A3P Dog Adoption Application
Advocates for Abused and Abandoned Pets (A3P) -  DOG ADOPTION APPLICATION
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Email *
Applicant Information
Full Name *
Date of Birth *
Driver's License Number *
Full Address *
Years at this Address *
Select your current housing situation *
Employer & Job Title *
Email *
Phone number *
Does anyone in your household suffer from allergies (pet or otherwise)? *
Is everyone in your household aware of and agreed upon adopting a dog? *
Do you own or rent your home? *
If you rent, do you have your landlord’s written permission to keep a pet(s) in your residence? How many? Please give the name and phone number of the landlord / copy of the lease.
Do you have a dog or cat that lives outside? *
What is the activity level in your home? *
How many adults live in your household? *
How many children live in your household?  What are their ages? *
Current number of pet(s) in the household? *
What are you looking for in a cat?
Have you ever adopted animals from any shelter or humane group? If yes, what did you adopt and from whom? *
Gender *
Age *
Coat Length *
Housing *
If your dog will spend some time outside, do you have adequate shelter in case of inclement weather? *
Adoption Interest
What are you interested in Adopting? Check all that apply. *
Feeding, Medicating and Housing
For how many hours per day will your dog be left alone? *
What will you do with the pet when you’re at work? *
Who will care for your dog while you are traveling? *
Who will be responsible for feeding the dog while you're at work/traveling? *
Where will your cat live? *
Do you plan to kennel the dog? *
If yes, how many hours per day will the dog be kenneled? *
What will you do if the dog doesn't get along with your current pet(s)? *
Are you willing to enroll your dog in training? *
Are you able to incur the expense of a cat to include annual shots, emergency care and food? *
What behaviors would cause you to give up the dog? *
What changes in your home would cause you to give up the cat? *
Prior / Current Animal History
Please list the animals that have shared your home in the last five years including the following information: Name, Breed, Sex/Age, In/Outdoor, Declawed, Still Own/If not, why? *
Veterinary contact for animals listed above:  Name/Phone: *
Do we have your permission to contact your vet for a reference?   *
Have you ever surrendered an animal to a shelter or rescue group? *
If so, why?
Please provide the name, relationship, email and phone number for at least 2 references, not including relatives.
Reference #1 *
Reference #2 *
Reference #3
Have you ever been cited or convicted of a crime relating to animal cruelty, or do you have a charge pending?   If yes, you will not be able to adopt for this organization. *
Advocates for Abused and Abandoned Pets is a non-profit organization serving multiple counties with in-home adoptable pets.  When you adopt, you must keep your pet safe, healthy and socialized.  A3P is not responsible for medical, health, training, or other expenses after adoption.  All adoptable pets are spayed/neutered, micro-chipped, and up-to-date on required vaccines. Adopting implies you will keep your pet for its lifetime. If you are unable to do so, you must contact A3P for surrender instructions. There are no refunds for returned pets. Please sign and date below. *
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