Adoption Application
First Name
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Last Name
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Dog are interested in adopting
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Not Listed (Dog - D2021151)
Remi (Dog - D2024009)
How soon are you looking to adopt?
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Today
Within the week
2 Weeks
1 Month
2 + Months
I understand Mila's Mutts adoption fees are non-negotiable. Ranging from $100-$600
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Birth date
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Street Address
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City
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State
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Apartment Number (if applicable)
Zip Code
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Phone Number
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Please use the following format 248-555-1212
Are you open to text messaging?
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No
Yes
What is the best time to call during the week?
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What is the best time to call during the weekend
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Email Address
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Please enter correctly as this is the main way we will contact you
Are you 18 years of age or older.
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No
Yes
Occupation and how long you have worked there
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Is there a co-applicant?
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No
Yes
Co-Applicants Full Name
Co-Applicants Occupation
How did you find out about us?
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PetFinder
AdoptAPet
Facebook
Internet Search
Friend or Family
Other
If you were referred, who referred you?
Is this pet for you or someone else?
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Myself
Someone else
Who will be the primary caregiver for the dog?
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Why do you want a dog?
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Please describe in detail the pet you are looking for.
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What energy level are you looking for in a dog?
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Low
Medium
High
Extreme
What gender are you looking for?
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Male
Female
No Preference
What size dog would you like
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Extra Small 5-15 lbs
Small 16-30 lbs
Medium 31-50 lbs
Large 50-70, Extra Large 71+
Would you consider a special needs dog? If so, please expain
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How important is it to you that they get along with other dogs?
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Do you own other pets at the current time?
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No
Yes
If yes, please list their names, breeds, and ages.
Are all of your pets spayed/neutered/fixed?
Yes
No
N/A
How many pets have you owned in the last 5-10 years?
What happened to them?
Are your pets current on their vaccinations?
Yes
no
n/a
Have you ever turned your dog or cat into a shelter?
No
Yes
If yes, please explain?
Veterinarian's Name
If you have never owned a pet please tell us where you would go.
Veterinarian's Address, City, State, and Zip Code
Again if you have never owned a pet please list where you would go
Veterinarian's Phone Number
Do you own or rent your home?
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Own
Rent
Someone else owns the Home
Someone else rents the Home
Please select your current residence type.
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House
Apartment
Condo
Townhouse
Mobile Home
Other
If you answered "other" above, please explain here:
How long have you lived at this address?
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Less than one month
1-2 months
3-6 months
6-9 months
9-12 months
1-2 years
3-5 years
6-10 years
10 + years
If you rent, does your landlord and lease allow pets?
Yes
No
Unsure
N/A
Including yourself, how many people live in your household?
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Please list the ages & relationship of those who live in your home.
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Is everyone in your household aware that you are planning to adopt a pet?
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Yes
No
N/A
Does anyone in your household have allergies to dogs/cats?
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Yes
No
Possibly
N/A
On average, how many hours per weekday will your pet be left alone? Will this change after Covid?
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If you are gone longer than 8 hours, how will you remedy potty breaks?
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On average, how many hours per weekend will your pet be left alone? Will this change after Covid?
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Where will the dog be when you are not home?
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Do you have fund readily available for routine vet care?
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If your dog was to have a sudden illness/injury would you have the funds available to provide emergency vet care in a timely manner?
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What do you anticipate your monthly budget for food, prevention, toys and treats be?
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What would your yearly budget for vet care be?
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What would you do if the bills went over this amount?
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What other expenses do you anticipate as a pet owner?
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What brand of dog food would you use?
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Will this pet be predominantly living inside, outside, or both?
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Inside
Outside
Both
Do you have a completely fenced-in yard? please describe your fence (material, height, etc)
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If you answered "other" above, please explain:
If you do not have a fenced yard, how will you let the animal out?
Are there times when the animal will be tied/chained up?
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Where will the animal sleep at night?
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In bed with me
In bed with my child
In a dog bed
In a kennel / crate
Wherever he or she likes
Outside
Other
If you answered "other" above, please explain:
Will the animal spend any time in the garage?
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Yes
No
N/A
If the animal will spend time in the garage, please explain when/why:
Are you willing to potty train?
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No
Yes
How will you handle destructive behavior?
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How would you discipline the dog?
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If needed, would you agree to enroll the dog into obedience training?
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No
Yes
Will you keep the animal up-to-date on vaccinations and heartworm preventative?
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No
Yes
If no, please explain:
Are you willing and able to exercise the dog on a regular basis?
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Yes
No
N/A
How active is your lifestyle?
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If yes, what is the method of exercise?
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Walking
Running
Dog Park / Dog Run
Other
If you answered "other" above, please explain:
If you drive a pick up truck, would you allow the animal to ride in the back/bed?
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Yes
No
N/A
What arrangements will you make for the care of your pets in case of an emergency?
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Leave with family/friend
Boarding
Pet Sitter
Take with me/us
Other
If you answered "other" above, please explain:
What will you do with the animal when you go on vacation?
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Leave with family/friend
Boarding
Pet sitter
Take with me/us
Other
If you answered "other" above, please explain:
For what reason(s) would you consider returning/giving up the animal?
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What would you do with your animal if you had to move?
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Take him / her with me
Give to family or friend
Return to shelter
Other
If you answered "other" above, please explain:
Are you willing to take responsibility for this animal for the next 10-20 years?
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Are you willing to take your dog to the vet within the first 30 days of adoption?
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No
Yes
Will you allow us to perform home checks?
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No
Yes
Do you agree to an 8 week in home visit?
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No
Yes
Are you willing to give the dog two weeks to adjust to its new home?
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Since we require adopter's to drive to where the dog is transported or fostered, how many miles are you able/willing to drive?
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I have read the foregoing and certify that the answers I have given are complete, true and not misleading in any way. I am authorizing you to contact landlords, associations and veterinarians. You are also aware that we cannot guarantee the health and temperament of the animal.
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No
Yes
I understand Mila's Mutts is a small rescue ran by volunteers. Sending multiple applications and emails will not get a quicker response. Someone will get back to you in 48-72 hours.
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I understand Mila's Mutts is a foster based rescue with NO facility or shelter.
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I will add "milasmutts@gmail.com" to my address book to ensure correspondence won't go to junk.
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No
Yes
Have you or will you be applying with any other rescues?
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Which Rescue(s)
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Have you ever been denied by a rescue or shelter to adopt or foster?
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You will be asked several follow up questions. Would you like to receive a phone call or email with these questions? Please note if its a phone call, a volunteer who does not know the details about the dog will be calling to ask follow up questions.
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