Dog Adoption Application "*" indicates required fields Name of pet you’re interested in adopting?* How did you hear about us?* Previous Adopter Internet Search Facebook Friend/Family Newspaper/Magazine Ad Digital Billboard Other Are you at least 18 years of age?* Yes No Have consent of the entire household and landlord? Yes No Understand that we may suggest a different pet that fits your lifestyle? Yes No First Name* Last Name* Email* Enter Email Confirm Email Phone*Address* Street Address City State / Province / Region ZIP / Postal Code Your Home EnvironmentPlease tell us about any other pets in your home.*List relationship & age of home residents & frequest visitors*Do you have a fenced yard? (If yes, please indicate the type of fence and height.)*You and Your PetDo you prefer a dog that:* Will live indoors Will enjoy being outside while I’m with him/her Will live both indoors and outdoors as he/she pleases Will enjoy living outdoors only Will live outdoors but have access to indoors during extreme weather Does anyone in the household have allergies to animals?* Yes No If you already have a pet, is it fully vaccinated?* Yes No Do you need a Veterinarian?* Yes No Who is your Veterinarian?* What behaviors or circumstances will you NOT tolerate? House training issues Allergies Agression Health issues of pet Problems with other pets Destructiveness When you ARE home, where will the dog usually stay?*— Choose One —Loose in the houseFenced yardYard without fenceConfined to one roomCrate in the houseGarageOn a tie outsideWhen you are NOT home, where will the dog usually stay?*— Choose One —Fenced yardCrate in the houseConfined to one roomLoose in the houseYard without a fenceGarageOn a tie outsideCommentsThis field is for validation purposes and should be left unchanged.
