Dog Adoption Application

Dog Adoption Form

Adopting a companion animal is a big responsibility and should be carefully considered. Please make sure you take into account all aspects of your life before making a decision (financial status, time to devote to the animal, space, travel schedule, etc.).

Animal Name*
Name
First Last
Sex:*
Age
Address
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Phone
Mobile Phone
Email
Current Employer
Occupation
Employer Phone
If unemployed, how will you support this animal?
Type of Housing*
Do you own or rent?*
Landlord's Name/Agency:
Phone
How long have you lived at your current address?
Number of Adults in the household
Ages of adults in the household
Number of Children in the household
Ages of children in the household
Why do you want to adopt this particular dog?
Does anyone in your household have allergies to animals?
How many pets are currently in your household? What types?
Describe and type and age of your current pets
Where did you get your current companion animals?
If you currently have no animals, have you owned any in the past 10 years? What kind?
What happened to them?
Who will be your veterinarian? (name, clinic, phone number)
Who will be the main caretaker of this animal?
Indoor
Please enter a number from 0 to 100.
Outdoor
Please enter a number from 0 to 100.
Do you have a securely fenced in yard? If yes, how big? Describe type of fencing.
What type of exercise will you provide for the animal?
How many hours a day will the animal be alone?
Where will the animal be kept during the time it is alone?
Are you familiar with crate training?
If so please describe your experience
Will the animal be allowed in all areas of the house?
Will you be able to live with hair on your furniture, stains on your rugs, an animal that might develop behavior problems?
Where will the animal sleep at night?
When on an extended trip, who will take care of your animal?
Under what circumstances would you give up an animal? (behavior problems, divorce, new baby, moving, etc.)
What would happen to your animal if you moved?
What would happen to your pet should something happen to you?
Are you aware that an animal can develop behavior problems?
If yes, what type of problems are you aware of?
What will you do if your animal develops behavior problems?
Will your animal be on monthly heartworm prevention?
What type of quality food will you provide for your animal?
Companion animals are an investment of your time and money. Can you afford to provide quality food, medical care, grooming if necessary, boarding/pet sitting if necessary, crate, toys, etc.?
Are you able to make a long term commitment to care for your dog for its entire life span which could be as much as 10-20
Have you ever relinquished a pet to a shelter?
If yes, why?
Will you allow us to visit your home prior to adoption to ensure that your companion animal and you are a perfect match?
Name
This field is for validation purposes and should be left unchanged.

Dog Adoption Application

Dog Adoption Form

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