Adoption Application

Thank you for making the decision to adopt your next family member!

By making this decision, you have made a choice to be a part of the solution to pet over-population! We know that you have a choice to buy or adopt and we want to make this process as enjoyable as possible.

After we receive your adoption application, we will contact you if we have any more questions or concerns. Our goal is to not only find our rescued dogs the best home possible, but to make sure the adoption is going to be the best for the adopter as well. If we feel the dog you are interested in is not a good fit for your situation, it is not because we don’t want you to adopt from us, it is because we want you to find the best dog for you and/or your family.

We feel very strongly that all animals in a home should be spayed/neutered. We understand that there could be medical reasons why an animal may not be fixed, so if that is the case, please explain on the application.

Pet Name:*

Your Name:*

Your Age:*

Your Occupation:*

Name, Age, Occupation of other Adults in the home:*

Street Address:*

City / State/ Zip:*

Your Email:*

Home Phone:

Cell Phone:

Is this pet for you, your family or a gift for someone else?
MeGiftFamily

Why would you like to adopt a pet?

Names and ages of children living with you:

Names and ages of children who often visit you:

Names, Breed, Type, Age, Sex, and weight of any pets you have:*

Where do these pets sleep at night?*

Are all your pets spayed / neutered?
YesNo

If pet(s) are not spayed/neutered, why not?

Are all your pets vaccinated?
YesNo

Are all your dogs current on heartworm medication?*
YesNo

Have you had pets other than those listed above in the past 5 years? If so, what kind of pet and what happened to them?

Do you own or Rent?*
OwnRentLive with parents

Do you live in:*
HouseDuplexCondoApartmentTrailerOther

If you rent, do you have approval from your landlord to have a pet?(A letter from from landlord may be required)
YesNo

Will this dog be allowed in the house?*
YesNo

Where will this dog be during the day when you are not home?*

How long will the dog be left during the day? Describe if dog gets break within this time. *

Where will this dog be when you are home?*

Do you have a fenced yard?*
YesNo

If so, what kind (stockade/chainlink/etc) and how high?*

How often do you plan to walk the dog?*

How will you socialize the dog?*

When you travel, who will care for the pet while you are gone?*

Under what circumstances would you not keep the pet?*

Please explain above reasons:

If the pet becomes ill or injured, are you financially prepared to provide the medical care?YesNo

The pet may live 15+ years, what would you do with your pet if you could no longer care for the pet?*

Name / Phone of your Vet / Clinic

Any Additonal Comments to Describe the life this Dog would have with you:

captcha

We will contact you within 24 hours of receipt of your application and if approved, we will make arrangements for you to meet your chosen dog and possible new family member!

Thank you again for making the decision to adopt! We look forward to hearing from you!