Adoption Application

APPLICANT


First Name		Last Name
Street		Apt #.
City		State
Zip Code		Home Phone
Cell Phone		Email
Other

HOME AND FAMILY


No of Adults :
Age of Children :
Do you live in a :
* if you rent:
Landlord's Name
Landlord's Phone Number

DOG INFORMATION


Name of dog(s) you are interested in:
Choose any of the following you are looking for in a dog:
Sex		Specific Breed:
Age:		Energy level:
Size when fully grown (in pounds):
What behavior traits are you looking for?
What behaviors would you like to avoid in a dog?
Who is the dog for?

Other Pets

Pets you currently have:
Pets # 1
Name :	Type :
Breed :	Age :
Sex :	Spayed / Neutered :

Pets # 2
Name :	Type :
Breed :	Age :
Sex :	Spayed / Neutered :

Pets # 3
Name :	Type :
Breed :	Age :
Sex :	Spayed / Neutered :

DOG EXPERIENCE

How many dogs have you owned previously?

What happened to your last dog?

How many hours will the dog be alone during the day?

Do you have a fenced yard?
Yard Length :

Are you familiar with crate training?
Do you plan on crating this dog?
Do you have any experience with obedience training?
Would you be willing to hire a trainer if problems arise?
Where will the dog live?
Where will the dog sleep?

VET CARE

Minimum vet care can cost $200 per visit, can you afford this care?

Current Vet's name :

Current Vet's phone Number :

REFERENCES

Please provide two references we may contact.

1 :

2 :

Would you object to a home visit?