Adoption Aplication

Enter your first name

Enter your last name

Enter you driver's license number

Enter you street address

Enter you: City/State/Zip

Enter you email

Provide two references that are not members of your immediate family

About Your Home
Do you live in a(n)?

House

Townhouse

Apartment/ Condo

Your home is

Owned, by you or your spouse/life partner

Owned, by someone else within the house

Rented directly from the owner or through a management company

Rented as a part of a group of roommates

If renting, is your name on the lease?

Yes

If renting, do you have your landlordʼs permission to have a dog?

Who shares your household?

Spouse/Life Partner

Boyfriend/Girlfriend

Item 1

Are there children in the home?

Yes

Do you plan to move soon?

Yes

Does anyone in your household have an allergy to dogs that you are aware of?

Yes

Is someone home during the day?

How many hours will your dog be alone each day?

Where will the dog stay when he/she is home alone?

Indoor/outdoor (doggy- door)

Inside only

And your yard

I do not have a yard at this time (skip to the next item)

What outside areas are available to the dog? (check all that apply)

Front yard

Dog house

Back yard

Enclosed patio

Your Experience with Dogs
How would you describe your dog owning experience?

I have had dogs of my own as an adult

I grew up with dogs or have worked with them but have not had my own as an adult

I have never had one or have limited experience with dogs