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Adoption Application
Please complete the application form below, and we will respond within 1-2 business days. Note: Applications can only be submitted from a desktop computer and are not compatible with mobile devices.
Which dog are you interested in?
Why are you choosing to adopt a dog today?
Why did you choose this specific dog?
What do you think is a reasonable amount of time for a pet to adjust to a new environment?
Why are you adding a pet to your life?
Companion for children
Protection for home/family
Working dog
Companion for other pets
Gift
Companion for self
Other
What characteristics are important for you to have in a dog?
Good with dogs
Good with kids
Companionship
Active/athletic
Independent
Friendly
Good with Cats
Protective
Playful
What is the activity level in your household?
Very quiet
Moderately quiet/active
Very Active
Have you ever been declinded an adoption through a rescue organization? Why?
First and Last Name
Email
Re-enter E-mail Address
Phone Number
Address
City
State
Zip Code
Date Of Birth
Occupation
Name of Spouse/Partner
Spouse/Partner DOB
Their occupation?
IF your relationship were to change, who would keep the dog?
How many people reside with you?
Who will be the dog's primary caretaker?
Are all residents in agreement with adopting a dog?
Please select one
Yes
No
Does anyone in your household have asthma or allergies?
Please select one
Yes
No
Are you a part time county resident?
Please select one
Yes
No
Are you a college student?
Please select one
Yes
No
Do you travel often?
Please select one
Yes
No
When you travel, where will your dog be?
Do you plan on moving within the next year?
Please select one
Yes
No
If you do move, what will you do with your dog?
Indicate the type of residence you in
Please select one
Single family home
Townhouse/Apartment
Condominium/ Duplex
Senior Citizen Community
Live with family
Live with friends
College Housing
if you selected apartment/condo. What floor do you live on?
Do you rent or own your home?
If you rent, have you requested permission/paid fees and received approval indicating that it's acceptable for you to have a dog(s)?
Please select one
Yes
No
What pet restrictions does your rental have?
If you own, do you have a Homeowners Association (HOA)?
Please select one
Yes
No
What are the HOA restrictions
Do you have a yard?
Please select one
Yes
No
Is the yard fenced?
Please select one
Yes
No
If yes, what type of fence?
How high is it at its lowest point?
Do you have gates?
Please select one
Yes
No
Do you have a pool?
Please select one
Yes
No
If yes, is there a fence around the pool?
Do you have a pet door?
How many pets do you have currently?
Are your current pets vaccinations up to date?
Please select one
Yes
No
I don't have any current pets.
Are your current pets spayed or neutered?
Please select one
Yes
No
I don't have current pets.
If you DO NOT have dogs now, what past dog experience do you have?
Verterinarian's Name
Veterinarian's Number
May we contact them about your current pets?
Please select one
Yes
No
Are you willing to provide regular health care by a licensed veterinarian?
Please select one
Yes
No
Where do you keep your current pets day and night?
Where will you keep this new dog?
How many hours will the dog be left alone?
Have you ever had to relinquish an animal to a shelter?
Have any of your pets run away, or become lost/stolen?
Have any of your pets been euthanized?
Have you been in a situation where you were not able to keep a pet?
If there any other information you feel we should know?
Do we have permission to contact you in the future to check on the dog?
Yes
No
I have read the above information carefully and have filled out this application honestly.
Type your Full Name
Todays Date
Send
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