Adoption Application

Your name*
First & Last Name
Address*

Street Address

Street Address Line 2

CityState

Postal Code
Phone Number
Email*
Name of dog are you applying to adopt? *
Why do you want to adopt a rescue dog/puppy?*
CompanionGuardSportHuntingObedienceOther
What do you believe are the most important responsibilities in owning a dog?*
Names and ages of all residents of your home (adults/children)*
Please list any pets currently living in your home, breed, age and sex, and if they are spayed / neutered.*
YesNo
What will you do with this pet if you need to move?*
YesNoYes, but it is tolerable for them and they are OK with it.
This weekendWithin a weekWithin a monthNot ready yet, just researching
YesNoUndecided
YesNo
If you answered no to the question above, please visit Google and do a bit of research so you can be prepared for your new family member!
HouseDuplexCondo/TownhomeMobile HomeApartmentBasement SuiteOther
RentOwn
Yard, fenced with a vertical fenceYard, fenced with invisible fencingYard, no fenceNo yard (apartment/condo/townhome)
If you rent, you must have permission to own a dog from your landlord or a copy of the section of your lease stating that you are allowed to have this type of animal and showing any limitations.

If you live in a condo or townhome, you must inform SMILES & CRIES DOG RESCUE that you are allowed to have this type of animal there and show any restrictions if there are any.
BarkingChewingCounter SurfingSeparation AnxietyHousebreakingSheddingDiggingMouthingLeash PullingNone
Where will the dog be kept when you are not home? (ie: run of the house, in a crate, kitchen etc)*
CrateBasementRun of the houseIn Your BedTied up outsideGarageOther
How many hours during the day will the dog be left alone?*
If gone more than 8 hours, do you have a plan in place for someone to take the dog out while you are gone?*
YesNoYes, adults have discussed. Kids don't know yet.
DivorceCurrent pets do not like rescue dogAllergiesMovingIllnessBehavioral IssuesNever
YesNo
Have you ever been denied to adopt an animal from any other organization or rescue? Please explain.*
Please be aware that SMILES & CRIES RESCUE SOCIETY will NOT adopt any dog out if you are looking to get it as a gift for someone, 99% of those dogs are returned to shelters or sold. With this in mind, please make sure that any animal you are adopting will be a permanent resident and have a forever home.
Are there any comments you would like to make in support of your application?
By checking the box below, you understand the terms of this form and SMILES & CRIES RESCUE SOCIETY. You hereby agree that you will not use this animal in any sort of fighting, breeding, or cruelty purposes. You will love and care for this animal for the rest of its life, and you are ready to commit to that. You also agree, that if for any circumstances you can no longer provide love and care for this animal, you will contact SMILES & CRIES RESCUE SOCIETY and explain your situation before surrendering the dog back. You will NOT be refunded the adoption fee.*

I understand the above, and have tried to the best of my knowledge to make sure all information is correct.
Adopter's Signature*
Thank you for taking the time to submit this form. Please feel free to contact SMILES & CRIES RESCUE SOCIETY or the Foster/Adoption Coordinators. After you click the Submit, you will be redirected to the main page, and you will also recieve a confirmation email. Thank you!
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