Dog Adoption Application for His Eye Is on the Sparrow Animal Rescue
Name of dog(s) you are interested in: *
Your answer
Name: *
Your answer
Email: *
Your answer
Phone Number: *
Your answer
Address: *
Your answer
City, State, Zip: *
Your answer
Spouse/Partner's name:
Your answer
Spouse/Partner's phone number:
Your answer
Is your spouse/domestic partner on board with this application? *
Do you have children living at home? If yes, list their names and ages. *
Your answer
Why do you want to adopt this pet? *
Your answer
Do you have previous experience with dogs? *
Do you have experience with this dog breed? *
Have you ever owned a dog? If yes, for how long? *
Your answer
Have you ever given up a pet? If yes, why? *
Your answer
Do you have any pets currently? If yes, please list the name, breed/type, age, sex, and whether spayed/neutered. *
Your answer
Your veterinarians name and number: *
Your answer
If you do not have a verterinarian yet, please provide two personal references with phone numbers:
Your answer
What type of area do you live in?
Do you own your home or rent? *
If renting, are pets allowed?
If renting, what is your landlord's name and number?
This may act as one personal reference.
Your answer
How long have you lived at this residence? *
Your answer
Do you have a fenced in yard? *
If yes, what are the approximate dimensions?
Your answer
Will your dog live inside or outside the home? Why? *
Your answer
Where will your dog be kept when no one is home? *
Your answer
On average, how many hours a day will your dog be alone? *
Your answer
Are you aware that, assuming your pet does not have any unusual medical conditions, yearly costs can be over $600 for feedings, check-ups, vaccinations, and flea control? *
Are you aware that you are making up to a 15+ year commitment? *
Please check any reasons that would cause you to relinquish your dog: *
Required
What would happen if a family member or friend were to develop allergies? *
Your answer
Are you willing to let us visit you at home during or after the adoption? *
Are you willing to notify His Eye Is on the Sparrow before any transfer of the pet? *
By submitting this application, I certify that: (1) The information I have given is accurate, (2) I understand that His Eye Is on the Sparrow had the right to deny an application, (3) I give permission for His Eye Is on the Sparrow to call the references and vet practices I have listed. *
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