Dog Application

You must be at least 21 years of age to be considered as an adopter and have the consent of all members of your household. C.A.R.E of DC reserves the right to refuse adoption to anyone.

Thank you for wanting to rescue.
We are all volunteers. We all work full time jobs, many have kids, our own dogs, and foster dogs. We do the best we can to process the applications quickly.
The process can take up to 5 business days.
To help this process go smoothly, please call your vet to give them permission to speak to us. Please give your references, NON FAMILY MEMBERS, a heads up to expect our phone call so they can call us back in a timely fashion.
We would appreciate your patience during this process.
Thank you.

Date

MonthDayYear

Name of dog you want to adopt*

Adopter's Name*

First NameLast Name

Co-Adopter's Name

First NameLast Name

Address*

Street Address

Street Address Line 2

CityState

Zip Code

Adopter's E-mail*

Co-Adopter's E-mail

Adopter's Phone Number*

Area CodePhone Number

Co-Adopter's Phone Number

Area CodePhone Number

Current Employer*

I/we live in a*

Do you rent or own this property?*

RentOwn

If you rent or you live in a condo or townhome please provide landlord or management company contact information

Do you have a yard?*

YesNo

If fenced what is the height?

Names and ages of all permanent residents of your home (This includes yourself, adults & children)*

Is anyone in your home allergic to dogs?*

YesNo

How many hours per day will this dog be alone? Explain*

Where will your dog stay when no one is home? (Crate, confined area, loose in house, etc)

Where will your dog sleep?

If you're interested in adopting a puppy, what is your plan for mid-day potty trips?

Have you had a dog in the past 5 years?*

YesNo

Do you currently have pets?*

YesNo

If so, please list all other pets including species, breed, pet name, age, gender, if they are spayed/neutered, and how long you've had each pet.

***All Pets in the home are required to be spayed or neutured before we will consider you for adoption***

Please list the name and contact information for the vet you have used in the past. (Please call them and give them permission to speak to us.)*

Are you currently a client of the vet you listed above?

YesNo

Please provide 3 personal references name, phone number and relationship. OTHER THAN FAMILY MEMBERS. (If you do not have a veterinarian please list 5)

Reference #1*

First NameLast Name

Phone Number*

Area CodePhone Number

Relationship*

Relationship

Reference #2*

First NameLast Name

Phone Number*

Area CodePhone Number

Relationship*

Relationship

Reference #3*

First NameLast Name

Phone Number*

Area CodePhone Number

Relationship*

Relationship

Reference #4

First NameLast Name

Phone Number

Area CodePhone Number

Relationship

Reference #5

First NameLast Name

Phone Number

Area CodePhone Number

Relationship

Have you ever returned, given away or surrendered a dog? If so, please explain.*

I agree that if I am permitted to adopt, I will have the adoptive dog checked by my own veterinarian within 7 days of said adoption, and will provide medical care, at my own expense, for any conditions previously unknown to C.A.R.E. of DC, as well as routine yearly exams for as long as I own the dog. I understand and agree that giving false information in response to any of the questions above will disqualify me from adopting a pet from C.A.R.E of DC, and will nullify all adoption(s) and/or adoption agreements between the applicant and C.A.R.E. Of DC. Please read the above, check this box, sign, and click Submit.

I/We have read and understand all of the above.

Applicant's Signature*

Date*

MonthDayYear

Co-Applicant's Signature

Date

MonthDayYear

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