Adoption Application

Name*

First Last

Name of Dog you are interested in*

Address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Home Phone*

Cell

Email*

Do you live in:*

Do you own your home?*

If you rent do you have permission from your landlord to have a dog?*

Landlord Name

First Last

Address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Phone

Email

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Number of Adults living in the home*

Number of Children & Ages*

Have you owned a dog before?*

What is your training experience?*

What pets do you own now?*

If you have a dog, which breed is it?*

Pets Ages*

Spayed/neutered*

If you have a dog where does he/she sleep?*

Do you have a securely fenced yard? if yes, what type of fence?*

How long is your dog typically alone?*

How will the dog be confined?*

Have you surrendered an animal?*

If yes, what was the reason?*

Is there anything else we should know about your household?*

If this dog is no longer available, would you like to hear about future dogs?*

Terms

I agree
I do not agree

I/we understand and agree that I/we need to keep our newly adopted dog on a leash at all times when outside of a securely fenced area until training and bonding occur. Use management to prevent problem behaviors and positive reinforcements to teach the dog what to do. I agree to not use punishment or equipment that is based on punishment such as electronic collars, prong collars or choke collars. We recommend using a freedom or Easy Walk Harness and a Martingale or a headcollar if a strong puller .

Adopter Signature (print)*

Date

References

Reference 1 Name*

First Last

Relationship*

Email*

Phone*

Reference 2 Name*

First Last

Relationship*

Email*

Phone*

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Name

This field is for validation purposes and should be left unchanged.

Adoption Application