Adoption Application

Application to Adopt
Thank you for choosing to adopt! We are a small nonprofit foster-based rescue based in Milwaukee, WI. Founded in 2014, our mission is to save local dogs in need and place them in loving, permanent homes.

The following application is detailed and will take a few minutes to complete. Our goal is to ensure the best possible match for both you and the dogs in our care. Once your app has been submitted and reviewed, someone from Off the Chain MKE will contact you.

Please note: because of limited resources for home checks, we are not typically able to adopt out to locations beyond a three-hour radius of Milwaukee, WI. Thank you for understanding!
Which animal are you applying to adopt? *
Name *

First Name Last Name

Address *

Street Address
Street Address Line 2
City	State / Province
Postal / Zip Code	Country

Home Phone Number *

Area Code Phone Number
Cell/Alternate Phone Number

Area Code Phone Number
Date of birth *

Month Day Year
Date Date Picker Icon
If there a co-applicant (i.e. spouse or adult family member in the household), please provide their name and date of birth:
Residential Info
Type of Residence *
Do you rent or own? *
If renting, what is your landlord's name and phone number?
If renting, have you received permission from your landlord to adopt a pet?

Yes No
Do you have a fenced-in yard? *

Yes No
If yes, please describe:
How long have you resided at this address? *

If less than two (2) years, what is your previous address?

Street Address
Street Address Line 2
City	State / Province
Postal / Zip Code	Country

Are you aware that some municipalities have breed specific laws and restrictions? (Please visit http://friendsofmadacc.org/education-outreach/breed-specific-legislation/ for more info about laws in your area.) *

Yes No
Will adopting this dog violate any local laws or ordinances? *

Yes No I'm not sure
Family Info
How many children live in your home? *
Please list ages of children in the home
If you have children, have they been around dogs before?

Yes, often A few times No, never
Are you planning to have children in the near future? *

Yes No
Does anyone else reside at this home? Please list names and ages
Does anyone in your household have animal allergies or asthma? *

Yes No
Have you or anyone in your household been convicted of animal cruelty, neglect, or abandonment? *

Yes No
Lifestyle Info
How would you describe your perfect pooch match? *
Are you comfortable with all types and breeds of dogs? *

Yes No
If no, what breeds are you NOT interested in, and why?
Why do you think this pet is a good match for you? *
Have you had experience with this breed? Please explain. *
How will you exercise your pet? *
Will your pet be outside unsupervised? *

Yes No
If yes, for how long?
How many hours are you away from home during the average work day? *
Where will your pet be kept while home alone? *
Where will your pet be sleeping during the night? *
Other Pets
Do you currently have other pets? *

Yes No
If yes, please list types, breeds, and ages
Are all of your current pets up to date on their vaccinations? *

Yes No Unsure N/A
Are all of your current pets spayed/neutered? *

Yes No Unsure N/A
If you answered no or unsure to either of the previous two questions, please explain:
Who is your current veterinarian?
Please include name, address, and phone number
Do we have permission to contact them?

Yes No
Have you ever sold, given away, or surrendered a pet? *

Yes No
If yes, please explain:
Have any of your past pets ever been reported for biting a person or animal? *

Yes No
If yes, please explain:
What happens to your pet(s) if you must move? *
Training and Behavioral Info
Have you ever attended obedience or training classes with a pet? *

Yes No
How would you react if your new pooch was having trouble potty training and had accidents in the house? *
How would you react if you came home to find your favorite pair of shoes was chewed up or another personal item destroyed? *
Are you familiar with crate training? *

Yes No
If yes, please describe how you would crate train a new dog:
Do you have any experience with behavioral issues (ex: resource guarding, fear of strangers, severe separation anxiety, etc.)? *

Yes No
If yes, please describe your experience with behavioral issues:
The only way to teach a dog is to punish it when it does something wrong *

True False
What is your opinion on chokers, prong collars and shock collars? *

Love them and believe they're the best way to train a dog Use them if I must, but would rather find another solution I would never consider using one
Please describe your approach to dog training *
Final Comments
Please add anything else you would like us to know about you, your household, or your perfect pet!
I certify that all information provided on this form is true. I give permission to Off the Chain MKE and/or their representative to verify information as needed. I understand that a home check may be mandatory prior to adopting a pet, and that completion of this application does not guarantee that I will be approved for the adoption of a pet through Off the Chain MKE. Any false statements will terminate potential adoption.
Signature *

Clear
Email
example@example.com
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Application to Adopt

Residential Info

Family Info

Lifestyle Info

Other Pets

Training and Behavioral Info

Final Comments