Name
*
First Name
Last Name
Name of the dog (please do NOT put your name), or type of dog you are interested in?
*
Are you interested in talking about other dogs(breeds) than the one mentioned above?
*
Are you applying to adopt or foster?
*
Email
*
Phone
*
(###)
###
####
Address
*
Address 1
Address 2
City
State/Province
Zip/Postal Code
Country
Please list the name, age and gender of all adults in household: (18 years and older, including yourself)
*
Age of minors in household: (17 years or younger)
*
Has adding a new pet to the family been agreed upon by all adults in the household?
*
Please make sure everyone is on the same page before submitting your application.
Do you have any trips, major medical procedures, or major life changes planned within the next four months?
*
If yes, please explain how the dog will be taken care of during this time.
(Please note that we do not put dogs on hold.)
Do you rent or own your home?
*
Are you open to a home visit?
*
Do you have a fenced in yard?
*
This does not disqualify your application.
If yes, please describe the type of fence
How many hours a day would your dog be alone?
*
Please list any animals you currently have in your home:
*
Name, Age, Breed, how long you've had them.
This is important information to have when we call your veterinarian. Failing to provide all the necessary information will result in a delay in processing your application.
If you've had any animals in the past, describe them:
Name, why you no longer have them, what were they like
We require that current/previous animals are/were up to date on vaccines, kept on flea/tick/heartworm prevention year round, and spayed or neutered
If your animals do not meet those requirements please explain why:
Are you able and willing to work with a trainer if necessary?
*
Veterinary Phone Number:
(###)
###
####
The name your records can be found under:
ATTENTION: Please make sure to call your vets office and references to give them permission to speak with us and to let them know we will be calling!!!
*
If you do not have a vet please explain why:
Non-relative reference #1
*
Name, relation, phone number
Non-relative reference #2
*
Name, relation, phone number
*