Athens Limestone Animal Services - Canine Adoption Application
Animal you are interested in adopting
ADAIR (Dog - 24D246)
BANNON (Dog - 24D289)
BASH (Dog - 24D290)
BAYLOR (Dog - 24D399)
BELGRADE - BUDDY (Dog - 24D313)
BESS (Dog - 24D287)
BETTINA (Dog - 24D401)
BLOSSOM (Dog - 24D400)
CADENCE (Dog - 24D211)
CAMERYN (Dog - 24D217)
CAMILIA (Dog - 24D152)
CAROLINA (Dog - 24D424)
CASE (Dog - 24D213)
CASSIDY (Dog - 24D214)
CAVANA (Dog - 24D314)
CERVEZA (Dog - 24D346)
CHAO (Dog - 24D328)
CHAPLIN (Dog - 24D234)
CHASIA (Dog - 24D323)
CHAVI (Dog - 24D317)
CHIPMUNK (Dog - 24D426)
CLARA (Dog - 24D212)
CLAUDIA (Dog - 24D215)
COOKIE MONSTER (Dog - 24D449)
COWBOY (Dog - 24D089)
COX (Dog - 24D043)
CROSLEY (Dog - 24D347)
DAFFODIL (Dog - 24D429)
DART (Dog - 24D306)
DAWN T (Dog - 24D116)
DELANEY (Dog - 24D198)
DUC (Dog - 24D182)
DUSTIN C (Dog - 24D318)
ERICA (Dog - 24D417)
EVERS (Dog - 24D236)
GABIE (Dog - 24D352)
GATSBY (Dog - 24D178)
GI JOE (Dog - 24D092)
HAYES M (Dog - 24D334)
HIYA (Dog - 24D224)
IKU (Dog - 29253)
INGRAM (Dog - 24D319)
JAMIE (Dog - 24D170)
Jet (Dog - 28196K)
KIBBIE (Dog - 24D376)
KIMBALL (Dog - 24D445)
KOHLS (Dog - 24D349)
LEMON-UP (Dog - 24D431)
LEMONADE (Dog - 24D430)
LOTTERY (Dog - 24D333)
Lady Glitter Sparkles (Dog - 24D442)
MARCIANO (Dog - 24D446)
MARIGOLD (Dog - 24D428)
MARLI (Dog - 24D324)
MCFLUFFY - PIP (Dog - 24D081)
NICOLETTE (Dog - 24D307)
OBSIDIAN (Dog - 24D235)
ORCHID (Dog - 29527)
PEPPERMINT (Dog - 24D414)
PEW PEW (Dog - 24D441)
PIER (Dog - 24D200)
POLO (Dog - 24D439)
Papa John's (Dog - 29366)
Quiche aka Valiant Lady - RHODE HOME RESCUE (Dog - 29393K)
RAMBO (Dog - 24D373)
RED SOLO (Dog - 24D090)
RHETT (Dog - 24D420)
RICKY RICKET (Dog - 24D220)
RISA (Dog - 24D100)
ROBIN (Dog - 24D091)
ROCKET (Dog - 24D221)
ROLLY POLLY (Dog - 24D448)
S'MORES (Dog - 24D436)
SAMOA (Dog - 24D434)
SANDLIN AKA SADIE (Dog - 24D058)
SCOTCH (Dog - 24D423)
SELOUS (Dog - 24D345)
SERRANA (Dog - 24D422)
SHIRLIE (Dog - 24D421)
SIMON (Dog - 24D286)
SIMONE (Dog - 29130K)
SKATER BOI (Dog - 29469K)
SYLVIA (Dog - 24D159)
TAGALONG (Dog - 24D433)
TALLI (Dog - 24D223)
TEMPERANCE (Dog - 24D440)
THIN MINT (Dog - 24D435)
TOBY (Dog - 24D087)
VIRGINIA (Dog - 24D425)
WAYLON (Dog - 24D332)
WHITE TAIL (Dog - 24D402)
Zaffle (Dog - 24D183)
Applicant's First Name
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Applicant's Last Name
*
Phone Number
*
Please use the following format 248-555-1212
Alternate Phone Number
Email Address
*
Please enter correctly as this is the main way we will contact you.
Street Address
*
Apartment Number (if applicable)
City
*
State
*
Zip Code
*
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
Do you own or rent your home?
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Own
Rent
If you rent, does your landlord and lease allow pets?
Yes
No
Unsure
N/A
Including yourself, how many people live in your household?
*
Please list the ages & relationship of those who live in your home.
Does anyone in your household have allergies to dogs/cats?
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Yes
No
Possibly
N/A
Please describe in detail the pet you are looking for.
*
Please check the main reason you plan to adopt a pet:
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Companion
Family Pet
Child's Pet
Guard Dog
Companion for another pet
Other
Do you own other pets at the current time?
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Yes
No
If you have pets, will they adjust to a new pet in the house?
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Yes
No
Unsure
N/A
If yes, please list their names, breeds, ages, and how long you have had them.
How many pets have you owned in the last 5-10 years?
What happened to them?
Are all of your pets spayed/neutered/fixed?
*
Yes
No
N/A
Are your pets current on their vaccinations?
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Yes
No
Not sure
N/A
Have you ever turned your dog or cat into a shelter?
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No
Yes
If yes, please explain?
Have you ever had a pet euthanized?
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 Phone Number
How many hours a day will the dog be left alone?
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How will the dog spend their alone time?
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Please check all that apply.
Free roam inside
Kenneled or crate trained inside
Outside free roaming within a fenced area
Outside in a kennel or pen
Outside on a tie out
Dog day care or boarding facility
Will this pet be predominantly living inside, outside, or both?
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Inside
Outside
Both
What type of yard security do you have?
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Chain Link
Privacy
Electric
Tie Out
No Fence
Will the dog be tied up outside?
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Yes
No
How will you handle destructive behavior?
Will you keep the animal up-to-date on vaccinations?
*
Yes
No
If no, please explain:
What arrangements will you make for the care of your pets in case of an emergency?
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?
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 or giving up the animal?
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?
No
Yes
If no, please explain:
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.
Yes
No
Signature
Clear