Dog Adoption Application

Dog's Name

Name

First NameLast Name

Phone Number

Area CodePhone Number

Email

example@example.com

Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

What is your housing situation?

If other, please describe below

Apartment Complex Name (If Applicable)

Landlord's Name/Phone Number

Is there a pet deposit?

If yes how much is the deposit and has it been paid?

What is your employment Status?

Other

How many adults are in your household? Please include their names and relation to you.

How many children are in the household and what are their ages?

How long have you lived at your current address?

Do you have a pool at your property?

Is your property fenced?

If yes, what is the approximate height of your fence?

Have you ever personally owned a dog before?

Please provide a brief history of the dogs you have owned. Include what years you owned the dog, if it was altered, and why you no longer own the dog:

Have you ever taken an animal to the shelter? If yes please share the circumstances with us.

Have you ever returned, adopted out, or given away an animal you adopted or purchased? If yes, please share the circumstances with us.

Have you ever had to euthanize an animal? If yes, please share the circumstances with us.

Do you own any other pets?

What is your main reason for wanting a dog?

I want my dog to be a... (check all that apply)

What is your preference for dog training?

Temperament Preferred: (check all that apply)

I would like the dog to get along with: (Check all that apply)

Why is this the dog you have chosen to adopt?

Why have you chosen this time in your life to adopt a dog?

Who will be responsible for the dogs care?

Who is (or will be) your veterinarian?

Do you plan to use a flea and/or heart worm preventative?

How many hours a day will the dog be left alone?

What do you plan to feed the animal you are adopting?

How will you exercise the dog?

What percentage of the tie will the dog be kept in the house? in the yard, and in a crate?

Where will the dog be kept during the day when you are gone?

Where will the dog be kept when you are home?

Where will the dog sleep at night?

Please tell us how you will keep the dog confined to your property.

If your dog was lost what would you do to find it?

What behaviors in your dog would you find unacceptable, if any?

Are you planning to move within the next 6 months?

Have you ever had to move with pets?

If you have to move what will you do with your pets?

Under what circumstances would you give up your dog?

If you must give up your dog what would you do?

If you would like to include any additional information please do so here:

Thank you for taking the time to fill out our questionnaire. The answers help us to determine if the dog you are applying for is the best match for your family!

By submitting this application, I certify that all the information in this application is true and I understand that false information may void the application.