Adopt-A-Pet Adoption Application

               Pet guardianship is a serious commitment that the entire household needs to consider and agree to before the animal is adopted.  We want to ensure that each adoptive household is aware of, willing and able to accept the physical and financial responsibility of pet guardianship.  Not everyone who desires to adopt a pet is ready to properly care for one.

                       This application will assist both you and us in determining if your household is prepared to assume the role of responsible caretaker for a shelter animal.  Please note  that applying does not ensure approval and no animal will be adopted to prospective guardians who mislead or fail to provide accurate information on the adoption application.

 

Name:  Are you at least 18 years of age?

 E-Mail address: Today's Date:

Address:

Home phone: Cell: Work:

1.   How did you hear about Adopt-a-Pet?

2.   Why do you want to adopt a dog?

3.   Why did you choose this particular dog?

4.   What do you know about the breed(s) of dog you are choosing to adopt?

5.   Are you a: First time adopter:  OR had dog(s) growing up:  OR have always had a dog(s):

6.   How much are you budgeting for your dog? (food, training, vaccination) approximately per year?

7.   Will you have a budget for emergency medical care, if needed?

8.   Where will you go for annual boosters and other medical care?

9.   Who will be the primary caretaker of the dog?

 

10.  Do you live with: (check all that apply:)  Parent: Spouse: Alone: Roommates:

Children: Other:

11.  How many people live in your household?

12.  If there are children, what are their ages? Do children visit often?

13.  Have you discussed dog guardianship with all the people living with you?

14.  Are you, and those who live with you committed to spending 12 + years providing healthcare, food, grooming, training and attention to this dog?

15.  Are there lifestyle altering events that could occur in your foreseeable future?  (i.e..., baby, moving, caring for elderly, divorce/separation, job related (more or less hours)

16.  Hour long will the dog be alone daily? 0-5 hours 6-10 hours over 10 hours

17.  Where will the dog be kept while alone? While you are home? Where will the dog sleep?

18.  What will you do with your dog while you are on vacation or out of town?

19.  Do you have a fenced yard? Yes   No   if no, how do you plan to contain the dog? If yes, what type of fencing and how high?

20.  Do you own a pick-up truck? Yes No. if yes, and adopting a dog, where will the dog ride?

21.  Are you planning to take your dog to obedience training? Yes No  If no, why not?

22.  If this dog is not housebroken, how do you plan to train it?

23.  What problems would make you return an animal?  Barking Chewing   Housebreaking  Shyness/fear   Digging  Climbing on furniture/jumping up     Other please explain below:

24.  If behavior problems do occur at a later date, are you committed to working with the animal to correct the problem?

25.  Have you ever surrendered an animal to a shelter?

26.  If you currently have other pets, tell us about them:

27.  Do you rent? Yes No.  Do you own?  Yes No  House  Apartment  Mobile home Condo Other:

28.  If you rent, is the lease/contract in your name? Yes No If you rent or have a lease option we will need to contact your landlord. Please provide the Landlord's Name/ Management company information along with address and phone number in the area provided below.

 

The answers to the above questions are true to the best of my knowledge.             

                          Applicant's signature                                                                  Today's date

(THIS SUBMIT APPLICATION LINK IS UNDER CONSTRUCTION...  PLEASE DO NOT USE!)