Name
*
First Name
Last Name
Email
*
Phone
*
(###)
###
####
Address
Address 1
Address 2
City
State/Province
Zip/Postal Code
Country
Please tell us why you are interested in adopting a dog and what your ideal dog would be like?
*
Name of the dog you're interested in
*
What is your primary reason for wanting a dog?
*
Please list names and ages of everyone in your household:
*
If you have children, please describe their previous experience with dogs. If you are expecting, please also note that here.
*
Occupation and place of work:
*
I work:
*
Please select the option that best describes your home:
*
I
*
If you rent, do you have permission to adopt a dog from your landlord?
*
Please provide landlord's telephone number.
*
Are there any breed restrictions where you live?
*
Please select the option that best describes your outdoor space:
*
What type of fencing do you have? How high at its highest point and how low at its lowest point?
*
Will your dog be:
*
If indoor/outdoor, please estimate the percentage of time the dog will be indoors and outdoors.
*
What is your preferred level of activity with the dog?
*
When you are not home, where will your dog be? (Please be specific)
*
How many hours will the dog be left alone?
*
Do you have any pets now? If yes, please list type of animal, breed and age
*
Are your pets spayed or neutered? (If no, please explain.)
*
Have you ever had a dog before? If yes, for how long?
*
Please describe your previous level of dog experience:
*
If your dog gets out, which of the following will you do? (check all that apply)
*
What would happen to your pets if you moved?
*
What will you do if you can no longer keep your pet?
*
Please describe your plan if something should happen to you and you could no longer care for your pets.
*
When your pet is sick or injured, will you be able to pay for medical treatments?
*
Do you already have a family veterinarian? If yes, please provide name and contact information. If no, would you like a recommendation?
*
What methods do you plan to use for training?
*
Will you require your dog to wear a collar and ID tag at all times?
*
Under what circumstances would you give your dog up?
*
Is there anything else you would like to tell us? (ie. why you are interested in this particular pup, why would you be an ideal home for him/her)
*