Adoption Application

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Contact
Adopt
- Adoptable Dogs
- Application

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Full Name*
How did you hear about us?*
Instagram and Facebook Name*
Email*
Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Home Phone #*
Cell Phone #
Date of Birth*
Date Format: MM slash DD slash YYYY
If fostering, are you interested now or in the future?*
- Now
- Future
Are you interested in:*
Which dog are you interested in and why?*
Vet's Name : You HAVE to give us permission to disclose your records in order for us to process your application*
Vet's Phone*
Vet's records are under the name of?*
If you're planning to use a different vet then the one given, please provide the name and number of your vet*
Have you ever taken a pet to a shelter or given an animal away?*
- Yes
- No
If you answered yes to the question above please explain*
Please list any dogs, cats, etc who currently live in your household. Include name, type / breed, age, sex, altered or not altered, how long owned, where is it kept, cats declawed?*
Please complete this regarding any other pet you have owned. Include name, type/breed, age, how long owned, and what happened to pet?*
Please include everyone living who lives at this residence. Please include name, age, and relationship to you*
Does anyone in your household have asthma or any known allergies to cats of dogs?*
- Yes
- No
Is everyone in your household aware of and agreeable to your interest in adopting and/or fostering a pet?*
- Yes
- No
Employment information. Please list the place of employment, address, and phone number for you and your spouse(if applicable) - this is simply for our records*
Who will be responsible for the care of this dog?*
Are there regular visitors to your home (human or animal) with which your new dog must get along? If yes, whom?*
Residence Type?*
- House
- Apartment
- Other
Do you have*
- Terrace
- Yard
- No outside facilities
If you rent, please provide your landlord name, address, and contact number*
How long have you lived at your current address?*
If multi-floor residence, what floor do you live on?*
Untitled
Do you*
Do you have a completely fenced yard or fenced-in area in your yard?*
- Yes
- No
Height & type of fencing?*
How large is the fenced in area?*
If you have a pool, is it fenced in?*
- Yes
- No
- No pool
Does your fence/yard have a locked gate?*
- Yes
- No
- No yard
Can strangers gain access to your yard?*
- Yes
- No
- No yard
If you have no fence, how do you plan on your new dog relive and exercise itself?*
What outdoor activities would include your dog?*
Are you moving in the near future? If so explain*
Where will your new dog sleep?*
Are you familiar with positive methods (no hitting) of dog training?*
- Yes
- No
Do all adults work full time?*
Where will the dog be kept during the day?*
Where will the new dog be kept when it is alone?*
How many hours a day will your new dog be alone?*
Who will care for your pets while you are away on vacation?*
How many hours a day will you spend time with your new dog?*
Personal Reference #1 Name & Phone Number That We May contact*
Personal Reference #2 Name & Phone Number That We May contact*
A Home Inspection must be done before an applicant can be approved to adopt/ foster (Home checks are non invasive and are simply done to ensure the applicant was truthful on the application and to ensure the safety of the home where the dog will be staying.)*
- Yes, I agree
- No, I agree
Upon adopting, a contract that states all rules and guidelines for owner commitment must be signed and initialed completely to finalize the adoption.*
- Yes, I agree
- No, I agree
Electronic Signature is considering binding when adhering to the terms above.
Electronic Signature*
Date Signed*
Date Format: MM slash DD slash YYYY

Electronic Signature is considering binding when adhering to the terms above.