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Adoption Application

Please make sure to check your spam folder, as many times when we respond to an application, it goes to the applicant's spam folder.

Pet's name you are applying for:

Name:

Address:

City:

State:

Zip Code:

Phone Number

Email:

Employer:

Income:

Type of Home:

Home Value

Approximate Square Footage:

Do you rent or own?

Is your yard fenced?:

If yes what type of fence, if no how will you exercise your dog?:

Will you allow a volunteer to do a home visit to determine if it’s the best match for the pet you are applying for? :

Number of adults in the home:

Ages of adults in home (please indicate yourself):

Number of children that live in the home:

Ages of boys in the home:

Ages of girls in the home:

Have you had any pets in the last five years?: If so, please tell us about them including breed, age, weight and other info.

Current Vet name and number:

Are your dogs current on vaccines

Are your dogs current on heart worm prevention?

What brand and how often?

Have you ever adopted from a rescue?:

Have you ever potty trained a new pet?:

Do you understand that when a dog comes into new surroundings the dog can have potty accidents until they are comfortable?:

Will the pet be allowed in every room? (If no, explain):

Will there be an adult home during the day?

How many hours will the pet be alone?

Where will pet stay when alone? (be specific):

Where will pet stay when you are home? :

Where will pet sleep at night? (Be specific):

If you were to move, what would happen to your pet?:

Why do you wish to adopt this pet?: