HOME
CATS FOR ADOPTION
DOGS FOR ADOPTION
APPLICATIONS
CAT ADOPTION
CAT FOSTERING
DOG ADOPTION
DOG FOSTERING
VOLUNTEER
CONTACT
DONATE
DOG ADOPTION
Home
DOG ADOPTION
Please enable JavaScript in your browser to complete this form.
First Name
*
Last Name
*
Home Address
*
City
*
State
*
Zip Code
*
Age
*
Your Occupation
*
Phone Number
*
Email Address
*
Who are you interested in adopting?
*
Name of spouse/significant other?
*
Significant other/spouse's occupation?
*
Do you have any children? If yes, please list age
*
Do you have any roommates? If yes, please list name and age
*
Is everyone in the household aware you are interested in adopting a dog?
*
Does anyone have pet allergies in your home?
*
Who will be responsible for the dog?
*
Are you aware dog can live 15-20 years and are willing to take on this responsibility?
*
Why do you want to adopt a dog?
*
Is this dog a gift? If yes, please explain
*
This dog will be a… (Check all that apply)
*
Companion
Companion for another pet
Protection
For child
What type of home do you live in?
*
Single family home
Single family home
Townhome
Apartment
Condo
Do you rent or own your home?
*
Rent
Rent
Own
How long have you lived at this address?
*
Do you have plans of moving in the future?
*
Yes
Yes
No
If you rent, are dogs allowed?
*
Yes
Yes
No
N/A
If you rent, please list the name and contact information of your landlord
*
In what areas of your home will your dog be allowed?
*
When you are not home, where will the dog be kept?
*
How will they be kept?
*
Crate
Run of the house
Backyard
Kennel
Access to doggie door
Dog house
Garage
Other
Do you have a yard?
*
Yes
Yes
No
What type of fence?
*
How tall is your fence?
*
Does the fence fully enclose the yard?
*
Yes
Yes
No
If you do not have a fenced yard, how will your dog be let out?
*
Do you have a pool?
*
Yes
Yes
No
If you have a pool, will dog be left unattended around the pool?
Yes
Yes
No
If you have a pool, what will you do to ensure the dog’s safety?
*
Do you have screens on your windows?
*
Yes
Yes
No
How many hours will your dog be left alone?
*
Is this your first pet?
Yes
Yes
No
Where will your dog sleep?
*
What type of lifestyle do you have?
*
Sedentary
Sedentary
Moderately active
Very active
What activities will you do with your dog?
*
Are you familiar with the breed you are interested in adopting?
*
Do you currently have any pets? If so, please list name, breed, and age of all pets
*
Do your current pets live indoor, outdoor, or both? Please list each pet
*
Are your pets current on their vaccinations?
*
Yes
Yes
No
N/A
Are your current current pets fixed?
*
Yes
Yes
No
N/A
Will you keep your dog up-to-date on vaccines?
*
Yes
Yes
No
Have you had pets in the past? If so, please list name, breed, age and why you no longer have them
*
If applying for a puppy, have you raised a puppy before?
Were you ever in a situation you could not keep your pet? If so, please explain
*
In the event you are no longer able to care for your dog, who will be responsible for their care? Please include name and relationship
*
What kind of food will you feed your dog? Please include brand
*
What precautions will you take when introducing the new dog to your current pets?
*
Are you okay with a home check
*
Yes
Yes
No
If a disciplinary or behavioral problem arises, what will you do?
*
Is there anything else you would like us to know?
How did you hear about us?
*
Submit
