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Adopt Baja Adoption Application Form
Please complete all sections as best you can, let me know if you have any questions.
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Email
*
Your email
Name of the dog you are applying for
*
Your answer
How soon are you looking to adopt? Dogs listed can be adopted within days and we cannot hold dogs. If you are not prepared to take the dog within 36 hours please wait to apply until you are ready.
*
Your answer
Date:
MM
/
DD
/
YYYY
Your name
*
Your answer
I am 18 years of age:
Yes
No
Clear selection
Full address where pet will reside:
Your answer
Phone number:
Your answer
Occupation/Employer:
Your answer
Pets already in home (including ages):
Your answer
Are pets in house spayed/neutered:
Yes
No
Clear selection
Describe your experience with pets:
Your answer
How many hours a day will pet be left alone?
Your answer
Where will the dog/cat spend most of its time during the day? Check all that apply
Crate
Indoors
Outdoors
Garage
Dog Run
Designated Room
Other:
Clear selection
Will there be someone home with your pet during the night?
Yes
No
Clear selection
Where will the dog/cat sleep?
Your answer
Number of children in home and ages:
Your answer
Is anyone living in your household in the Military?
Your answer
Do you agree to a video inspection of your home?
Yes
No
Clear selection
Do you rent/own?
Rent
Own
If you rent, or live in Military Housing, do you have landlord permission to have dogs?
Yes
No
Clear selection
If renting or military housing, provide # for landlord or property management:
Your answer
Type of dwelling:
Single family home
Apartment
Condo / Town home
Military Housing
Mobile Home
Live with Parents
Other:
Clear selection
Do you currently have a vet?
Yes
No
Clear selection
Current vet information:
Your answer
If your dog develops unforeseen health problems, there is a potential for considerable expense. Are you able to sustain this additional expense?
Yes
No
Clear selection
Where will the pet stay while you travel?
Your answer
Under what circumstances would you not keep a dog? Be sure to check all that apply and be realistic in your answers:
*
Divorce/Marrage
New Baby
Moving / Relocating
Owner's illness
Behavioral problems
Lack of time
Getting another pet
Dog's illness
Financial reasons
Would keep the dog NO MATTER WHAT - I am prepared to commit to this animal for the rest of his/her life (10-15 yrs).
Other (please explain)
If for any reason you are unable to keep this dog, do you agree to return it to Adopt Baja?
Yes
No
Clear selection
Is there anything you would like us to know about you or your family in your quest to find your new pet?
Your answer
I have read all of this application and I understand the questions, the policies and the process. Adopt Baja reserves the right to refuse to adopt a dog to any person.
*
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