Adoption Application

First Things First

Tell us about your ideal adoptee (age, gender, playful, calm, protective, social, etc.): *

Who would you like to adopt? *

Personal Information

First Name *

Last Name *

Street Address *

City *

State *

Zip Code *

Email Address *

Phone Number *

Household Information

What is your occupation? *

How old are you? *

How many people under 21 live in your home, what are their names/ages, and what is their relation to you? *

How many adults (21+) live in your home and what is their relation to you? *

Type of Housing *

Housing Status *

Own

Rent

Name AND email of your Landlord (phone number only if you do not have their email) : *

Written landlord approval is required to move forward with the adoption process.

Fenced Yard *

Note: Fenced in yards are NOT a requirement.

Fence Height *

Pet Ownership

Do you currently own a dog or dogs? *

Yes

No

Please provide the following information for each dog: Name, age, gender, spayed/neutered, up to date on shots *

Please tell us about your dog's personality *

Please explain how you introduce your dog to new dogs *

Have you had dogs in the past? *

Yes

No

Please tell us their current whereabouts: *

Do you own any other animals? *

Yes

No

Please tell us about these animals: *

Veterinarian Name *

Veterinarian Phone Number *

Pet Care

Dog's living situation (check all that apply): *

Indoors

Garage or basement

Outdoors

Guard dog

How many hours per day will the dog be alone? *

Where will the dog be kept when alone? *

How will you exercise the dog? *

Where will the dog sleep at night? *

Have you ever taken a dog to training before? *

Yes

No

Who was your trainer? (Name and phone number) *

Would you take a dog to training again? *

Yes

No

Are you willing to take a dog to training? *

Yes

No

Please explain why you are not willing to take a dog to training. *

Are you willing to house train a dog? *

Yes

No

How will you address undesired behaviors (barking, chewing, potty accidents, etc.)? *

Under what circumstances would you consider re-homing your dog? (Moving, new child, new job, new dog, unacceptable behavior, etc.) *

Final Information

Please provide contact information for at least one reference (not related) that can attest to your character: *

How did you find out about the dog you are applying for? (Online, at an event, word of mouth, etc.) *

Do you have any open applications with another rescue/shelter? *

Yes

No

Any additional information you would like to provide about yourself and/or the dog you would like to adopt:

By selecting the checkbox below, you certify that all of the information provided in this application is true. You also understand that any false information can result in a rejected application. *

I understand

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