Request edit access
  
This is a "Get to Know You" Form for a dog that dog trainer Jamie is helping to rehome. The purpose of this application is to consolidate all of your information to see if you and the doggie in question is an appropriate match. 
LeadtheLeash.com
Name *
Birthdate  *
MM
/
DD
/
YYYY
Email *
Address *
Phone number *
What is the name of the dog you are interested in adopting?  *
Please provide NAMES and AGES of other individuals who will live with and/or who will be regularly interacting with the dog.*
example:  John Doe  |  25
 *
Do you currently have any animals living in your home?
 *
Are they spayed/neutered?
Clear selection
Please list the names, species(including breed) and ages of animals currently in your home. Also list animals that have resided in your home within the last five years.  If the animal no longer resides with you, please state the reason:
 *
Which best describes your current household setting (please select all that apply):
 *
Required
Type of housing(please select all that apply):
 *
Required
Daily work schedule of Applicant/Main caretaker.
 *
How much time do you have to exercise your dog?
 *
My dog will primarily be a(please select all that apply):
 *
Required
What traits are you looking for in a pet?(please select all that apply):
 *
What best describes your home?(please select all that apply):
 *
Required
What best describes your lifestyle?
 *
Required
Please describe the environment around your home.
Are there a lot of people and their dogs passing by? More of a quiet environment?
 *
My dog needs to get along with:
 *
Required
Is there anything you would like us to know about yourself and your home life?
 *
Which of the following do you consider yourself to be? (Select all that apply) *
Required
Have you ever had the unfortunate experience of having to euthanize a pet?
 *
If yes, please explain:
Have you ever surrendered an animal to an animal shelter, breeder or Animal Control, or to a relative or family friend?
 *
If yes, please explain the circumstances and the outcome:
Are you open to working with a trainer and/or bringing your dog to obedience classes if needed?
 *
What method of training do you plan on using? Please explain how you trained your previous dog(s) (if applicable) and what you felt worked and what didn’t.
 *
Under what circumstances would you not keep your dog? Please be specific.
 *
Please provide 2 references not in your immediate household who can speak to your role as a potential dog parent & family.
Name, phone number, relationship 
 *
Is there anything else you'd like for us to know?
Submit
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. - Terms of Service - Privacy Policy

Does this form look suspicious? Report

Google Forms