Greta's Adoption Application

Name of the dog you are interested in: *

Your full name: *

Your age: *

Street Address: *

City, State, Zip *

Home Phone:

Area Code Phone Number

Work Phone:

Area Code Phone Number

Cell Phone: *

Area Code Phone Number

E-mail: *

Employer: *

Character reference phone number and relationship to you: *

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

Out of state adopters: We sometimes have transport opportunities but in general we do not offer transportation out of state! We DO offer out of state adoption on some dogs (not all are qualified) after an extensive approval process.

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

Yes No Don't Know It's a surprise

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 *

House Apartment Condo Mobile Home

Do you own or rent? *

Own Rent

If rent, provide name and phone number of landlord:

Does your landlord allow dogs?

Yes No

Are there any restrictions from your landlord or subdivision?

Number of pets Size or weight restrictions Breed restrictions None

Do you have a fully fenced yard? *

Yes No

Height and type of fence *

Do you have any of the following? *

Underground/Wireless fencing system Outside Kennel/Pen Chain/Tie out None

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?

Yes No

How often do you have guests over? *

Does anyone in your home have allergies to dogs or have asthma? *

Yes No

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

Yes No Not sure

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? *

Yes No

Which of these pets are spayed/neutered? *

Have you adopted from an animal welfare group before? *

Yes No

If yes, what group?

Have you ever rehomed (given away) a pet? *

Yes No

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. *

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

Will you be utilizing kennel training? *

Yes No

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

Yes No

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 makes you want to adopt a dog? *

What makes the dog that you are applying for stand out to you? *

Are you willing to work through your new pet's issues, if any? *

Yes No

Are you aware that a new environment is stressful for your pet, and they may exhibit uncharacteristic behavior? *

Yes No

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? *

Yes No

Do you plan to take an obedience class with your dog? *

Yes No Not sure

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.

Yes No

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. All animals are fully vetted upon adoption finalization but we are unable to make any health or behavior gaurentees. Please be patient and allow time for your application to be reviewed. It typically takes about 3-7 business days for an approved application to be contacted. *

I agree I disagree

Dog Adoption Application

Applicant Information

Household Information

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Current/Previous Pet Information

New Pet Information