First NameLast Name

Secondary Adopter*

First NameLast Name

We are not adopting out of state. DO NOT fill an application out if you do NOT live in Michigan.

WE WILL DELETE IT AND NOT PROCESS IT, NO EXCEPTIONS.

Please understand that we reserve the right to refuse

any applicant at any time.

If you live more than 1 1/2 hours from Grand Rapids or from our vet in South Haven, we would only process for an spayed or neutered dog, DO YOU AGREE*

YesNo

Address: (i.e. 123 Nowhere st)*

Address

Street Address 2

CityState

Phone Number*

Area CodePhone Number

Alternate Phone Number

Area CodePhone Number

Please enter a vaild email address as this will be our main point of contact.

Watch your junk/spam mailboxes, sometimes our emails will go there.

E-mail*

Re-enter your email address to make sure it is correct.

Email*

example@example.com

Would you like to join our email newsletter*

YesNo

Employment information

Primary Adopter Employer*

Secondary Adopter Employer

Working hours

Same shiftsAlternating ShiftsRegular HoursNone

Please explain what people are living in the home, Especially children and ages; elderly or handicapped people that could be hindered by a dog:*

Please verify that the "main adopter" is over 21:*

YesNo

Date of birth, (month and year)*

Be be Aware that we will not hold pupz and do you agree that we do not approve to adopt any certain pupz, we approve to adopt from us.*

YesNo

Please understand that if you see a pupz available now and you are thinking you would be able to adopt that pupz, our application takes about 14 business days, (we try and do it as fast as possible), that pupz maybe be adopted before you are approved and we do not hold, is not fair to anyone.

What kind of dog would you like? List two- three breeds, sex, age range, and if you could handle a dog with special needs (like blindness, deafness, epilepsy)?

Are all of the people living in the home agreeable to owning a pet dog?*

YesNo

Will everyone help to take care of the dog or will this become the responsibility of one person?

Is anyone known to be allergic to dog dander?*

YesNo

If so, how will you deal with this?

Without 2 references we can not process.

We require 2 personal references not related, do not enter a vet or a trainer for your references.

1st Reference Name NOT related*

First NameLast Name

Phone Number*

Area CodePhone Number

2nd Reference Name NOT related*

First NameLast Name

Phone Number*

Area CodePhone Number

Please only enter a vet you personally have used and have paid the vet bill, not one your parents/family have used.

Do not enter a vet that you will be using, we will get that information once you are approved.

Vet reference: Name and city: *

Vet reference: phone number*

Area CodePhone Number

May we contact your vet for a reference?*

YesNoN/A

May we obtain information about past pets you've owned?*

YesNoN/A

Please describe your home and yard: Single dwelling/apartment/townhouse/renting; pool on property? Is pool enclosed by fencing? Is house close to road? Close to neighbors?

Do you have fencing?*

YesNo

If yes, please describe (as metal, wood or other?)

Is fence attached to house?

YesNo

Height?

How much yard does it enclose (font/back)?

Number of gates?

Could a dog go under or over it easily?

YesNo

If you don't have a fenced yard, how will the dog exercise and relieve itself?*

If you rent, (including if you rent in a trailer park), does your landlord allow pets and know that you are adopting?*

YesNoN/A Own home

Name of landlord or rental company, (including trailer park rental company), that you rent from: This is required if you rent, we will not process without this information.

Landlord Phone Number

Area CodePhone Number

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

Will it be crated or loose in the house or kenneled or tied in the yard?

Do you travel often?

YesNo

Would you take the dog with you, board it or make other provisions?

If you personally presently own or have personally previously owned other pets, please list with NAME and describe Age, breed, sex, how long you've had them; are they spayed/neutered? (Ex: 6 y.o. spayed dachshund owned since 2 y.o. - from rescue; 1 y.o. neutered cat from breeder.) Please do not put any that were family pets growing up.*

Any other pets in your home not yours? if so please explain.

Were you raised around dogs or are you an experienced dog owner?*

Are you familiar with the breed of dog you are requesting to adopt?

YesNo

Have you owned one before, do you own one now or know one well from within the family

YesNo

What are you looking for in this dog: Companionship, a warning barker, a guard dog, a hunting dog, hiking partner, a dog for agility training, other?*

Any other qualities you are looking for?

Do you believe in crating?*

YesNo

Are you aware of the value of crating a dog to give it a quiet, safe space of its own, but never using it too long or as punishment?*

YesNo

*If you must crate a dog for more than 9 hours per day without a bathroom break, please consider getting a pet cat instead. Dogs are social animals and cannot maintain bowel and bladder control for longer than that.

Are you aware of the costs of pet ownership (food, vet, dental, grooming, etc -which could cost about $1000 for the first dog, according to the Humane Society)? Are you financially able to afford ongoing care for this dog?*

YesNo

Ideally, we (or cooperating rescue group/representative) should visit your home before you adopt, (during covid we are doing virtual home checks if requested). This gives us an over-all picture of the dog's new environment, & we may be able to make suggestions to help you get ready for your new family member.

Would you have any objection to this?*

YesNo

May we visit before & after placement?*

YesNo

We keep applications active for 3 months for anyone that currently has a pet and 6 months for anyone that does not, after that time please contact us so we can review your application, if you have added a pet to your family since you applied we need to know this information also. Please click agree to acknowledge this:*

Agree

Please enter any information that you think would add to your application. Not required

The information in this form will become part of your adoption agreement if you adopt a dog from us. We may reclaim custody of a dog if responsible care is not provided: dog must live indoors & get vetted annually/as needed.
Please remember that all of us are working together on behalf of this dog's lifetime of care, and this contract is to enforce the spirit of this agreement.
Our adoption fee is minimal for services provided, more for dogs that require full vetting or sterilization before adoption. Our adoption agreement requires that you return the dog to us if you are unable to keep it. If a dog has an appointment to be spayed or neutered, we expect you to agree to have the animal to the appointment. We can accommodate dates, but you MUST be there or the dog MUST be returned. Over six million unwanted pets are euthanized each year, and we ask that you share in the responsibility of not adding to that problem. We will try our best to match you up with a family pet that will offer you its lifetime in companionship.
All dog owners should have knowledge of their breed before acquiring one. Suggested reading: Mutts: America's Dogs by Brain Kilcommons & Michael Capuuzzo (1996) and The Right Dog for You by Daniel Tortora (1980).
Books on problem dog behaviors: The Dog Who Loved Too Much by Dr. Nicholas Dodman (1996)& The Culture Clash by Jean Donaldson.
Please dog-proof your house. Prepare ahead by removing poisonous plants, household chemicals, garbage (like chicken bones!), and easy access to chocolate (that can cause death to a dog). Use baby gates and close off pets from dangerous areas; check outside fencing and gates for weakness or escape routes.
Although we will try to be very honest about a dog's known background, breed, habits, and personality, you can expect a "get-acquainted" time together. Be aware that the dog may be anxious and frightened on its first day in your home. Anticipate a reasonable adjustment period. At first, it may appear nervous, have loose stools, vomit, or forget its housetraining manners. Being forewarned is a major step in the adjustment phase.

LuvnPupz Pre-Adoption Application