Bodie Adoption Application
Sign in to Google to save your progress. Learn more
Email *
What's Your First Name? *
What's Your Last Name *
Phone number *
What's Your Age? (sorry, we have to ask) *
Your Home Address? *
City *
State *
Zip *
Is it a  *
Do you *
How long have you lived at this address? *
Does your rental agreement allow pets? Any HOA restrictions? *
If you rent, please provide the landlord/leasing contact info? *
Do you have a fenced yard *
If you have a pool, is it fenced *
Do you work from home? *
What's your occupation & name of employer? *
How did you hear about this pet? *
What's the #1 reason you want a pet? *
Required
If you live outside Southern California, would you be willing/able to travel to us to meet the dog in person? *
If there are travel and transportation costs to get the dog to you, would you be willing to cover the transportation cost of the dog? *
Are all adults in your house aware you are considering adopting a pet and did they approve *
Are there any children in your home? Ages? *
Is anyone in your home allergic to dogs? *
Who will be the primary caregiver for your dog? *
Is anyone home during the day? *
Where will your pet be kept when home alone? *
Where will your pet be when you are home? *
Where will your pet sleep at night? *
What arrangements do you plan to make for your pet when you travel?
 *
How often and what type of exercise will you give your pet?
 *
How much money are you willing to spend care including medical expenses?
 *

Are you ready to take on the responsibility for this pet for the next 10-15+ years?


 *

What will you do in the event you become unable to care for your pet due to job change, divorce, move, etc


 *
Is this your first dog?
 *
Tell us about your pets who currently live in your home: Name/Breed/Age/Gender/Spayed or Neutered
 *
Name of Veterinarian & Phone number
Please tell us about previous pets and what happened to them (gave away, died of old age, returned to shelter, etc) Name/Breed/Years owned/ what happened?
 *
Under what circumstances would you feel it necessary to give this pet up?
*
Required
What would you do if your new pet escaped from your home?
 *

Are you willing to commit to training classes with pet if required?


 *

Have you ever returned a pet to a shelter or rescue? If Yes please explain


 *

Do you agree to a home visit or virtual home visit?


 *

Are you willing to do an on-camera interview if you're selected for adoption consideration? Please note this does NOT guarantee you will be selected to adopt.

 *

Are you willing to send us photos/videos/regular updates on the dog and allow us to share these updates with our audience?

 *
Who lives in your hope and will be around the dog (family, roommates, tenants) *

Are you willing to allow Rocky's team to visit the animal and/or schedule them for future filming that may be at your home or off site from your home?

 *

Personal references: Name, address, phone, relationship


 *
Are you financially prepared to provide ongoing support support for a dog with special needs? *
Do you understand that for any rescue dog an adjustment period is to be expected during which the dog may not want to interact or have difficulties in a new environment? *
How would you help a dog adjust to you and their new home? *
Submit
Clear form
Never submit passwords through Google Forms.
GoogleForms
reCAPTCHA
PrivacyTerms
This form was created inside of Rocky Kanaka.