two women standing next to each other behind a fence

Canine (Dog) Adoption Application

Please note:

  1. Incomplete applications will NOT be processed.
  2. A current relationship with a veterinarian is required. If you do not have a veterinarian at the time of application, please secure one within 24 hours of submission.

** A vaccine clinic location does NOT qualify.

Thank you for your submission.

My Preferences

 Please correct - Have you adopted a pet from us before?

 Please correct - What energy level are you looking for in a dog?

About Me and My Home

 Please correct - What type of home do you live in?

 Please correct - Do you rent or own your home?

 Please correct - Number of adults in your household:.

 Please correct - Number of children (under age 18) in your home.

 Please correct - Are there any persons who regularly visit the home (grandchildren, family members, etc)? Explain and list visitor(s) ages below.

My Habits

 Please correct - How much time daily will you spend with your dog? *

 Please correct - Does your home have a dog or cat door?

 Please correct - Describe the living environment for your new dog:

 Please correct - How many hours each day will your dog be home alone without human companionship?

 Please correct - When home alone, your dog will be: (check all that apply).

 Please correct - What type of obedience training do you plan to use?

 Please correct - Would you allow our representative to visit your home before the adoption is completed?

Contact Info

 Please correct - First Name.

 Please correct - Last Name.

 Please correct - Date of Birth.

 Please correct - Home Phone.

 Please correct - Email.

 Please correct - Address.

 Please correct - City.

 Please correct - State.

 Please correct - Zip Code.

 Please correct - Do you own or rent?

 Please correct - How long have you lived at the address?

 Please correct - Are you

Please provide your Veterinarian's phone number

Please provide your Veterinarian's address

 Please correct - Agreed to terms.

What pets have you owned in the past?

Please list 2 personal references (not related to you)*

 Please correct - Reference Name 1.

 Please correct - Reference Phone 1.

 Please correct - Reference Name 2.

 Please correct - Reference Phone 2.