Adoption Application

Adoption Application - Dog

Animal you are interested in adopting
Type pet name(s) of others interested in.
Individual or Couple *
Primary's First Name *
Primary's Last Name *
Primary's Date of Birth *
Primary's Cell Phone *
Home Phone
Primary's Email *
Confirm email
Secondary's First Name *
Secondary's Last Name *
Secondary's Date of Birth *
Secondary's Cell Phone
Secondary's Email
Street Address *
City *
State *
Zip Code *
Finding The Right Fit
What age of dog are you interested in? *
What energy level would work with your life style? *
Are you looking for a specific breed? *
List family pets * List name, age, sex, along with how long you owned the pet, and where the pet is now.
Please provide the names and phone numbers for all previous veterinarians. *
Please provide the owner's name on file with each veterinarian. *
On a regular day, how many hours will the dog be left alone? *
Where will the dog be kept when no one is home? *
How do you plan to exercise your dog? *
Describe your ideal dog * Are you interested in... a female dog, a male dog, certain size, no preference.
About Yourself
Why do you want to adopt a dog? *
How soon do you want to adopt? *
What precautions will you take to introduce your dog into your home if you have other animals? * (a dog, cat, bird, rabbit, etc)
Personal References
List at least two personal references below. * Include name, relationship to you and phone number.
About Your Home
Are all the members of your household in agreement about adopting a dog? *
List the members of your household. Name/Relation/Age *
Does anyone in the household have pet allergies? *
Do you own or rent your home? *
Which of these applies to your home: *
Do you have a fenced in yard? *
If you currently have pets, are they spayed or neutered? *
Are your pets up to date on their vaccinations? *
About Training Your Dog
Are you willing to work through unexpected hardships with your pet and hire a trainer if need be? *
Describe any experience you have had with obedience training, or with medical or behavioral issues *
Describe your philosophy of training and how you plan to train your new dog. *
A Few Questions
If you are adopting with a partner, who will get custody if there is a break up? *
Have you ever had to give up a pet? *
Do you agree to permit a visit to your home? *
Please take picture of Primary's Driver's License *

Adoption Application - Dog

Finding The Right Fit

About Yourself

Personal References

About Your Home

About Training Your Dog

A Few Questions