Adoption Application

Thank you for your interest in adopting! Please be sure to complete this application in full. We know it's long, but the more details the better as it allows us to pair you with the right dog. There are no wrong answers!
Full Name*

First NameLast Name
Pet interested in:*
Age*
E-mail*
Address*

Street Address

Street Address Line 2

CityState

Zip Code
Phone Number*

Phone Number
Employer:*
How long have you been at your current job?*
How did you hear about us? If you were referred by a friend, please tell us who.*
Do you live in a(n):*
Do you:*
If renting, is your name on the lease?
If renting, please provide landlord's name, phone number, and email.
Please list all of the people living in the home, including ages and relationships.*
Please provide two references that are not members of your immediate family.
Reference #1*
Name
*
Relationship & years known
*
Phone number & email
Reference #2*
Name
*
Relationship & years known
*
Phone number & email
Does anyone in the household have an allergy to animals that you're aware of?*
How many hours will your animal be alone each day?*
Where will your animal spend most of his/her day when you are home?*
Where will your animal spend most of his/her time when they are home alone?*
Where will your animal sleep at night?*
Do you have a yard?*
If yes, is it fenced?
What outside areas are available to the animal?*

Dog houseFront yardGarageBack yardEnclosed patioOther
How would you describe your animal owning experience? Specifically in relation to the animal you are applying to adopt.*
Do you currently have pets? If yes, please include species, breed, and age. Are they spayed or neutered? If not, why?*
Please list all of the animals you've owned over the past 5 years. Where are they now?*
How do you feel your current pets will adjust to a new animal in the house?*
Have you had experience with behavioral or medical issues with your previous pets? If yes, please explain.*
If there are children in the house, please describe their experience with pets. *
Why do you want to adopt?*
Have you ever adopted, or applied to adopt, a dog from another shelter or rescue? If yes, what what the outcome? What shelter or rescue?*
Share your reasons for wanting a dog (Click all that apply)*

ProtectionGuard DogGift for someone elseGift for childFamily petCompanion for another petChild's companionPersonal companionOther
How will you exercise the dog?*
How often?*
Have you or would you be willing to enroll your current dog(s) in obedience classes?*
How would you discipline your dog if he or she misbehaves? *
What method do you intend to use to house train your dog? (Click all that apply).*

Take out every few hoursCrate trainRub nose in offending spotConsult professional
What will you do if your dog develops behavioral problems?*
Even a housebroken dog will have accidents, especially at first. Will this be an issue for you?*
What food will you feed the dog? Specify the brand if known. *
Pets are an investment of time and money. Are you prepared to provide medical care to your pet in the event of an unexpected and costly emergency?*
Are you able to make a long-term commitment to care for your pet for its entire lifespan, which could be 10+ years?*
What is your monthly budget for your dog?*
Who is your veterinarian? List practice nam AND phone number. APPLICATIONS WITH THIS BLANK WILL NOT BE APPROVED.*
If you move, what will you do with your dog?*
Which of the follow reasons might force you to give up your dog? (Check all that apply).*

Destructive chewingLeash aggressionExcessive barking/neighbor complaintsAllergiesDivorce/separationDiggingBiting/aggressionMoving/relocatingPoor watch dog/not trainableShedding/dirtyGrowling/nipping at guestsDog becomes too expensiveHouse-training problemsHaving a babyExcessive vet bills/chronic illnessNot getting along with current petsNew spouse/partner doesn't like the dog(s)NoneOther
Have you ever given up a dog? This includes giving your dog to family, friends, to a rescue, or a shelter. If yes, please explain.*
Is there anything else you'd like to share with us?*
Signature*
Date*

MonthDayYear
Date
By submitting this application, I am stating that all of the listed information is true. I understand that, if information is deemed to be false, Two Girls Lots of Dogs has the right to remove the dog from my possession at any time.
Should be Empty: