Adoption Application

Thank you very much for your interest. Please remember that while we review every application carefully, submitting one does not "claim an animal." Please allow up to 72 hours for one of our Adoption Coordinators to be in contact with you as we are an all Volunteer/Foster based service.

PLEASE PROOF READ YOUR APPLICATION BEFORE SUBMISSION. ANY MISSING INFORMATION WILL VOID YOUR APPLICATION AND YOU WILL NEED TO SUBMIT A NEW ONE. Please do not hit auto fill as it generates your name in the dog interested field and will void application.

Applicant's First Name *
Applicant's Middle Name *
Applicant's Last Name *
Street Address *
City *
State *
Zip Code *
List the county you live in *
Cell Number * Please use the following format 248-555-1212
Email Address * Please enter correctly as this is the main way we will contact you
Date of Birth *
Name of animal you are interested in: *
What is your Occupation? *
Full name and Date of Birth for ALL members in the household *
Do you Own or Rent? *
If you RENT provide Landlord's full name and phone number. If you OWN, enter "N/A" If you RENT, Landlord's full information MUST be provided or we will be unable to process your application. *
Is your yard fenced in? (Answering "No" will NOT affect your application being approved) *
If you answered YES to the above question please explain how high the fence is and the type of fencing. *
Are there currently other pets in your home? *
If yes, please describe their age, sex, breed and temperament. If no, enter "N/A" *
Are all pets in your home spayed/neutered? If not please explain: *
Please list the NAME and PHONE NUMBER for the Vet Clinic that has records for your animals within the last 5 years *
Have you called and authorized access to your current animals records? This MUST be done in order to process your application. *
Have you ever relinquished ownership of an animal? If yes, please explain. *
Are you familiar with pet responsibility laws in your area? *
List ALL the animals you have had in the last 5 years. If you still have them, or the reason if you do not: *
What is your household's general activity level? *
On average, how many hours per day will your pet be left alone? *
Do you have a contingency plan set in place? If so, please explain and provide the contact information for the person responsible for your animals if something should arise *
Anyone in the household have allergies to dogs? *
Please describe why we should choose you to adopt one of our dogs *
Where will your animals be kept when you are NOT home? *
What will you do with your animal(s) if you move? If you have children? *
If your pet encounters a medical emergency, what is your course of action and how much are you willing to spend for necessary care? *
Please describe the care plan you will provide for your new pet *
Being that these animals may not have been in a home recently, are you willing to work on basic training and any behavioral issues that may arise? *
Do you understand that it may take a few weeks or months for a rescue dog to settle into your new home? *
If you come across any behavioral issues that you cannot work out on your own, are you willing to hire a professional trainer? *
What behavioral issues are you NOT willing to work through? *
Do you consent to a background check? *
Do you consent to a home check, with ALL member of the household present? *
Please provide names and phone numbers of TWO references that are NOT a family member. *
Please provide name and phone number of your current groomer, if you currently do not use grooming services please put N/A *
By providing your full name, you are hereby signing this document stating that all questions are answered truthfully and to the best of your knowledge. *
Date Signed *

Thank you very much for your interest. Please remember that while we review every application carefully, submitting one does not "claim an animal."