Adoption Form
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Email *
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Which dog are you inquiring about? *
How did you hear about this dog? *
Full Name (First and Last) *
Address (Street, City, Zip Code) *
Cell Phone *
FL Driver's License # or Valid I.D. # *
Occupation *
Employer *
Employer Address *
Employer Phone *
Are you adopting this pet for yourself or someone else? *
Type of Housing *
Do you own or rent? *
If renting, please provide landlord's name and number so we can verify the ability to adopt
Does your landlord allow pets? *
Do you have a fenced in yard? *
Do you have a pool? *
Do you plan on moving in the next 6 months? *
If you move in the next 6 months, what will you do with your pets?
Do you have young children? *
If you have young children, how much time do you have for a dog?
What do you do with your pet while you are at work? *
Where will the dog stay during the day? *
Do you have other pets currently? *
Please list all pets in the home (including small pets), ages, and temperament.
Are your pets spayed or neutered?
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How much is your limit for vet bills throughout the dog's life? *
Will you provide training for the dog if required? *
Please list contact info for current veterinarian, if applicable.
Have you ever turned an animal into a shelter or given your animal to someone else? *
Have you ever put your animal to sleep for any reason? *
If you answered yes to either of the above questions, please explain
Are all the members of your household in agreement about adopting a dog? *
Please list all the people in your home, including ages. *
Does anyone have any allergies/asthma? *
What member of the family will be taking the MAJOR responsibility of caring for this pet? *
How long will you give your new dog to adjust to its new home? *
What will you do if your dog doesn’t get along with your current animals?
If your family status changed (new baby, married, divorced, job loss, relocation) Who would keep the dog? *
If something happens to you (sickness, death, etc. ) and you cannot take care of your pet(s), Who will take care of them? *
When you go on vacation, where will your pet(s) go, and who will take care of them? *
Please supply the name, address, and phone number of two personal references *
Any other additional information you feel is important?
I certify that the information I have given above is true and correct, and I hereby authorize the above listed Veterinarian(s) to supply information in regard to my I also give my permission to contact the above listed landlord and references. *
Applicant Signature *
Application Date *
A copy of your responses will be emailed to the address you provided.
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