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