Adoption Application
Thank you for your interest in adopting a rescued pet. Please copy this page to an e-mail, answer all questions, then e-mail your fully completed application
Name:
Phone #:
Address:
E-Mail:
Best time to contact:
Interested in (name of dog):
Do you: Rent Own
(If rent, do you have written permission to obtain a pet?)
Landlord's name and phone number:
Veterinarian (Name, address and phone number):
Family Members (Names and ages):
Family Pets(species, age, spayed or neutered):
Daily time with dog:
Work hours:
Activities interested in:
Do you have a fenced yard:
if YES: what type and height?
Size of yard:
Pet's living quarters:
Previous Pet History (past pets and reasons for no longer having them):
Do you understand that adopting a pet is a commitment of 10-15 years?
YES NO
Do you commit to obtaining proper medical care and upkeep of vaccinations and heartworm preventive? YES NO
Do you understand that dogs are a part of the family and should have access to living in the house and becoming a family member?
YES NO
Have you adopted a pet from a shelter or a rescue group before?
YES NO
If YES, please give details and name of shelter/rescue:
