Adoption Application

- Step 1 of 7

Email *

If you have a specific dog in mind, please let us know which one

Name *

First

Last

Are you intertested in Foster Care or Adoption? *

Address *

Address Line 1

Address Line 2

City

State

Zip Code

Phone *

Mobile *

Do you own or rent your home? *

If you rent please provide Landlord's Name & Number

First

Last

If you rent and do not provide this information your application will not be processed.

Landlord Phone

This information is required if you rent. We cannot process your application unless a contact # for landlord or rental agency is provided.

Is a pet deposit required at your residence? *

If a deposit is required has it been paid? *

Are there any bans or restrictions on certain breeds at your place of residence? *

Do you have permission to keep pets? *

Are there any restrictions as to the number of dogs and /or combination of dogs and cats that you may have at your residence? *

Please list other family members that live with you, along their ages: *

Is anyone in your household allergic to animals? *

If you answered "yes" above please explain.

How many pets do you currently have in your household? *

Please provide the age, sex and breed of each pet *

Are all the pets spayed and or neutered?

Are these pets current on all vaccinations and on heartworm preventative? *

Veterinary Care

Please tell us a bit about your veterinarian. If you do not currently have a vetinarian please skip to next.

Veterinarian Name

First

Last

Veterinarian Phone

Veterinarian Address

Address Line 1

Address Line 2

City

State

Zip Code

Please list all vets previously used and animal names that went there.

About your property

Do you have a fenced yard? *

If you do have a fence, how tall is it?

Do you have a pool? *

If you do have a pool, is it fenced off? *

Employment and Routine

Are you currently Employed? *

If YES - Who is your employer? *

Employer Address

Address Line 1

Address Line 2

City

State

Zip Code

Do you travel frequently? *

If you answered "yes" above please tell us how often.

Is there anyone home during the day? *

Who watches your pets while you're away? *

Where will the dog stay during the day? *

How many hours (approximately) would the dog be alone? *

Pet Experience

How many years have you been involved with dogs? *

Have you ever been bitten or attacked by a dog? *

If you answered yes above - please explain.

Are you comfortable approaching dogs that you don't know? *

If answered no above - please explain

Are you willing to assume the risks involved with animals who are sometimes frightened when in unfamiliar surroundings and may become aggressive?

If answered no above - please explain

Almost Done!

We just need a few references and we'll start processing your application right away!

Please list three making one personal and at least one work or business related

Personal Reference - Name *

First

Last

Personal Reference - Phone *

Personal Reference - Relationship *

Business / Work Reference - Name *

First

Last

Business/Work Reference - Phone *

Business / Work - Relationship *

Reference Three - Name *

First

Last

Reference Three - Phone

Reference Three - Relationship

How did you hear about us? *

Name

was last modified: January 28th, 2019

Adoption Application

Veterinary Care

About your property

Employment and Routine

Pet Experience

Almost Done!

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