Adoption Application

The application has 6 sections. It is long, but we want to make sure the animals in our care continue to be well cared for. Thank you for for your interest in providing a home for a stray animal.
If you would prefer to print this adoption application, you can download the application here.

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Thank you for your response. ✨

About You… (1 of 6)

Name

Driver’s license number

Street Address

City/State/Zip

Home Phone

Cell Phone

Work Phone

Employer

How long at current job?

Please provide two references that are not members of your immediate family:

Personal Reference #1

Relationship

Phone #

Years known

Personal Reference #2

Relationship

Phone #

Years known

About Your Home… (2 of 6)

Do you live in a(n)?:(required)

House

Apartment/Comdo

Townhouse

Other

Your home is:

Owned, by you or your spouse/life partner

Owned, by someone else within the home

Rented directly from the owner or through a management company

Rented as a part of a group of roommates

Other

IF RENTING, please answer the next 3 questions.

Is your name on the lease?

Yes

Do you have your landlord’s permission to have a dog?

Yes

Landlord’s name and phone #:

Who shares your household?

Spouse/Life Partner Boyfriend/girlfriend Roommate(s) Other

Are there any children in your home?

Yes

IF YES, how many ? How old?

At what age do you feel children are responsible enough to take care of a pet without assistance? (i.e. walk, feed, train)

If your present relationship/living situation were to change and you were no longer able to care for the dog, a new application must be submitted and approved in order to transfer ownership.
INITIAL:

Do you plan to move soon?

Does anyone in your household have an allergy to dogs that you are aware of?

Yes

Is someone home during the day? If yes, who?

How many hours will your dog be alone every day?

Other info and/or additional information

Where will your dog stay when he/she is home alone?

Other info and/or additional information

When will the dog be inside?

When will the dog be outside?

Other info and/or additional information

What room(s) are off limits?

About Your Yard… (3 of 6)

I don’t have a yard at this time (skip to section 4)

Is your yard shared with neighbors?

Yes

Is your yard fenced?

Yes

If yes, please provide the 1.) type of fence, 2.) fence height, 3.) highest & lowest point

Have you recently inspected your fences?

Yes

Is your fence in good condition with no holes or loose points?

Yes

If your dog will have free access to a fenced yard, where is it located?

front yard back yard side yard