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Pre-Adoption Application
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* Indicates required question
Email
*
Your email
First Name
*
Your answer
Last Name
*
Your answer
Other person/people to put on file (optional)
Your answer
Street Address
*
Your answer
City
*
Your answer
State
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Your answer
Zip code
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Your answer
Primary Phone
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Your answer
Secondary phone (optional)
Your answer
Email
*
Your answer
Secondary email (optional)
Your answer
Animal(s) interested in
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Your answer
Does everyone in your household agree with this adoption?
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Yes
No
Other:
Do you rent or own your home?
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Own
Rent
Other:
If you rent, please provide the name and contact information for your landlord or management company.
Your answer
Do you currently own any other pets? If yes, please individually list type of pet, name, breed, size, and age.
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Your answer
Are your other pets spayed or neutered?
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Yes
No
Other:
Are your other pets up to date on vaccines?
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Yes
No
Other:
Are your other pets on monthly flea and tick prevention?
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Yes
No
Other:
Are your other pets on monthly heartworm prevention?
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Yes
No
Other:
If you answered "No" to any of the last 4 questions, please explain.
Your answer
Are there any animals who may be visiting the home? If yes, please individually list type of pet, breed, size, and age
*
Your answer
Are there any children (under 18) living in the home? If yes, please list ages.
*
Your answer
Will there be any children visiting the home? If yes, please list ages.
*
Your answer
Do you have a fenced yard?
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Yes
No
Other:
Please describe your fence height and material.
Your answer
On average, how long will your pet be alone each day?
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Your answer
Where will your pet be when you are not home?
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Your answer
Where will your pet be when you are home?
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Your answer
Where will your pet be when you are out of town or on vacation?
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Your answer
How do you plan on training your dog?
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Your answer
How will you ensure your pet has plenty of exercise each day to meet their needs?
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Your answer
Why do you want to adopt this dog?
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Your answer
Have you had a pet before?
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Yes
No
Other:
If you have had a pet before, please list them and the reason you no longer have them. If the pet is deceased, please briefly explain cause of death.
Your answer
Have you ever willingly or unwillingly surrendered a pet to someone else's care? If yes. please explain.
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Your answer
How did you hear about this dog?
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Facebook
Website
Friend/Family member
Previous adopter
Other:
What veterinarian do you take your current pets to? Or what veterinarian did you take your previous pets to? Please give practice name and phone number. If there are multiple, please list the most recent 3.
*
Your answer
Are you financially prepared to provide routine grooming, vet care, and emergency medical expenses for this animal?
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Yes
No
Other:
What traits are you looking for in your new pet? Personality, Age, Size, Gender, Breed, etc.
*
Your answer
Questions? Comments?
Your answer
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