Blue Island Stray Dog Project Adoption Application

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Thank you for your interest in adopting a rescue dog! Please complete this application to help us ensure a great match between you and your future pet. We ask for details about your home, lifestyle, and experience with pets to ensure the best possible placement.

Once submitted, our team will review your application and contact you for the next steps. If you have any questions, please reach out to blueislandstrays@gmail.com.

We appreciate your support in giving a stray dog a loving home! 🐶❤️

Application Information

Name (including maiden name if married)

Dog Interested In:

Address:

Phone:

Email:

Date of Birth:

Home Visit Availability:

General Information

Who will be responsible for the dog?

Will the dog be kept inside or outside?

How long will the dog be alone?

Will the dog be let out if left for over 8 hours?

Will the dog be crated when you are gone?

Yes

Clear selection

Do you have a backyard?

Yes

Other:

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Do you have a fence? (If so, height and type)

How will the dog be exercised?

Will the dog be socialized?

Will the dog attend training?

Yes

Other:

Clear selection

Will you require help with training?

Yes

Other:

Clear selection

Current Pets in the Household

Are there existing pets in your home? (If so, list type, age, sex, and personality)

Is their veterinary care current?

Yes

Other:

Clear selection

Are they spayed/neutered?

Yes

Other:

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Veterinarian Name & Contact Info:

Pet Ownership History

Have you ever surrendered a pet? (If so, when, where, and why?)

Have you ever euthanized an animal? (If so, provide age, date, and cause of death)

List any animals you have had over the last 10 years and their current status.

Background Information

Have you or anyone in your home ever been convicted of a felony?

Yes

Other:

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Have you or anyone in your home ever been cited for animal cruelty or neglect?

Yes

Other:

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Do you own or rent your home? (If renting, provide landlord's name and contact information)

Do you have a Homeowners Association (HOA)? (If so, what is their pet policy?)

How long have you lived in your current home? (If less than a year, provide previous address)

Who else resides in your household? (List names and ages)

Does anyone in your home have allergies or asthma? (Please provide details)

Additional Information

Please provide any other relevant details that could assist in processing your application.

References

Please list four references, including their name, phone number, relationship to you, and years of acquaintance.

Reference 1

Reference 2

Reference 3

Reference 4

Thank you for your interest in adopting from the Blue Island Stray Dog Project!

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