Dog Adoption/Foster Application

Muttly Crew Rescue is located in Lake Forest, CA. We adopt primarily in Southern California. All adoptions begin with a non-binding application, meet and greet that requires all members of the adopter’s family (including pets) to come to meet the dog. We will make arrangements with the adopters for a home check prior to taking the new dog home for a 7 day foster to adopt trial period. If for any reason the adoption does not work out, adopters must agree to make arrangements to transport the dog back to Lake Forest, CA.

1.- Contact Information

Note:

If you are completing this application for a friend, mother, father, grandparent, etc.... their (the adopter's) information must be reflected on this application.

Name

First NameLast Name

Birth Date

MonthDayYear

Occupation:

E-mail

Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

Phone Number

Area CodePhone Number

2.- Family and Housing

How many adults in your home?

How many children?

(Children's ages)

What type of home do you live in? Single family, townhome, condo, apartment etc.

Do you have an enclosed yard?

YesNo

Outdoor Space Description:

Please describe your household?

ActiveNoisyQuietAverage

If you rent, please give us the rules governing pets and the landlord's name and number:

Does anyone in the family have a known allergy to dogs?

Is everyone in agreement with the decision to adopt a dog?

YesNo

Do you have time to provide adequate love and attention to a new pet?

3.- Other Pets

What other pets do you have? (type and ages)

Are these pets up to date with their vaccines?

YesNo

Are your pets spayed/neutered? If not..why?

Have you ever surrendered a pet? If so, why?

Have you ever had a pet euthanized? If so, why?

Have you ever lost a pet to an accident?

How do you discipline your pets and why?

4.- Veterinatian

Do you have a regular veterinarian?

YesNo

Veterinarians Name:

Clinic Name:

Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

Phone Number

Area CodePhone Number

By providing Muttly Crew, Inc. with this information you are authorizing us to contact your veterinarian.

5.- Adoption

Name of dog/s you would like to adopt?

Where will the dog spend the day? (describe)

Where will the dog spend the night? (describe)

Number of hours (average) the dog will spend alone each day? (explain)

What provisions will you make for the dog while you are away from the home for extended periods of time? (dog walker, family visits, dogie day care)

Who will have primary responsibility for this dog's daily care?

Who will have financial responsibility for this dog?

Do you agree to provide regular health care by a licensed Veterinarian?

YesNo

Do you agree to keep the dog as an indoor pet?

YesNo

When the dog goes outside, how do you plan to supervise it? Fenced yard?

Do you agree to contact Muttly Crew, Inc. if you can no longer keep this dog?

YesNo

Are you willing to let a representative of Muttly Crew, Inc. visit your home by appointment?

YesNo

How did you hear about Muttly Crew?

6.- Personal References

Please list somone who is familiar with both you and your pets.

Name

First NameLast Name

Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

Phone Number

Area CodePhone Number

Relationship: (relative, neighbor, friend, etc.)

Name

First NameLast Name

Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

Phone Number

Area CodePhone Number

Relationship: (relative, neighbor, friend, etc.)

All of the information I have given is true and complete. This dog will reside in my home as a pet.

I will provide it with quality dog food, plenty of fresh water, indoor shelter, affection, annual physical examination and vaccinations under the supervision of a licensed Veterinarian.

Date

MonthDayYear

Signature

Adoption Application