ADOPTION/FOSTER APPLICATION: Name of dog or dogs you are applying for.

FIRST and LAST NAMES of ALL adults 21 years and older residing in the home, include spouses, relatives, roommates, partners, etc.

Please provide AGES of ALL people residing in the home including children.

FULL ADDRESS, include CITY, STATE, and ZIP CODE, (no P.O. Boxes)

Phone numbers where you can be reached. Please put CELL and/or HOME and put a C or H beside it.

Do you own your own home?

If you rent, please include FULL NAME and PHONE NUMBER for the landlord or leasing agent.

Which adult will be the primary caregiver of the dog?

Do you have a securely fenced yard on all sides that is escape proof for small dogs? Invisible fencing is NOT acceptable. The use of E-collar training is also NOT acceptable.

Please list all current living pets by NAME, SPECIES, BREED and AGE, eg., Lassie, Canine, Collie, 6 years.

Please list all animals that you have had in the last five years that are no longer with you and the reason, eg., Felix, Feline, 15 yrs., euthanized due to age related illness.

Are all your pets spayed or neutered? If not, please explain why, eg, too young, too old, illness or disability.

Do all your pets have a current rabies tag?

Do you do annual exams for heartworms and/or keep on preventative?

Do any of your pets live exclusively outside, if so, what is the reason?

Does anyone living in the home have any known allergies to dogs?

Please name ALL VETS or CLINICS and PHONE NUMBERS that would have records on your past and/or current pets. Please call your vet to let them know we will be calling to release records.

Does anyone residing in the home smoke? If so, where are they permitted to smoke?

What hours would the dog be alone during the day without adult supervision?

Where will the dog be expected to stay when you are not at home? Please be specific. Example, dog will stay in crate, gated in a room, free reign, garage, outside, etc.

Where will the dog spend the majority of it's time? Please be specific. Example, dog will be loose in house, playing with children, talking walks, riding in car, outside playing, on my lap, etc.

Please give TWO personal references with FIRST and LAST NAMES and PHONE NUMBERS. One must be a neighbor or individual who knows you, your home and your pet, and NOT a relative.

Have you ever adopted from a rescue or shelter? If so, which one.

Have you ever surrendered an animal to a shelter or rescue. If so, please describe reason and which rescue name or shelter.

How quickly will you be ready to adopt?

Email address

Thank you!

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