Dog/ Puppy Adoption Application
Animal Name
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AFINA (Dog - D2024087)
BABY (Dog - D2024126)
BANDIT (Dog - D20241155)
BANJO (Dog - D20241127)
BIBI (Dog - D2019028)
BLITZEN (Dog - D20241152)
BO (Dog - D2023143)
BONGO (Dog - D20241158)
BOO (Dog - D2022969)
BUBBA (Dog - D2023038)
Buttons (Dog - D20231151)
CAMELLA (Dog - D20231137)
CAVALLI (Dog - D2024088)
CHECKER (Dog - D2024093)
DANDY (Dog - D2024100)
DUCKY (Dog - D20241161)
EINSTEIN (Dog - D20241142)
FLOSSY (Dog - D20241117)
GARLAND (Dog - D2023112)
GUS (Dog - D20231119)
JACK (Dog - D2023044)
JAKE (Dog - D20231128)
JOURNEY (Dog - D2021444)
JOY (Dog - D20231127)
KATIE (Dog - D2023132)
Kipper (Dog - D20231114)
LODA (Dog - D2023118)
MAGGIE (Dog - D20241133)
MERLIN (Dog - D2024103)
MOXIE (Dog - D2024109)
Millie (Dog - D2024104)
ODESSA (Dog - D20241150)
OLLIE (Dog - D20241165)
PEANUT (Dog - D2024127)
Pax (Dog - D2022869)
REBEL (Dog - D2022866)
RIGGINS (Dog - D20241145)
RUBY (Dog - D2022606)
SASSY (Dog - D20241154)
SCOOBY (Dog - D2021030)
SHADY (Dog - D2023011)
SISSY (Dog - D20241137)
SKY (Dog - D2023097)
SKYLAR (Dog - D20241148)
STORM (THOR) (Dog - D2023086)
SUNNY (Dog - D2023140)
Scully (Dog - D2022835)
Tanner (Dog - D2021516)
WENDY (Dog - D2023146)
WINNIE (Dog - D2024128)
WRANGLER (Dog - D2021393)
YODI (Dog - D20241162)
Animal name if it did not appear in drop down
First Name
Last Name
Applicant date of birth
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Address
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City
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State
*
Zip
*
Home (or alternative) Phone
*
Work Phone
Cell Phone
*
Employer
*
Email
How long have you lived at your current address?
*
Previous address if less than 2 years at current address
Do you own or rent?
*
If you rent, are there pet restrictions?
If you rent please provide your landlords name & phone number:
Please list all family member(s) name(s), and date of birth that live IN your home.
*
Please list the children living in the home and their age(s):
Please list all of your current pets including names, ages, m/f, if altered, and how long you have owned them.
Have you ever been issue a citation for your pet or had to reclaim your pet from animal control/shelter
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No
Yes
If yes, please explain
Have you ever turned in your animal to local animal control or given up an animal?
*
No
Yes
If so, what was the reason?
Do you have a criminal record or a felon?
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No
Yes
If yes, please explain
Do you have a fenced in yard?
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No
Yes
How high is the fence?
*If you do not have a fenced in yard, are you prepared to walk your dog multiple times a day in spite of weather conditions?
No
Yes
Who will be the primary caretaker of your animal?
Is this your first dog?
No
Yes
Explain any special experience, training or qualifications you may have that would increase the likelihood of you being a great dog owner.Example; previous foster or rescue experience, experience with a special needs animal, professional training history , work at a vet office…
How many hours during the AVERAGE day will this dog spend WITHOUT a human?
Where will this dog be when alone?
*
Where will this dog sleep at night?
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If kenneled, how many hours a day will the dog spend in a kennel?
What is your current lifestyle like( active, busy, travel frequently, etc.)
*
Does anyone in your home have any type of allergies to animals?
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No
Yes
If yes, who? And how will this be handled to the best interest of your family member and pet?
If you have to move, what would you do with your adopted pet?
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What circumstances would you have to surrender your pet? Divorce? New Baby? Allergies?Aggression? Housebreaking issues? Please explain...
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Dogs need 3 months to feel comfortable in a new home, they need 3 months to truly form a bond with the members of the family. They need three months to understand your routine. Will you give your dog this adjustment period before misjudging undesirable behaviors?
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No
Yes
Do you plan to enroll your adopted dog into obedience class?
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No
Yes
Can you financially afford veterinarian costs for your adopted dog? Emergency cost?
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No
Yes
In the event of extreme illness or death, who will assume the care of your pet(s)? Including name and phone number.
*
Personal Reference#1- NOT FAMILY
Telephone number and best time to call
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Relationship
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Personal Reference #2- NOT FAMILY
*
Telephone number and best time to call:
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Relationship
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Vet Name
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Address
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City
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State
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Zip
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Phone
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Signature
Clear
Date
*