Dog Adoption Application

Select Pet Name
Type pet name(s) of others interested in.
Individual or Couple *
Primary First Name *
Primary Last Name *
Primary Cell Phone *
Home Phone
Primary Email *
Secondary First Name *
Secondary Last Name *
Secondary Cell Phone *
Secondary Email
Street Address * Use N. S. E. or W.
City *
State *
Zip *
Why do you want to adopt this pet?
	Companion for you
	Companion for other family member
	Companion for other pet
	Protection
	Hunting
	Service pet
Current Veterinarian's Name, Phone Number * If you have never had a pet before please list the vet that you will likely use.
Previous Veterinarian's Name, Phone Number
How many people in household? List ages of each * Number of adults & children Include ages for all
Primary Caretaker *
Do all members of household want to adopt this pet? *
Do you own your home? * If no, please provide landlord's name and phone number
Type of Residence * House, Townhouse, Condo, Mobile Home, Other
How long at present residence? Do you plan on moving in the near future?
Please explain *
Do you have a fenced yard? *
What type of fence? *
How do you rate your pet experience?
	First Time Owner
	Beginner
	Intermediate
	Advanced
Please list the pets in household now, age, breed, & sex: Are they vaccinated? Spayed/neutered? On heartworm prevention?
List Pets *
Tell us about any pets you have owned in the past 10 years: What happened to these pets?
List past pets *
Will pet wear collar and ID tag? *
Are you aware pet may not be trained? * Are you aware that a rescued pet may not be fully housetrained?
Are you willing and able to housetrain the pet? * Are you willing and able to housetrain the pet?
How will you handle behavioral issues? * Would you be willing to take the pet to obedience training?
How to you plan to exercise pet? *
How many hours a day will this pet spend without humans? *
Do you have someone to take the pet out, if needed? * if more than 8 hours, do you have someone to take the pet out? Explain.
When will the pet be inside? * All the time, at night, In and Out, Never
Where will the pet sleep at night *
Which of the following behavioral issues would prompt you to give up your pet? Check all that apply:
	Excessive Barking
	Biting/Scratching Family Member
	Poor Guard Dog
	Not Friendly with Guests (barking, hiding)
	Aggressive with Dogs/Cats
	Biting
	Chewing on Furniture or Carpet
	Shedding
	Problems with Housetraining
	None
Which of the following reasons would prompt you to give up your pet? Check all that apply:
	Moving
	Having a baby
	Allergies
	Divorce
	New Spouse/Partner doesn't Like Pet
	Financial Problems
	Pet's Health Problems
	Excessive Veterinarian Bills
	None
Would you agree to a home visit by an Out of the Woods representative? *
If there is any other relevant information you would like us to know *
Initial Here *

* Applicant must be primary caretaker of the pet being applied for.
* Applicant must be at least 18 years of age to fill out and submit an application.
* Please note we are unable to process incomplete applications.
* Check all entries for accuracy, then press the "Submit" button ONLY ONCE.
* If you do not receive a confirmation email after you hit Submit, please re-submit your application.