Dog Adoption Application
Thank you for considering adopting a rescue dog and taking the time to complete this application. Please know that we will respond to your application within 48 hours.
What is the name of the animal you are interested in adopting? *
Your answer
Name *
Your answer
Address *
Your answer
City *
Your answer
State *
Your answer
Zip *
Your answer
Home Phone
Your answer
Cell Phone *
Your answer
Email Address *
Your answer
Are you 18 years of age or older? *
Please tell us why this particular dog interests you. *
Your answer
How many hours of the day will the dog be left alone? (We recognize that most people work outside the home and ask this question to ensure that this dog is a great "match" for your lifestyle.) *
Your answer
Do you rent or own? *
If you rent or are a part of a housing association, please describe the facility (townhouse, apartment, duplex).
Your answer
If you rent, does your landlord allow pets? Is there a limit on the number of pets permitted or a breed restriction?
Your answer
How do you plan to keep the dog on your property? (Please note, we do not require that your yard be fenced.)
Your answer
If you adopt a puppy or a dog that is not housetrained, how do you plan to train your dog?
Your answer
How many adults and how many children are in your home? Please note the ages of any children. *
Your answer
How many cats, dogs and other pets are in your home? *
Your answer
If you currently have pets, are they spayed/ neutered? If not, please explain.
Your answer
If you have dogs, list the breed or mix of breeds, size of dog, gender, age. If you have dogs and cats, how do the dogs behave around cats?
Your answer
What activities do you plan to do with your dog, including exercise?
Your answer
Is there any other information you would like to share about why you're interested in adopting this dog?
Your answer
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This form was created inside of Pet Haven.