Adoption Application

JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.

v2.

ADOPTION APPLICATION

Our goal is to place pets in permanent, loving homes. Please complete this application so we can assist you in finding a special, compatible companion to join your family. With this information, we can minimize the risk of a failed adoption.
PLEASE NOTE: All animals are the legal property of Recycled Poms & Schipperkes until the requisite Adoption Contract is signed, all requirements of the Contract are met, and the adoption fee is received. The dogs are placed in permanent homes at our discretion. Recycled Poms & Schipperkes may refuse to adopt to anyone without providing a specific reason.

Our adoption fees help to defray the costs of spaying/neutering, testing and vaccinating our pets, treatment of parasites, any necessary surgeries, and heartworm treatments. These fees do not cover all the expenses. Our animals are tested for parasites, heartworm tested and placed on heartworm preventative and altered prior to adoption.

Name of dog in which you are interested: *

First & Last name *

Spouse's name or significant other *

Your Date of Birth: *

Example: MM/DD/YYYY

Street Address: *

City: *

State and Zip Code *

Email: *

Cell Number: *

Alternate Phone Numer:

Employment status: *

Part-time

Full-time

Retired

Unemployed

Work from home

Your current living arrangements: *

(check all that apply)

own a home

renting a home

renting an apartment

live with family

live with friends

I have room mates

Other:

Required

If renting, does your lease allow pets? *

Yes

Not sure

N/A

If renting, we will need confirmation of payment of Pet Deposit. Please provide the name of your rental manager's name and phone number

*Proof of pet deposit is required before the dog can be taken.

Clear form

Never submit passwords through Google Forms.

Forms

This form was created inside of Recycled Pomeranians.