Puppy Adoption Form
Email address *
Which puppy are you inquiring about? *
Your answer
Full Name (First and Last) *
Your answer
Address (Street, City, Zip) *
Your answer
Type of Housing *
Do you own or rent? *
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? *
Your answer
Do you have young children? *
If you have young children, how much time do you have for a puppy? *
Your answer
Home Phone *
Your answer
Cell Phone
Your answer
Occupation *
Your answer
Employer *
Your answer
Employer Address *
Your answer
Employer Phone *
Your answer
What do you do with your pet while you are at work? *
Your answer
What type of environment will your pet spend most of the day? *
Your answer
Do you have other pets currently? *
Please list all pets in the home (including small pets), ages, and temperament.
Your answer
Are your pets spayed or neutered?
Will your new puppy be spayed or neutered when he or she is old enough? *
How much is your limit for vet bills throughout the puppy's life? *
Your answer
Will you provide training for the puppy if required? *
Please list contact info for current veterinarian, if applicable.
Your answer
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
Your answer
Are you adopting this pet for yourself or someone else? *
FL Driver's License # or Valid I.D. # *
Your answer
Are you a full time or seasonal Florida resident?
Please list all the people in your home, including ages. *
Your answer
Does anyone have any allergies/asthma? *
Your answer
What Member of the Family Will Be Taking the MAJOR Responsibility of Caring for This Pet? *
Your answer
How Long Will You Give Your New Dog to Adjust to it's New Home? *
Your answer
If Your Family Status Changed (new baby, married, divorced, job loss, relocation) Who Would Keep the Dog? *
Your answer
If something Happens to You (sickness, death, etc. ) and You Cannot Take Care of Your Pet(s), Who Will Take Care of Them? *
Your answer
When You Go on Vacation, Where Will Your Pet(s) Go, and Who Will Take Care of Them? *
Your answer
Please Supply the Name, Address, and Phone Number of Two Personal References (non-relatives) *
Your answer
Any other additional information you feel is important?
Your answer
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. *
Required
Applicant Signature *
Your answer
Application Date *
Your answer
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