How many hours a day will the dog be home alone? *
Your answer
Where will the dog be kept when you are not at home? *
(Crate, pup pen, outside kennel, loose indoor or outside)
Your answer
Please describe the dog's living situation *
(House pet, live in basement/garage, guard dog, live outdoors, etc.)
Your answer
How will you exercise the dog? *
(Daily leash walks, cable or pup run in yard, free to run in fenced yard, free to roam off leash and unsupervised in unfenced area, dog park, etc)
Your answer
How will the dog be cared for during overnight absences or while on vacation? *
Your answer
What is your housing situation? *
(Own, rent, live with parents, etc.)
Your answer
If you rent, have you received the landlord's approval to have a dog?
Clear selection
If you rent, provide your landlord's name and phone number for verification.
Your answer
If your landlord allows dogs, is there a breed restriction?
Clear selection
If yes, please list breeds not allowed
Your answer
Does your home owner's insurance allows you to own the type of dog you are applying for? *
(We will need proof before the adoption can be finalized)
What is the size of your yard? *
Is your yard fenced? *
What type of fence?
Your answer
What is the height of the fence?
Your answer
Do you have other pets? *
If so, provide the following for each pet: name, breed, gender, age, spayed/neutered, shots up-to-date?
Your answer
Are you familiar with heartworm disease and if so, how would you prevent it? *
Your answer
If you had other pets in the past, please let us know their current whereabouts and provide details.
(e.g. Still have, died of old age/disease, hit by a car, given away, disappeared/lost, turned into shelter, etc)
Your answer
List types of behavior problems you consider NOT to be acceptable. *
Your answer
How would you discipline the dog? *
Your answer
What will you do if the dog gets into and ruins something you value? *
Your answer
Have you ever obedience trained a dog before? *
Are you willing to take a dog for obedience classes? *
If no, please explain.
Your answer
Are you willing to house train a dog? *
Have you ever given up a pet? *
If yes, please explain.
Your answer
What circumstances, in your opinion, justify re-homing an animal? *
Your answer
What would you do if you could not keep the dog? Please be specific. *
Your answer
At what point would you consider humane euthanasia, should your dog become ill? *
Your answer
Have you or anyone in your home been convicted of a crime? *
If yes, who and what for?
Your answer
Have you ever had a complaint with Animal Control? *
If yes, please explain.
Your answer
Please call your vet and give permission for them to release information to K9 Orphans, Inc. Failure to do so can result in a delay in the processing of your application.
Please supply the name and phone number of your current veterinarian, or the one who saw your previous pet(s). If the records are under a different name than yours, please list that here. *
Your answer
List at least two additional references who are not related to you and are not affiliated with K9 Orphans, and their phone numbers. *
Your answer
How did you hear about K9 Orphans? *
Your answer
Is there anything else you would like us to know about you?
Your answer
Remember that pets are an investment of your time and money. Can you afford to provide medical care, grooming, proper diet, proper shelter, training, and exercise for your pet? *
Signature *
By typing your name you agree that all information provided on this form is correct to the best of your knowledge.
Your answer
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