Subject

Please enter name of animal you are interested in

Personal Information

Email

Age

Occupation

Names and ages of others living in household and their relation to you. Please list each individual, including roommates and children.

Does everyone in the household want to adopt a dog? If no, please explain.

Please tell us a bit about yourself and why you want to adopt / foster.

Living Environment

Describe your housing situation: Own or rent? Single Home, Condo, Apartment, etc. Do you have a pool?

If renting, do you have landlord's permission to have a dog? Please provide landlord's name and phone number.

Is there fencing and if so what is the type and height of fencing? If not, how you will handle your dog's bathroom and exercise needs?

Please list the name, age & breed of each pet, along with how long you have owned and how you obtained.

Pet Care / History

Please list any additional pets you have had in the past (excluding childhood family pets), including species, breed and history. Please be specific as to why you no longer have the pet. (Did the pet die? If so, how? Was it given away or sold? Taken to the pound?)

How many hours will your dog be left alone during the day? How will you handle dog's needs if you need to be gone for an extended period of time?

Where will the dog be kept when alone?

How will you exercise your dog?

Does anyone in your family have allergies to dander/hair?

Who is your Veterinarian/Clinic? May we contact them as a reference?

How much will you spend if your dog became ill?

How much time do you have each day to exercise / play with your dog?

What will you do with your dog if you have to move?

If you were to become unable to care for your dog due to illness, injury or death, who would take guardianship/responsibility for the pet? (Including notifying Adopting Agent per Adoption Agreement terms)

Have you ever had to give up a Pet (Dog/Cat/Other) for any reason? If yes please explain.

Dogs can dig, chew, bark, jump up on people and bite. How do you plan to deal with these or any other potential problems?

What reasons would cause you to return the dog to us?

Is there anything else you would like to tell us about you or do you have any questions for us?

Adoption / Foster Application