Adoption Application Please complete the adoption application prior to scheduling an appointment to meet with an adoptable dog. Name* First Last Name(s) of dog(s) interested in:*Email* Enter Email Confirm Email Home Address:* Street Address City State / Province / Region ZIP / Postal Code Cell Phone:*Alternate Phone:*Employer:*Please list all adults in the household and their ages:*Please list all children in the household and their ages:*Are all adults aware and in agreement about adopting a dog?:*Who will be the primary caregiver for your new dog?:*Is any family member allergic to dogs?:*What type of housing do you live in?* House Apartment Condo Townhome Other Do you own or rent?:*Do you have any breed restrictions by either landlord or insurance?:*Are you allowed to have pets in your current residence?:*Do you have a fenced yard?:*What type of fencing do you have?:* Cinderblock wall Chainlink fence Wrought Iron Other How tall is your fence?:*Which of the following behaviors would be a problem?:* Excessive Barking Not house-trained Jumping Not good with children Not good with other dogs Not good with cats Digging Too Active Separation Anxiety Other: please explain below: Please check off the following behaviors that you would not be able to work with:Please explain why the selected behavior(s) will not work in your home:What will you do if your pet exhibits any of these behaviors?:*Are you willing to commit time and money to train your new dog and address any unwanted behaviors?:*How many hours per day will the dog be left alone?:*Where will the dog be kept when left alone?:*Are you willing to crate your new dog to help them adjust to their new home?:*Where will the dog sleep at night?:*What type of exercise will you give your new dog and how often?:*Is this your first dog?:*Please list all animals currently in the home, their ages, and breed:*Please list all previous companion animals:*Have you ever turned a pet into a shelter or given a pet away? If yes, please explain the circumstances:*If your new pet is not housebroken, how do you intend to train them?:*How long do you expect the house-training to take?:*How much are you willing to spend on medical expenses for your new dog?:*What would you do if the bills go over this amount?:*Are you ready to take responsibility for this dog for the next 10-15 years?:*What provisions would you make for your new dog should you be unable to care for them?:*I understand the adoption fee paid is non-refundable* Yes No I certify that the information above is true and understand that false information will result in a nullification of this adoption:* Yes No Prospective Adopter Signature:*Please sign your name digitally, and provide a written signature in person: Δ Share This Twitter Facebook LinkedIn Email