First Name *

Last Name *

Co Adopter/Spouse (if applicable)

Street Address *

Apartment Number (If Applicable)

City *

State *

Zip Code *

Best phone number to reach you: *

Alternate phone number

Email Address *

Date of Birth *

Drivers License/ID & State Issued *

How did you find out about us?

Have you applied anywhere else for a pet?

If yes, where else have you applied for a pet?

Is this pet for you or someone else?

Dog Adoption Survey

If we could deliver the ideal dog to you today would it be:

Age (check all that apply) *

Size (check all that apply) *

Gender *

Activity Level (check all that apply) *

Household

I live in a: *

My residence has a: *

My home is: *

If you rent, have you contacted your landlord about what kind of dog you're allowed?

Household:

Number of adults living in the home: *

Ages of adults living in the home: *

Number of children living in the home: *

Ages of children living in the home (put N/A if not applicable): *

How would you describe your dog owning experience? *

Please tell us about the animals currently living in your home:

Name, Type, Breed, Gender, Age, and if Spay/Neutered *

How do you think your current pets will react to a new dog? *

If you currently have pets, what vet have you been using? *

General Care & Keeping

On a typical day, how long will your dog be alone (without humans)? *

When alone, the dog will be: *

OTHER

At night, the dog will be: *

OTHER

Who will have the primary responsibility for feeding, watering, exercising, grooming and training the dog? *

Who will be responsible for the dog financially? *

Other Considerations

Pets are an investment of your time and money. Have you considered the finances of adopting a new dog?

How much do you anticipate spending on vet care for your new dog per year (flea and tick prevention, heartworm prevention, routine exams and vaccinations, dental care) ? *

How much do you anticipate spending on other pet supplies for your new dog per month (food, toys, grooming expenses, training, etc.)? *

Dogs are smart, creative, and active pets. If they are not given enough to do, they can develop unwanted behaviors such as escaping, digging, and being destructive just to name a few. How do you plan on keeping your new dog from being bored?

How are you planning on keeping your dog mentally stimulated? (check all that apply) *

Which dog are you interested in adopting?

If you are interested in more than one dog, use the following fields to add additional animals to reserve. Otherwise, please continue to submit your application.

Third adoptable dog that you are interested in:

Fourth adoptable dog that you are interested in:

If you do not see the dog's name you're interested in, please list it here (for instance if your friend is a foster) if it is an animal you see online, it likely is no longer available.