Miri's Haven Adopter Profile
We're so excited you're interested in adopting a senior dog from Miri’s Haven! This profile will help us learn more about you and the type of dog you’re hoping to welcome so we can make the best match possible. We look forward to getting to know you.
About You
Name
*
First Name
Last Name
Email
*
Phone
*
Format: (000) 000-0000.
Age Range
*
Please Select
21–29
30–39
40–49
50–59
60–69
70–79
80–89
90+
Address
*
Street Address
Street Address Line 2
City
Please Select
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
State
Zip Code
Your Future Dog
Are you interested in a specific Miri’s Haven dog?
*
Yes
No
If yes, which dog?
*
If that dog is no longer available, are you open to exploring another match?
*
Yes
No
Maybe
Tell us about the type of dog you’re hoping to add to your family. Include any personality traits, behaviors, or physical characteristics that are important to you.
*
Are there any specific needs or preferences that would help make a dog a great fit for your household? For example: housetrained, compatible with children or other pets, activity level, etc.
*
Your Home
What type of home do you live in?
*
Please Select
Single Family Home
Condo or Apartment
Townhouse or Rowhome
Other
Do you own or rent your home?
*
Please Select
Own
Rent
Other
Tell us about who makes up your household, including any children or frequent visitors.
*
Your Pets
Do you have pets currently?
*
Yes
No
How many dogs do you currently have?
*
Please Select
0
1
2
3
4
5
6+
How many cats do you current have?
*
Please Select
0
1
2
3
4
5
6+
Tell us about them! Include size, breed, and personality traits.
*
Have you had pets previously?
*
Please Select
Yes - Dog(s)
Yes - Cat(s)
Yes - Other
No - This will be my first!
Your Lifestyle
What does a typical day look like for you?
*
On a typical day, how long would your new dog be left alone for? This will help us find your perfect match as some dogs are more comfortable than others staying home for longer periods of time.
*
Before You Submit
Is there anything else you’d like us to know?
Part of our adoption process includes sharing some photos of your home so we can see where the dog will be living, as well as photos of any current pets you have. Feel free to upload them here now, or you can share them later in the process.
Browse Files
Drag and drop files here
Choose a file
Cancel
of
How did you hear about us?
*
Facebook
Instagram
Petfinder
Adopt-a-Pet
Google
Event
Word of Mouth
Other
Submit
Should be Empty: