Ark of San Juan Puppy/Dog Adoption Application
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What is the name of the Dog you are interested in? *
What is your First and Last Name? *
What is your street address? *
What is your City and your Zip Code? *
What is your Home Phone Number? *
What is your Cell Phone Number? *
What is you Email Address? *
How many people are in your Household? *
If there are children, what are their ages?
Do you live in a: *
Do you: *
If you rent, do you have your Landlord's permission to have a pet? *
Name and Phone Number of your Landlord:
If an Ark Representative requested a home visit prior to adoption, would that be ok? *
If you answered NO or CONDITIONAL above, please explain:
Do you have a fenced yard? *
If you have a fenced yard, how high is the fence and what material is it made from?
Will this Dog be an *
When the Dog is outdoors, is there sufficient shade in the yard for its comfort? *
What outdoor shelter will be provided for cold and/or wet weather? *
Do you currently have any other pets? *
If you answered YES above, please list all other pets you have with species, breed, sex and age: *
If you currently have a Dog(s) how does it access outside? *
Have you previously had a Dog or Dogs? *
If you answered YES above, then what is their history or situation?
Do you know how to introduce a new Dog to other pets (specifically cats and dogs) in your household? *
Is anyone in your household allergic to any animals? And if so, what type of animal are they allergic to? *
How many hours a day will the Dog typically be left alone? *
Where will the Dog be kept when it is alone? *
When you travel, who will be responsible for the Dog's care in your absence? *
Where will the Dog sleep at night? *
Do you plan to license this Dog? *
Will the Dog wear an identification collar? *
Are you prepared to provide necessary veterinary care for this Dog? *
Do you currently have a vet? *
If you have a vet, who is it?
What type of food do you intend to feed this Dog? *
How often will you exercise this Dog? and what type of exercise will you provide? *
Are you aware that dogs are required to be on a leash when in public? *
Do you intend to keep this Dog on a leash in public (with the exception of dog parks where unleashed is allowed)? *
What type of control will you provide? (Check all that apply) *
Required
When the Dog rides in the car or truck, how will it be restrained? *
If necessary, are you prepared to provide appropriate  obedience and behavioral training for this Dog? *
If you move, what would happen to the Dog? *
If you should die before this Dog, what provisions would be provided for its care? *
Why do you want a Dog? *
Why did you choose this particular Dog? *
Are you aware that if the Dog does not work out in you home, you may relinquish the Dog back to The Ark of San Juan, and that if the Dog is returned LATER THAN 2 WEEKS AFTER YOUR DATE OF ADOPTION, your adoption fees will not be returned and those fees will be considered a donation to The Ark of San Juan? *
By submitting this application, I state that I have read and competed this form and fully understand the responsibility of adoption this Dog. *
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