Adoption Application
CAPE Dog Adoption Application Form
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
First Name *
Your answer
Last 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
Living Situation: *
Do you own or rent? *
Your answer
Do you live with relatives or parents? *
If renting, are there any size or breed restrictions? *
If yes, what are they? *
Your answer
Length of time at this present location: *
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
Will your dog come into frequent contact with children inside your home? *
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 (e.g. active, couch potato, gentle, protective, etc):
Your answer
Describe the activity level of your house (active, hectic, frequent movement of humans, lots of animals, slow, couch potato, etc):
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
If you don't have a fenced yard, describe how your dog will get exercise and relieve him/herself:
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
Are your existing dogs and/or cats vaccinated against rabies?
Type/breed, age, sex, altered, indoor/outdoor
If not, why?
Type/breed, age, sex, altered, indoor/outdoor
Your answer
Are your existing dogs and/or cats currently spayed or neutered?
Type/breed, age, sex, altered, indoor/outdoor
If not, why?
Type/breed, age, sex, altered, indoor/outdoor
Your answer
Do your existing companion animals receive regular veterinary care?
Type/breed, age, sex, altered, indoor/outdoor
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?
Where will the animal sleep at night?
How many hours per day will the animal be left alone without a human?
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
Do you currently have a veterinarian that you will bring your adopted dog to?
How did you hear about the CAPE adoption program?
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.
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