List Types of Pets Owned in the past three years (Type, Sex, Age, Altered?, What happened to it?.
Your answer
Vet Reference, Name and Address
Your answer
Why do you want to adopt a dog? *
Number of Adults in your family/household?
Your answer
Ages of Children under 18:
Your answer
Does any family member have allergies to any animals?
Clear selection
Who will be responsible for this animal?
Your answer
Do you understand that some dogs may not be housebroken and that changing the environment of the dog may cause the dog to have accidents and/or destroy household items?
Clear selection
Are you willing to housebreak and train the dog?
Clear selection
If a disciplinary or behavioral problem arises with the dog what steps will you take to work on it?
Your answer
How many hours will this dog be alone per day?
Your answer
Do you live in a:
Clear selection
Do you:
Clear selection
Do you?
If you rent, can you get written permission to have a dog?
Clear selection
Are you familiar with local animal ordinances?
Clear selection
Where will this pet be kept during the day?
Your answer
Do you plan to chain the dog outside at any time? If yes please explain.
Your answer
Do you have a fenced yard?
Clear selection
What type of fence? Height?
Your answer
When you go on vacation who will care for the dog?
Your answer
If you move do you plan to take this dog with you?
Clear selection
What will it cost to care for, vaccinate and license this dog each year?