Adoption Application
• Must be 21 years or older with identification showing present address.
• Must have the knowledge and consent of all adults living in the household.
• Renters must show proof of pet deposit and lease allowing pets if renting.
• Must be able and willing to spend the time and money necessary to provide training, medical treatment and responsible care for a pet.
Applicant Name: *
Your answer
Full Address: *
Your answer
Name of Dog you are interested in adopting *
Your answer
Best contact Phone: *
Your answer
Alt Phone:
Your answer
Email: *
Your answer
DOB: *
Your answer
Number of children in household? *
Ages:
Your answer
Number of adults in household? *
Number of dogs living in your home: *
Number of cats living in your home: *
M/F and number of each?
Your answer
Approximate weight of each?
Your answer
Breeds:
Your answer
Are any of your pets unsterilized? *
If so, explain:
Your answer
Are all dogs current on their shots? *
Are all dogs on heartworm preventative? *
Are all dogs on flea/tick prevention medication? *
Have any of your current pets had medical problems in last 12 months?
Description of medical problem(s):
Your answer
Any behavioral problems with your current pets?
How are the problems being addressed?
Your answer
Would you seek help from a trainer if the pet you want to adopt develops a behavioral problem?
Your answer
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