Adoption Application
Thank you for expressing an interest in adopting an animal from CAPE. We ask that you fill out the following application carefully and completely. The application form is designed to help us make the best placement possible - the right home for each animal and the right animal for you and your family. IN ORDER TO BE CONSIDERED FOR AN ADOPTION, YOU MUST:
* Be at least 18 years of age.
* Be willing and able to provide loving attention, training, and medical care for an animal.
* Understand that CAPE reserves the right to deny any adoption application for any reason whatsoever.
* Understand that all dogs and cats are spayed or neutered before adoption.
Which dog are you interested in adopting?
If you are familiar with current CAPE dogs up for adoption, please type the name of the dog below.
Your answer
Full Name *
Your answer
Address *
Your answer
City, State, Zip *
Your answer
E-mail address *
Your answer
Home Phone *
Your answer
Cell Phone *
Your answer
Work Phone
Your answer
Do you live in a: *
Do you own or rent? *
Your answer
Landlord's Name *
Your answer
Landlord's Phone Number *
Your answer
Are you planning to move within the next 6 months? *
Your answer
Breed(s) or size desired:
Your answer
Are you looking for a pure or mixed breed dog?
Your answer
What age range do your prefer?
Your answer
Do you prefer a male or female?
Your answer
Please describe the qualities you are looking for in a canine companion:
Your answer
Do you have access to a yard?
Your answer
Is the yard:
Type of fencing material:
Your answer
Height of fence:
Your answer
Will your dog ride in the back of a pickup truck?
Your answer
What kind of identification will you place on your dog?
Your answer
Are you able to commit to keeping your dog for his/her lifetime (up to 15 years or more)
Your answer
Please describe the animals who are currently living in your home:
Type/breed, age, sex, altered, indoor/outdoor
Your answer
Please list the type/breed of animals you have had in the past 5 years and what eventually happened to them:
breed, sex, altered, how long you had the animals
Your answer
How many adults are in your household?
Your answer
How many children and what ages are they?
Your answer
Do all members of your household favor this type of animal?
Your answer
How much do you anticipate spending yearly to feed, vaccinate, license and provide medical care for your animal?
Your answer
Who in your household will be primarily responsible for the feeding, training, and general care of the animal?
Your answer
Does anyone in your household have allergies to animals?
Your answer
Where will the animal be kept during the day?
Your answer
How many hours per day will the animal be left alone?
Your answer
How long do you expect it to take for your new animal to become adjusted to your household?
Your answer
If your animal exhibits behavioral problems what will you do to correct them?
Your answer
Do you want this animal for:
If you found you could not keep this animal what would you do?
Your answer
If this animal became lost what would you do?
Your answer
How did you hear about the CAPE adoption program?
Your answer
Would you consent to having your home checked by CAPE to ensure it is a safe place for the type of dog you are considering adoption?
I certify that all information in this application is true and I understand that false information may void the application.
Submit
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google.