Adoption Application
Name of dog interested in
First and Last Name
Address
City
State and Zip Code
Email
Phone Numbers
What type of dog are you looking for?
Male or Female
Short or long hair?
Small, Medium, Large, X-Large?
Breeds of dog familiar with?
How long have you been looking?
Is this pet a gift? If so, who?
# of adults in household?
# of children in household?
Ages of children in household?
Does everyone want this dog?
Anyone have allergies? Please explain
Who will take care of this dog?
Why do you want to adopt this dog?
I live in a...house, condo, apt. etc?
Rent or Own?
If renting...landlords name:
Landlords phone number:
May we contact him/her?
Length of time at address?
Do you have a fenced yard?
If so, what type and how high?
If not, how will it relieve itself?
Do you have a pool or spa?
If so, is it fenced in?
How long will dog be left alone?
Where will dog be kept during day?
Where will dog be kept at night?
What pets have you had in the past?
Where are they now?
What pets do you currently own?
Are they spayed or neutered?
Are they current on vaccinations?
Name and phone # of veterinarian?
What will you do if dog is lost?
What if dog needs expensive vet care?
Where will dog go if you move?
What will happen if dog is destructive?
Are you familiar with housebreaking?
Are you familiar with crate training?
Are you familiar with local pet laws?
Have you formally trained a dog before?
Do you own a pickup truck?
If so, where will they ride?
Can we do a home check?
Reference 1: Name and Number
Reference 2: Name and Number
Reference 3: Name and Number