CANINE ADOPTION NETWORK Adoption Application
Please note that adoptions are not done on a first come, first serve basis, and filling out an application does not guarantee the adoption on any dog. We are looking for the best possible match for each of our dogs, and reserve the right to select or refuse any applicant at our discretion. Thank you for your cooperation and understanding
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Email *
Untitled Title
Name of dog, or type of dog you are looking for *
Name *
Address *
City/State/Zip *
Email *
Primary Phone  *
Secondary Phone 
Occupation
Your Age *
Co-Applicant Name
Occupation
Email
Please indicate your reasons for adopting a dog, *
 Example: family pet, child's pet, watchdog etc.
Are you willing to allow a CAN representative to visit your home an inspect where the dog will be kept. *
How long have you lived at the above address *
How many times have you moved in the last 6 years *
Please indicate where you live *
Do you *
If you rent, is there a pet deposit
Clear selection
If Yes, how much, and have you paid it
We would like to verify this, please provide your landlord's name and phone number
Have you ever moved and had to re-home a pet, or had to rehome a pet for any other reason (explain) *
How many adults live in your home *
Explain the relationships
Indicate the number, age and gender of the children living in your home
Do all the members of your household know, and are ready to support your intention to adopt a dog
Does anyone in your household have allergies or other health issues that may be affected by a dog *
If adopting a young dog or puppy, what procedures to you plan to use for house breaking *
Required
How will you handle chewing, scratching and other bad habits or destructive or undesirable behavior *
Required
What plans do you have for obedience training for your new dog -please explain. *
Do you currently own, or have you previously owned a pet *
Tell us about your current pets, or previous pets you have owned *
Please give details on type of pet, ages, where they are now etc.
Have you ever had a serious behavioral problem with a pet *
If yes, please give details and include the outcome
Do any of your current pets or previous pets live primarily outdoors *
If yes please explain why.
Where will your new pet stay *
Where do your pets stay when home alone *
Please answer for your current, previous and new dog
Where do your current pets sleep at night *
Please answer for your current, previous and new dog
Have all of your current or previous pets been spayed or neutered
Please give reasons why you have a pet who is not spayed or neutered.
Are all your current pets up-to-date on vaccines and on heartworm and flea prevention
Please answer for any previous pets
Are you willing to go the expense and trouble to take your new dog to the vet at LEAST once a year. *
Please provide your vets name and contact information. *
What do you expect your annual pet costs to be, including healthcare & vet visits, flea and heartworm prevention, grooming costs, if applicable, and food. 
Do your current pets wear id tags *
Who will be responsible for the daily care of this pet *
How long will  this pet will be home alone on an average day *
Explain your routine
Is there a yard available *
If yes, is the yard fully fenced with no gaps
Clear selection
If yes, what height is the fence *
If you do not have a fenced yard how do you plan to exercise your dog, or keep your dog on your property *
Required
What do you plan to do with your pet when you go on vacation
give details
Under what circumstances would you consider giving up your pet *
check all that apply
Required
As your pet gets older he or she may develop a frequent urination problem. How do you plan on handling it.
Have you ever adopted a pet from CAN or another rescue/animal shelter or humane society
If yes, please give details
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