All Dogs Come From Heaven Rescue - Adoption Application

All Dogs Come From Heaven Rescue

Adoption Application
Name of dog, cat, or type of animal you wish to adopt. *
Full Name *

First Name Last Name
E-mail *
Address *

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code Country
Contact Phone Number *

Area Code Phone Number
Secondary Phone Number

Area Code Phone Number
Do you own or rent? *

Own Rent
If a renter, please provide landlord's name and phone number.
How will the animal be confined when outdoors? *

Fence Tether Outdoor Kennel Leash Walked
If you do not have a fenced yard, how often will you take your dog out?
How many people live in your home? What ages? *
Do you currently have any pets? Please tell us about them: *
Are your current pets up to date on vaccinations, and spayed/neutered? *

Yes No
If NO, why not?
If you have a regular veterinarian, please provide a name and number. *
May we have permission to contact your veterinarian for a reference? *

Yes No
Where will this dog be kept during the day? *
At night? *
On average, how many hours a day will the dog be left alone?
Have you , or any member of your family adopted from us? *

Yes No
Who adopted from us/what dog was it?
I understand that adopting an animal is a long term commitment. If the animal experiences any behavior issues, I will contact the rescue for advice. I am committed to doing what is necessary to keep the animal a part of my family. This includes consulting a trainer, if necessary. Typing your name below indicates agreement with this statement.
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