Adoption Application
Please verify your email address before submitting.
Name of dog(s) you are applying for
Your Name
Email
Phone
Street Address
Mailing Address, if different from above
As part of the adoption process and before placing a dog in your care, you will be asked to sign an Adoption Contract. This Contract requires your agreement to keep the dog as an indoor house pet - not a dog who spends unsupervised time outside. You also need to agree to maintain regular veterinary care including annual vaccines and monthly heartworm prevention. Are you willing to sign and be legally bound to these requirements?
Yes
No
As the applicant, I understand there is a time & financial commitment when owning a dog and I am financially able to support a dog for life knowing dogs can live 10-12 years. I understand that the dog will not be perfect and that it is up to me to commit time, effort and money to provide training, medical care and all other needs the dog has.
Yes
No
Applicant 1: Employer
How many hours do you normally work in a day? How many days do you work each week? How long is your commute?
Applicant 2: Employer
How many hours do you normally work in a day? How many days do you work each week? How long is your commute?
Names & Ages of other people living in your home including children, parents, friends, renters. Does anyone have allergies to dogs?
Is anyone living in your home concerned, afraid, apprehensive, or uncertain about bringing a dog into the house? If yes, please explain.
Do you Own or Rent your home?
Own
Rent
How long have you lived at this address? If less than 1 year provide previous address & number of years living there. If this was a rental property, provide landlord name & number as well.
Do you live in a condo or neighborhood governed by an Association? If yes, please provide the name & number of someone on the Board of Directors
Renters - Name of Landlord & Phone number
Do you have permission from your landlord to adopt a dog?
Yes
No
Any restrictions on breed, size or anything else? If yes, please explain.
Name of Veterinarian
Phone
If you don't have a vet, please indicate reason.
Never had pets
Didn't use a vet when I did have pets
New to area and haven't found vet yet
Name of pets treated here over past 10 years.
Do you spay or neuter your pets?
Yes
No
If not, tell us why
Are your current pets up to date on vaccines?
Yes
No
If not, tell us why
Personal Reference 1: Name and Relationship (May NOT be family member, parent, child, spouse or partner.)
Phone
Personal Reference 2: Name and Relationship (Can be anyone)
Phone
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