Dog Adoption Application Form

Adoption Application

Thank you for your interest in our dogs! Please complete the application below and e-mail back to us as soon as possible. We will review the information and be in contact with you very soon.

We look forward to receiving your application!

The Charleston Dog Shelter

Visit us on Facebook at The Charleston Dog Shelter or on Petfinder at www.charlestondogs.petfinder. com

Name of pet you wish to adopt*

What you looking for in a dog?*

Applicant's Name*

First NameLast Name

Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry

Phone Number*

Area CodePhone Number

Email Address*

How long have you been at the current address?*

How many people are in the household? *

Are there children in the home? (If yes, please list ages)*

Does anyone in the home have pet allergies?*

insideoutsideOther

If inside, do you work outside the home?*

Will you crate your pet?*

If yes, how long will the pet be crated each day?*

How many hours per day would the pet be alone?*

Do you currently own any pets?*

Pet Name(s)

Pet Breed(s)

Are your pets up to date on vaccines?*

Are your pets spayed/neutered?*

If no, please state a reason/explain why they are not spayed/neutered.

How many pets have you owned in the past 5 years?*

What is the status of each pet?*

YesNo

If "Yes" to the above, is it fenced? please describe*

What is your landlord's pet policy?*

If you rent, please provide your landlord's information here:*

If you have to leave town, emergently or planned, where would your pet stay?*

How would you deal with behavioral issues such as barking, chewing, destructive behavior, bathroom accidents indoors, unruly leash behaviors in your pet?*

YesNo

If you answered "Yes" please provide a detailed description:

What do you consider a reasonable amount of time to allow for a dog to adjust to a new home?*

Please provide your veterinarian's name: *

Veterinarian's Phone Number:*

Area CodePhone Number

Please list two non-relative personal references:*

By clicking the submit button, I agree to the Charleston Dog Shelter's adoption process, will undergo a homecheck, and interview at the discretion of the Charleston Dog Shelter.
By clicking the submit button, I understand The Charleston Dog Shelter's staff members will check my references including veterinary and personal.
By clicking the submit button, I verify all of the above information is true and accurate.

Signature of Potential Pet Parent*