Dog Adoption Application - Miracle Lane Farm & Sanctuary
Please fill out the following application if you are interested in adopting one of our dogs! You must be 21 years of age or older to adopt from Miracle Lane. Applications are processed in the order that they come in. On occasion, this can take up to several days due to days that vet clinics and businesses are closed. Thank you for your patience in finding a new family member!  
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Email *
Dog Applying for if applicable
Name *
Home Address with Apt Number, City, State, Zipcode *
Phone Number *
E-Mail *
Co-Adopter Name if applicable
Do you rent or own? *
Type of Residence *
List landlord's name and phone number if renting *
Number of children in the home w/ ages
Do any other children and/or animals visit often? *
If yes, what are the ages of the children and/or types of animals:   
This pet is for: *
Dog Needs to Get Along With: *
Required
I am looking to adopt because: *
  Do you agree to a pre-adoption home check?    *
Do you agree to have your references to include veterinary clinic contacted?  
 *
What characteristics or behavior habits are you NOT willing to work with?  
 *
How will you train your pet? *
Required
How will you discipline your pet?
Do you know how to housebreak a pet? *
How will you work with your pet if they are having difficulties adjusting to your family/home?  
 *
Have you ever had to rehome a pet? *
If yes, what was the reason and how did you go about the rehoming process?
What would you do if your dog develops a problem with chewing, jumping, excessive barking, or any other behavioral issue?
 *
When outside, will your animal be: *
Required
Do you have a completely fenced in yard? *
If yes, how tall is your fence?
What will you do with your pet if you move? *
How will you exercise your pet and for how long? *
How many hours per day will your pet be alone on average? *
Where will the pet be when you are not home? *
Who will be the animal's primary caretaker? *
Please list 3 references below, excluding family members (Name, Phone Number and Relationship):  
 *
Vet information to include name, practice name, phone number, and how long you have been with them *
Information about other pets in the home (include ages, male/female, spayed/neutered, current on vaccines) *
I understand by typing my name below that everything stated in my application is true. Miracle Lane has the right to deny any application at any time for any reason. New applications will need to be filled out every 6 months.   
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