Adoption Application

IN ORDER TO BE CONSIDERED AS AN ADOPTER, YOU MUST:

1) Be 18 years of age or older.

2) Provide proof of address.

3) Provide written consent from your landlord (if applicable).

4) Be physically, mentally and financially capable of providing care, training and medical treatment for a pet during its lifetime.
Your Name *

First Name Last Name
Your E-mail Address *
Phone Number *

Area Code Phone Number
Home Address *

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code Country
Prefered Contact? *

E-mail Phone
What available dogs are you interested in?
What is your time frame to adopt?
Do you intend to be a single or multiple dog family? *

Single forever Single for now, possibly multiple later Multiple
Do you live in a: *

House Apartment Mobile Home Condo
Do you own or rent the residence where you live? *

Own Rent
Please provide the name and phone number of your landlord so we may confirm that you are permitted to have a dog of this size/breed.
How long have you lived at your present residence? *
We will ask to conduct a home check prior to adoption. Is this acceptable to you? *

Yes No
Your occupation: *
What adults live in your home, please list ages, occupations and relationships: *
What children live in your home, please list ages and relationships:
Are you planning to have children in the future? *

Yes No
How may this affect the dog's future?
Do you have a yard? *

Yes No
What kind of fencing:
Approximate size of yard:
Please explain:
Do you have a pool? *

Yes No
Is it fenced?

Yes No
Pet History/Current Pets:
Have you ever owned a dog before? *

Yes No
If not please tell us why:
Do you currently have a dog? *

Yes No
Please list all your current pets: *
ie: (Animal type) Name, Age, Breed, altered?, inside/outside
Please list all pets you've had in the past 5 years, and what happened to them. *
ie: (Animal type) Name, Age at death, Breed, altered?, what happened?
If current/past pets are not fixed, why?
Have you ever given up, rehomed, or sold an animal? *

Yes No
Why did you have to give up, rehome, or sell your animal?
Dog Selection
What is your reason for wanting a dog? *
Is there a gender you'd prefer? *

Male Female Either
Why would you prefer a male/female dog? *
Do you have an age preference, and why? *
Is this dog a gift? *

Yes No
What traits are you looking for in a dog? (check all that apply) *

Young Adult Senior Companion Companion for pet Running partner Good with kids Good with cats Good with dogs Protective Calm Obedient Energetic Playful Athletic Affectionate Independent Couch potato
Are there other traits you're looking for?
Dog Care:
How will you train your new dog? *
What kind of behaviors can you NOT work with? Please be specific ie: potty training, chewing, leash walking, etc *
Is acquiring a dog a family/household decision? (including roomates, future spouses, etc?) *
Please describe your typical daily/weekly schedule: *
Is someone home during the day? *

Yes No
How much time would the dog be left alone daily? *
If no one is home on a regular basis will someone take time off or adjust their work schedule when the dog first arrives? *
Where will the dog spend most of the day? *
Where will the dog be when you are home? *
Where will the dog sleep at night? *
What rooms, if any are off limits to the dog? *
How long do you feel is appropriate for an adjustment period for your new dog? *
Describe your plan for the daily routine with your new dog: *
Do you have a crate: *

Yes No
If not, are you willing to purchase a crate:

Yes No
Are you willing to use a crate? *

Yes No
Please explain: *
How will you keep your dog confined to your property? *

In the house Kennel Fenced yard Chain Garage Patio Tethered/zip line With Training Crate Invisible fence
If you have another dog, will they be separated when you are not home?
What will you do if your new dog is not working out? *
When you go on vacation, who will care for the dog? *
Vet Care:
Name of current/prior vet: *
If you've never had a pet before, you may put the info of the vet you intend to use.
Address of referenced vet: *

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code Country
Will you deal with health issues if the dog needs special care? *

Yes No
What do you consider to be the limits for veterinary care of a pet? *
Have you ever dealt with any serious medical issues with a current or past pet? If yes, please explain how you approached the decision about the pet's care.
Excluding your death, what conditions/circumstances would cause you to give up an animal? *
Please feel free to add any additional comments that you think may help:
Thank you for taking the time to answer these questions. We hope that by going through this process, we will reduce the chance of an inappropriate match both for you and our foster dog. If you have any comments regarding this adoption application or the adoption process, please feel free to let us know.

The purpose of this application is to learn a little about your family and home so we can make the best possible match for both you and our foster dog. Our main concern is that our dog end up in compatible homes with a family that will give them a LIFETIME commitment of love and proper care.
Should be Empty:

Pet History/Current Pets:

Dog Selection

Dog Care:

Vet Care: