Linus & Friends Dog Adoption Form

JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.

Name of the dog/puppy you are interested in *

In the event this pet is no longer available, is there another pet you'd be interested in meeting instead? If so, which pet?

Adopter's Full Name *

Today's Date *

YYYY

Street Address *

City *

State *

Zip Code *

Phone Number *

Email *

Household Information: *

rent

own

Which best describes your current living situation? (check all that apply) *

single family house

apartment

multi-family house

townhouse/condo

Required

What setting best describes where you live? *

urban

suburban

rural

Are you allowed to have pets on your property? *

yes

not sure

If you rent, list the landlord's name and phone number. We may contact your landlord to verify any limitations on pet ownership. This is to help you find the pet that will fit into your rental circumstances. We also ask that you email a copy of your lease agreement/pet addendum with this application to help expedite processing. *

If you own your home, are you able to provide us proof of ownership (ex: mortgage statement, copy of driver's license showing current address, etc) *

yes

not applicable

Does your home have any pet / breed / weight restrictions? If yes, please explain *

Do you have a fenced-in yard? *

yes - I have a yard and it is fenced.

no - I have a yard and it is not fenced.

no - I do not have a yard.

Will your pet live indoors or outdoors? *

fully indoor

mostly indoor

both indoor and outdoor

fully outdoor

How long have you lived at your current address? *

Do you plan on moving in the foreseeable future? If so, where will you move and why? *

Are you willing to have a representative from Linus & Friends do a home check to see where the pet will be living? *

yes

Please list all adults and children who reside in your home including names and ages. Please include yourself as well. *

If you and your significant other were to separate, whom will the pet go with and why? *

Do any members of your household have asthma or allergies to dogs? *

yes

not sure

Other:

Are all members of your household in agreement about adopting a dog? *

yes

not sure

Why are you choosing to adopt vs buying from a pet store or breeder? *

Please select the option that best describes your home: *

loud, a lot of traffic

quiet, little to no traffic

moderate activity level and traffic

Does anyone residing in the home smoke inside? *

yes

sometimes

Employment Information: Are you currently (check all that apply): *

employed full time

employed part time

work from home

student

retired

unemployed

disability

Required

If employed, name of Employer and Job Title: *

If employed, length of time with employer: *

If student, where? *

Spouse/Partner's Full Name:

Spouse/Partner's Occupation: *

Spouse/Partner's Employer *

Who will be financially responsible for the pet? *

Under what circumstances would you need to re-home the pet? *

What would you do if you can no longer keep or care for the pet due to unforeseen circumstances? *

What experience do you have with unwanted behaviors in dogs? (resource guarding / protective behaviors, house training, etc) *

How will you ensure that your new dog gets the care/behavioral training they need to thrive? *

What behaviors are a deal-breaker?

What would you do if you suddenly had a change in schedule (no longer working remotely, new job that requires travel, new baby, etc)?

Please list current pets you have. Include names, type, age, years of ownership, and whether they are indoor or outdoor pets: *

Are your current pets spayed or neutered? *

yes

some

no other pets

Other:

If not, why?

Have any of the pets you own or have owned been cosmetically altered? (Declawed, debarked, etc) Please explain: *

Have you ever relinquished an animal to a shelter, rescue, or another individual? If yes, please explain: *

Please tell us about the animals you have owned in the past who are no longer with you. Include names, types, ages, whether or not they are deceased, and cause of death if they are deceased. *

Please list veterinarian information for pets you have and/or have had in the past, including name, address, and phone number. If you never had a vet, please list the name of the vet you plan on working with. *

Please list four references. PLEASE NOTE THIS IS NOT OPTIONAL. WE WILL NOT PROCESS YOUR APP WITHOUT REFERENCES.

References can (and preferably) include past veterinarians or groomers, previous or present employers, etc. Please list full name, relationship, place of employment, and phone number. Reference #1

Reference #2 Name, Relationship, Place of Employment, Phone Number. *

Reference #3 Name, Relationship, Place of Employment, Phone Number. *

Reference #4 Name, Relationship, Place of Employment, Phone Number. *

How did you hear about Linus & Friends? *

Facebook

Instagram

Twitter

Google Search

Petfinder

Referral

Other:

Required

While it is our goal to facilitate a quality, life-long adoption, we understand that unforeseen circumstances may require you to re-home your pet. Should this occur, are you aware that Linus & Friends, Inc has a 100% no-questions-asked return policy? If at any time you cannot or do not wish to keep a pet you have adopted from us, we will accept the pet back immediately. *

I acknowledge the above statement.

I do not acknowledge the above statement.

Check that you acknowledge each term listed below: *

I am willing to make a 10 to 20 year commitment to my new pet.

I will take my pet for annual visits to my veterinarian for wellness exams and tests/vaccinations, and when needed for injury, illness, etc.

I understand that in the event that the dog adoption does not work out, I can and will return the pet to Linus & Friends.

I understand that if I qualify and adopt a pet from L&F, I will be contacted for further verification of the pet's welfare and will cooperate by providing requested information which may include a visit to my residence.

I understand that dogs require a visit to a veterinarian at least once a year, and I am comfortable with the possibility of additional medical expenses if my pet becomes ill.

I understand that L&F reserves the right to deny any request for any or no reason.

I understand that if I have not been truthful on this form, L&F reserves the right to reclaim the dog.

Required

Please email proof of name, address, and photo (such as a copy of your License/ID) to contact@linusrescue.org with your full name in the subject line. Applications will not be considered until this step is complete. *

I understand.

Is there anything else you want us to know?

I certify that all information provided above is true and correct to the best of my knowledge. I understand that any misrepresentation of fact may result in the refusal or removal of adoption. If my request to adopt is approved and the above information is not true or correct, Linus & Friends reserves the right to remove the pet from my home. *

I accept

I do not accept

Please type full name to accept and agree to the terms above: *

By clicking the submit button, I hereby give permission to Linus & Friends Rescue to contact my veterinarian to obtain information about past and present pets. I also confirm that I am 21 years of age or older and authorize Linus & Friends to verify all of the above information. I have read and agree with all of the terms. *

I agree

I do not agree

Submit

Clear form

Never submit passwords through Google Forms.

This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy

Forms