Dog Adoption Form Fill Out an Adoption Form Below Dog Adoption Application * required items. Step 1 of 5 20% Applicant InformationPet's Name* First Please enter the name of the animal you wish to adopt. If you list multiple names, only the first one will be considered unless you are intending on adopting all of the animals listed.Name* First Last Primary Phone*Secondary PhoneEmail Address* Are you over 18 years old?* Yes No You must be 18 or older to adopt.Address* Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Do you live in a ____________.*HouseCondominium / TownhouseApartmentDo you ___________.*RentOwnDo you have landlord permission?*YesNoName of Landlord* First Last Telephone Number of Landlord*How long have you lived at this address?*Do you have plans to move?*YesNo Family / Household InformationAre there children in the household?*YesNoWhat are their ages?*Is anyone in the household allergic to dogs?*YesNoDo you expect your family situation to change?*YesNoAre all family members in agreement with this adoption?*YesNoWhy are you considering adopting a dog?*Companion for selfCompanion for childCompanion for another household memberWatchdogGiftIt's most important to me that my dog ____________ .* Pet InformationHave you had pets in the past or do you currently have pets?*YesNoCurrent Pet Information*If yes, please list them by name, age, breed, gender, and whether they are spayed/neutered. If they live with someone else, please list where they live.Who will be the primary care giver?*Where will the pet be during the day?*Where will the pet be during the night?*How long will the pet be unattended during the day?*Have you ever given a pet away or taken a pet to the shelter?*YesNoWhat were the circumstances?* Veterinarian InformationYour veterinarian's name*Please enter your vet's info. If you don't currently have a vet, please mark as such. As part of our adoption process, we will contact your vet as we see fit.Veterinarian's Phone NumberUnder which person's name are the Veterinarian Records?When was your pet's last visit to the vet and why? New Pet InformationWhat dog food are you considering using for your dog?How often will you feed it?Do you have a fenced in yard?*YesNoPlease describe the type, height and size.*CAPTCHA
