Adoption Form

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Adoption Form

Please complete application with the requested information. We review submitted applications and determine the most suitable home for each dog. We will schedule a meeting with the foster home upon receipt of an approved application.

Full Name:*
E-mail:*
Co-Applicant:
Address
Cell Phone:*
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Other Phone:
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Name/description of dog interested in adopting*
Activity Level of Dog Desired: *
Desired Age of Dog:*
Desired Sex of Dog: *
Will you accept a mix?
Would you consider a special needs dog (one who requires medication)?
Tell us about Yourself
Housing:*
How long have you lived at your current address? *
Renters: You must provide Landlord's name and address
Do you have your landlord's permission to adopt a dog? If so, up to what size?
Ages of all your family members *
Do they or other family members live with or visit you often?
Do they share your interest in adopting a dog?
Does anyone in your household have allergies? *
If Yes, to what allergens?
Who is the dog primarily for?
Who will care for, train and exercise the dog? *
How long daily will the dog be left alone (without humans)? *
Will the dog be allowed in the house? *
Where will the dog stay when you are away from the house? *
If kept outside, please detail their environment *
How long would your dog be kept outside by themselves? *
Is your yard fenced? And if so, what type of fence (give approx., height, width and length of the area AVAILABLE TO THE DOG) *
For how many hours will the dog be crated?
Will the dog be walked daily? *
Ever allowed to run free without supervision? *
Will your dog receive formal obedience training? *
Are you aware that routine costs average $500/dog/year? *
Have you ever sold, given away, or surrendered a pet to a shelter? If yes, please specify why
Please tell us why you want a dog: *
How much time can you devote to training your new dog?*
Please tell us a little of your lifestyle, your family including any special activities in which your dog would be included. (If you have any requirements or requests for a dog, please let us know so that we can more carefully match a dog to your lifestyle)
When you move what will you do with your dog?
Do you understand the state and local ordinances concerning licensing and leashing? *
May we visit your home prior to application approval? *
If yes, when is best?
Have you, or any member of your family or household ever been cited for leash law violations or cruelty to animals in the past? If yes, please specify. *
When you go on vacation who will care for your dog and where will it be care for? *
Please list all the most recent pets you have owned in the past: Include information on species (dog/cat), sex, whether spayed/neutered and what happened to the pet *
Your Vets name and Contact Phone Number *
Where do you purchase heartworm preventative if not from your vet? Please include brand. *
I/we attest that the information provided on this application is true and accurate to the best of my/our knowledge. I/we understand that completion and submission of this application does not guarantee adoption of a dog. Please write your name(s) here to serve as your signature. *