Adoption & Foster to Forever Home Application
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First Name *
Last Name *
Address *
City *
State *
Zip Code *
Phone Number *
Email Address *
The best way and best time to reach me is: *
I'm interested in adopting: *
Required
What breed are you hoping to adopt? *
Required
What is the sex of the dog you are hoping to adopt? *
Is there a specific dog you are interested in?  If so, please tell us why.
Do you have any dog(s) in your home? *
Do you have any cat(s) in your home? *

My previous veterinarian's name, address and phone number. 

 *
I acknowledge that GRRoIowa will contact my vet to ensure all current or recently passed pets in the home (including cats) are up to date on core vaccinations, are altered and any dog or dogs in the home are receiving yearly exams, yearly heartworm tests and monthly heartworm preventatives. *
⛔ If your pets do not meet our vetting requirements, stop here and reapply once they do.  Unless there is a medical reason, this is a FIRM requirement to adopt from GRRoIowa. Titer testing is acceptable.
All the pets in my home are spayed/neutered?  If they are not, please provide the reason why. *
When did your dog(s) receive their last rabies vaccination?  If they are not receiving a rabies vaccination, please state why. *
When did your dog(s) receive their last distemper vaccination?  If they are not receiving a Distemper vaccination, please state why.
 *
When did your dog(s) receive their last heartworm test?  If they are not receiving a heartworm tests, please state why.
 *
Is your dog(s) receiving monthly heartworm preventatives at least seasonally (April-October)?  *
When I am not home, my dogs are kept in: *
I have the following on my property: *
Required
Why would you like to adopt a dog in our care? *
Why will you make a good adopter?
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Have you ever had to deal with health issues in your dogs? If yes, please explain.
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Have you ever had to deal with behavior issues in your dogs?  If yes, please explain.
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Training methods I have used: *

What do you know about rescued dogs and how their needs might be different than other dogs?  If you have experience with rescue dogs, please tell us more!

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How long will your adopted dog be left alone? *
Are there any behaviors in a dog that would be deal breakers to adopt?
 *
Is your home a house, apartment, condo, or a townhome? *
Do you own or rent?  If you rent, you will need to provide us permission from your landlord. *
If you have stairs, please tell us about how many and in what areas of your home? *
Do you have a physical fence? *
If so, please tell us the type and height. *
Do you boundary train your dog? *

If you do not have a physical fence, how will you keep the dog safe while in your yard?

 *

If you have a cabin or lake home please tell us the type of home it is, are there shared walls, what type of fence (if any) and how will you keep the dog safe while you are there?

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What is your age? *

Please list the names, relationship, and ages of everyone living in the home.

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Do you have children under the age of 8-years-old living in your home? *
If you have children, how do they interact with dogs? *
What role will the kids play in caring for the dog? *

Provide names, ages, breeds of all animals in your home.

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Do you have any other dogs that frequently visit your home? *
Do any of your resident pets have any behavioral or medical needs that we need to consider before placing a dog with your family?
 *

How do your current pets react when a new dog comes into the home?

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Have you ever surrendered or given a dog to a family member, friend, shelter, rescue or other? Please explain.

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Have you ever had a dog involved in an accident? Please explain.

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What does a typical day in your home look like?

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How would you describe your lifestyle?

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Where will you keep the dog when you are home?

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Where will you keep the dog when you are gone from the home?

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Where will the dog sleep?

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How will you exercise the dog?

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Are there special activities you would like to do with the dog you adopt?

 *

Do you frequent dog parks?

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Is everyone in your household ready to adopt? *
If you have any planned trips or vacations, please include those dates here. *
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