Request edit access
Puppy Adoption Application
Please fill out this form completely; failure to answer one or more questions may result
in your application being rejected. Completion of this application does not guarantee adoption of a dog.
Sign in to Google to save your progress. Learn more
Date: *
MM
/
DD
/
YYYY
Name of Desired Dog: *
Your Name and Occupation: *
Spouse's / Partner's Name and Occupation: *
Names / Ages of Children, if any: *
Any other occupants in home: *
Your home address: *
Your phone number: *
Your email: *
Type of dwelling: *
Do you Rent or Own? *
If renting, do you have your landlord's permission to have a dog? *
Landlord's name and phone number: *
What are your primary reasons for wanting a dog? *
Required
If you have children, please describe their previous experience with dogs: *
If your children did not want a dog, would you be interested in adoption one for yourself? *
Does anyone in your household have allergies? If yes, please describe: *
Do you have a pet now? *
If you have pets, please describe: how many, type of a pet, age, sex. *
If you have a pet(s), are they spayed/neutered? *
Please list pets you have owned since you have been an adult and the length of the ownership; if they are no longer with you, please provide an explanation: *
Have you ever allowed an animal to breed? *
Is there anybody home during the day? If yes, who? *
When will the dog be inside? *
When will the dog be outside? *
About how many hours will the dog be left alone? *
Where will the dog stay when he/she is home alone?  (please be as specific as possible) *
Where will the dog sleep at night? *
Required
What rooms are off limits to the dog? *
What outside areas are available to the dog? *
Required
Do you have a doggie door? *
Type of fencing? (Chain link, wood, block wall, etc.) *
Height of Fence? On highest and lowest points: *
I have recently inspected my fences and its in good condition: *
The fence is intact on all sides and is at least 6 feet from the ground level in all areas: *
I promise to inspect my fences thoroughly before the home visit and make necessary repairs for the safety and well being of our new Pet: *
Is there a gate(s)? *
How many gates? *
How high is the gate? *
Is there any type of lock on the gate(s)? *
Type of lock (padlock, key, latch, etc.) *
If no locks, would you be willing to install them prior to placement should this application be accepted? *
Who has access to your yard? *
Required
Preferred level of exercise with dog: *
Required
When you go on vacation, who will care for the dog? (friend, kennel, dog sitter, etc.). *
What kind of food will you feed the dog? (Dry food, wet food, etc.) / Brand *
Do you have a regular vet? Name? Phone number? *
Who will groom and bathe your dog? *
Will your dog wear a collar? When? *
Will your dog wear a harness? When? *
Would you allow your dog to wear an I.D. Tag? *
How would you rate your level of dog owning experience? *
How would you train your dog? *
Required
How would you discipline your dog if he or she misbehaved? *
How do you normally walk your dog? *
Required
When on leash do you normally use: *
Are you willing to live with hair on the furniture, stains on your rugs, a warm body on your bed, and an animal that might be destructive at times? *
Pets are an investment of your time and money. Can you afford to provide medical care, grooming, proper diet, shelter, and exercise for your new pet? *
Are you able to make a long‐term commitment to care for your pet for its entire lifespan, which could be as much as 10 to 20 years? *
What would happen to your pets if you moved WITHIN the US: *
What would happen to your pets if you moved OUTSIDE of the US: *
Which of the following reasons might prompt you to give up your dog? (Check all that apply):
How did you find out about our adoption program? *
Why are you interested in adopting from a rescue? *
Please read and check if you agree with the following statements: *
Required
Submit
Clear form
Never submit passwords through Google Forms.
This form was created inside of Russian Dogs Rescue.

Does this form look suspicious? Report

Google Forms