Adoptable Dogs Adoption Application Adoption Application Name * First Name Last Name Birthdate We require all adopters to be 18 years or older. Address Address 1 Address 2 City State/Province Zip/Postal Code Country Email * Dog of Interest * Do you rent or own? Rent Own If you rent, does your property manager allow pets? Do you have other pets? If yes, please list them: (Type, Breed, Age, Spayed/Neutered) Are your current pets up to date on vaccinations? Records may be requested. Yes No Do you have children? Yes No If you have children, what are their ages? Why are you interested in adopting a dog? What type of dog are you interested in? (Puppy/Adult/Senior/Specific Breed) Do you have experience with dogs? If yes, please describe your experience... How many hours per day will the dog be left alone? Where will the dog stay when you are not home? What type of home environment will the dog have? Do you have a securely fenced yard? Yes No How will you handle behavioral issues or training challenges? Veterinarian’s Name and Phone Number: Personal Reference (Not a family member): Name / Number / Relationship to Applicant By submitting this application, I affirm that the information provided is accurate and complete to the best of my knowledge. I understand that submitting this application does not guarantee adoption and that the rescue organization reserves the right to deny any application. I consent to a home visit if required and to the rescue contacting my references. * I agree. I disagree. Date * MM DD YYYY Click the photo to read a brief bio about each adoptable dog.
