Greta's Adoption Application

Name of the dog you are interested in:

Your full name:

Your age:

Street Address:

City, State, Zip

Phone #:

Area CodePhone Number

E-mail:

Co-applicant's full name:

Co-applicant's phone #:

Area CodePhone Number

Character reference phone number and relationship to you:

A character reference is someone that does not live in your household and is not a family member. This can be a coworker, a friend, someone you volunteered with, just not your veterinarian.

Employer:

Are you willing to travel to pick up your adopted dog if you are approved? We are located in Bogalusa, Louisiana.

Are you ready to adopt immediately?

Other

Do you have any upcoming vacations or responsibilities that will prevent you from being able to adopt right away? If so, please explain.

Are all members of your household in agreement with this adoption?

Please list the names and ages of the people who live in your household and their relationship to you.

Who will be the pet's primary caregiver?

Do you live in a

Do you own or rent?

If rent, provide name and phone number of landlord:

Does your landlord allow dogs?

Are there any restrictions from your landlord or subdivision?

Do you have a fully fenced yard?

Height and type of fence

Do you have any of the following?

How many adults are in your household?

How many children are in your household?

If children, what are their ages?

Do any children visit your home often or occasionally?

Have your children been around animals before?

How often do you have guests over?

Does anyone in your home have allergies to dogs?

Do you have any experience with the breed of dog in which you are applying for?

Other

If yes, please explain:

List any pets you currently have in your household. Include their name, age, breed, gender, and energy level.

List any pets you have owned that are no longer living in your household. Include their name, age, breed, gender, energy level, and the reason why you no longer have them.

Please indicate how long you have had each of these animals for.

Will this be your first dog?

Other

Which of these pets are spayed/neutered?

Have you adopted from an animal welfare group before?

If yes, what group?

Have you ever rehomed (given away) a pet?

If yes, what were the circumstances?

Please list the name AND PHONE NUMBER of any Veterinary Clinics you currently use and have used in the past.

Please list the name AND PHONE NUMBER of the vet you plan to use for annual vaccinations, heartworm testing, and heartworm/flea prevention.

Do you know what causes heartworm disease and how to prevent it?

What type of heartworm and flea prevention do you use/have you used and where do you purchase it from?

Are you willing to cover treatment costs if this dog tests heartworm positive?

Other

What supplies do you currently have or plan on purchasing in preparation for your new dog? Please be specific.

Will you be utilizing kennel training?

Have you ever house-trained a dog or puppy before?

If the dog has an "accident" in your home, what type of correction do you plan to use?

How many hours each day will your new pet be home alone?

Where will your new pet sleep at night?

How will you supervise the dog's outdoor activity?

How long will this dog be outside alone for?

Where will your new dog stay when nobody is home?

What length of time will you allow your new pet to adjust to his new home?

What type of personality do you want your pet to have? (i.e. active, energetic, calm protective, couch-potato, lap dog, social)

Tell us about yourself. What makes you want to adopt a dog? How long have you been around animals? What can you say about yourself that will prove you are an excellent pet owner?

What makes this dog stand out to you? Do you think this dog is a good fit for you and your household and activity levels?

Are you willing to consider other dogs in our rescue? If so, which ones?

Are you aware that a new environment is stressful for your new pet, and they may exhibit uncharacteristic behavior such as accidents in the house?

Are you willing to work through any issues this pet may exhibit, such as chewing belongings and urinating in the house?

Other

Do you understand that a dog can be an 10-20 year commitment, and can cost several hundreds of dollars per year to care for?

If adopting a puppy, are you aware that a large breed dog takes about two years to fully mature? We can only assume the age and breed of our dogs, and cannot guarentee that puppies will grow to be the exact weight we estimate them to be.

What circumstances would lead you to give up your new dog?

If you had to give up your dog, what would you do with him/her?

How did you hear about this pet?

Please understand that this application is not an adoption contract, therefore we reserve the rights to deny any application for any reason. Greta's Ark is a volunteer-based nonprofit organization who relies solely on donations and adoption fees to cover veterinary care and overhead expenses. All animals are fully vetted upon adoption finalization. We are unable to make any health or behavior gaurentees post adoption. Please be patient and allow time for your application to be reviewed. It typically takes about 1-2 weeks for an approved application to be contacted. To ensure a smooth and fast application process, please have your veterinary records handy.

Dog Adoption Application

Applicant Information

Household Information

Current/Previous Pet Information

New Pet Information