Animal Rescue League of Northwest Georgia - Dog Adoption Application
This questionnaire must be completed by anyone interesting in adopting a dog from Animal Rescue League of Northwest Georgia. We at ARL are committed to placing dogs in permanent, responsible homes and, at the same time, matching you with a dog which is suitable for you and your lifestyle. Please answer the following questions completely and with as much information as possible to help us make the best match for you.  

Once the application is submitted, we will get back with you as quickly as possible.  Please be patient; ARL is run as a volunteer organization and our paid work schedules may prevent us from responding as quickly as we would like.

PLEASE NOTE: Providing false information will result in the forfeiture of both the adoption fee and the adopted animal.
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Name of dog you're interested in *
Email address *
an email address where you can be contacted for further info if necessary
First & Last Name *
Occupation *
Co-applicant first and last name
if applicable
Co-applicant occupation
if applicable
Address *
Home phone *
Cell Phone
Work phone
Residence Information
Information about your current living arrangements.
How long have you lived at the above address? *
Type of residence (apartment, house, condo/town home, trailer/mobile home, loft) *
Do you own or rent: *
If you rent, does your landlord allow pets? *
Is there a pet deposit?  If yes, how much? Have you paid it? *
What is your landlord’s (apartment complex’s) name and number? *
How many times have you moved in the past six years? *
If you move, will your pet go with you? *
Would you ever consider moving somewhere that does not allow pets? *
Do you have a dog door? *
Is there a yard available? *
Is the yard fully fenced with no fence gaps? If yes, what is the height? *
If yes, what is the height of the fence?
May representatives from ARL visit your home and inspect where the dog will be kept? *
Household Information
Information about your home and the people in it.
Are you over age 21? *
How many people live in your household? *
Include their relation to you (Spouse, roommate, parents, children, etc.)
How many adults and how many children (please list ages/genders)? *
Do all members know that you plan to adopt? *
If no, please explain.
Does anyone in the household have allergies to animals? *
Does anyone in the household have any serious health issues? *
If yes, please explain.
Do you foresee any major changes in the next 15 years (average lifespan of a pet), such as marriage, baby, college, health? *
If yes, please explain.
Current and Past Pet Information
Information about pet history.
Do you currently own a pet(s)?  Please list the pets currently in your home below *
Please include names, type of animal, breed, age, and sex.
How many pets have you owned in the past five years? Please list type of animal and w here are these pets now? *
 Please be specific, i.e. alive, dead, put to sleep, sold, ran away, given away, etc
Do any of your current/past pets live primarily outdoors? *
If yes, please explain.
Where do your current pets stay when home alone during the day? *
Where do your current pets sleep at night? *
Are your current pets spayed and neutered? *
If no, please explain.
Current on shots? *
If no, please explain.
Have heartworm protection (if dogs)? *
If no, please explain.
Wear ID tags? *
If no, please explain.
What is the name and number of your Veterinarian or Veterinary Clinic? *
Can we contact them for verification? *
Has a dog died on your premises of distemper, Parvo, or unknown causes in the past 3 months? *
Have you ever had a serious behavioral problem with a pet? *
If yes, please explain.
Have you ever adopted a pet from ARL or another animal shelter / humane society? *
If so, please explain, including how the pet is doing now?
Adopted Dog Information
Information about animal care.
What type of dog are you looking for? *
How long have you been considering adopting a dog? *
What are your reasons for adopting a dog? *
Where will your new dog stay? *
Will the dog have access to the entire house? *
If no, where will the dog be allowed?
If your yard is not fenced, would you consider fencing all or part of the yard as a condition of adopting the dog? *
If no fence, how do you intend to keep the dog on the property? *
Who will be responsible for the daily care of this dog? *
What is the longest period of time the dog would be home alone on the average day? *
What do you plan to do with your dog when you go on vacation? *
How do you plan to prevent fleas and ticks? *
What do you expect to pay for annual pet care? *
If your pet develops a serious medical condition that becomes expensive, what would you do? *
If the dog develops a frequent urination problem after the age of 12 and cannot hold it when left alone, what would you do? *
If adopting a dog or puppy that is not house-trained, what procedures will you use for training? *
How will you handle any potential scratching, chewing, or destructive behavior? *
What plans do you have for obedience training? *
Under what circumstances do you think it is OK to leave the dog loose outside and unsupervised in an unattended area? *
If you add new members to your household (spouse, roommate, etc), what would you do with the dog? *
What circumstances in your mind would justify giving up the dog? *
Required
Commitment
Information about your expected commitment to the care of the animal.
Can you provide a safe and loving home for this dog for 10-15 years? *
Are you willing to take the dog to a veterinarian for full preventative care at least once a year? *
Will you return the dog to ARL if for any reason you are unable to keep it? *
If you live out of state, how do you plan on transporting the dog or do you plan on picking it up in person? *
Personal Reference - Please list Name, Address, Phone Number and relationship to applicant *
Agreement Notice
By signing below, I am attesting to the truthfulness of my answers.  Falsification of any of the above information will be grounds for disallowing the adoption of rescue animals, possible removal of rescue animals from my home, and forfeiture of the adoption fee.  ARL reserves the right to refuse any applicant.
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