Adoption Application

Address *

Line 1

Line 2

City

State

Zip Code

Country

Phone Number *

Is this number ok to text? *

Yes No

dog info

Which dogs are you interested in adopting? *

Why do you want to adopt a dog? *

Are you looking to adopt a puppy, if so, why? *

How long have you been looking for a dog? *

housing info

What is your housing situation? *

I own my home I rent and have a lease that allows dogs I rent and need to get permission to adopt

How long have you lived there? *

Any plans to move? *

If you rent, are there any breeds you're not allowed to have? *

If you rent, what's your landlord's name and contact info? *

Do you have a fenced yard? If so, what size? (We don't think a yard is required) *

fAMILY info

How many adults in the home, and their relationship? *

Have all adults agreed to the adoption? *

Yes No

How many children in the home, and ages? *

Have the children had pets before? *

Yes No

Do you expect your family situation to change? If yes, how? *

Is anyone allergic to pets? If so, who and to what? *

employment info

Employers for any adopting adults *

Position(s) held *

How long have you worked there? *

Work phone *

current pet info

Current pets? Please tell us their species, age, sex, and breed (for dogs) *

Have you had pets before? Tell us about them and when. *

Have you ever given an animal away or relinquished an animal to a shelter? *

Have you ever bred or considered breeding a dog for business or recreation? *

Yes No

If yes, what were the circumstances? *

Vet info (if applicable) *

new pet info

Who will be the new dog's primary caregiver? *

How much time will you give your new dog to adjust to your home? *

Can you describe an average daily routine for a dog in your home? *

Can you afford an emergency vet bill of up to $5k? Note: Generally any hospitalization costs at least $1k. *

Yes No

Are you committed to providing a responsible home for your pet’s entire life (15+ years)? *

If you have to move, what do you plan on doing with your pets? *

When you're out of town, or there's an emergency, who will watch your dog? *

Where will the dog be kept during the day and night? *

How often do you plan on taking your dog outside? *

How many hours a day will your dog be left alone? *

Will you crate your dog? If so, when and for what reasons? *

What would you do if your dog develops an issue, such as barking, separation anxiety, aggression? *

references

Name *

First

Last

Phone Number *

Relationship to You *

Name *

First

Last

Phone Number *

Relationship to You *