Enter your first nameEnter your last nameEnter you driver’s license numberEnter you street addressEnter you: City/State/ZipEnter you emailProvide two references that are not members of your immediate familyPreviousNextAbout Your Home
Do you live in a(n)? House Townhouse Apartment/ CondoYour 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 roommatesIf renting, is your name on the lease? Yes NoIf renting, do you have your landlordʼs permission to have a dog?Landlord’s name and phoneWho shares your household? Spouse/Life Partner Boyfriend/Girlfriend Item 1Are there children in the home? Yes NoIf your present relationship/ living situation were to change and you were no longer able to care for the dog a new application must be submitted and approved in order to transfer ownership initial I am a priest Do you plan to move soon? Yes NoDoes anyone in your household have an allergy to dogs that you are aware of? Yes NoIs someone home during the day?How many hours will your dog be alone each day?Where will your dog spend most of his/her day when you are home? Indoors Garage Yard Enclosed patio indoor/outdoorWhere will the dog stay when he/she is home alone? Indoor/outdoor (doggy- door) Inside onlyWhere will the dog stay when he/she is home alone? Run of the house Crate Yard Garaje Enclosed patioInside onlyOutside only Where will the dog sleep at night? Run of the house Crate Yard Garage Enclosed patioInside onlyOutside only AnteriorSiguienteAnd 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 patioDo you have a doggie door? Yes NoIs your yard fenced? Yes NoIs your yard shared with neighbors? Yes NoHave you recently inspected your fences? Yes NoIf your dog will have free access to a fenced yard, where is it located? Front yard Back yard Side yardWho has access to your yard? (check all that apply) Gardner Housekeeper Pool man Delivery Utility Neighbor Postal workerAre they in good condition with no holes or loose points? Yes NoWhich of the following is used to secure your gate? Latch Padlock keyed lockIf your gate does not have a lock, are you willing to install one? Yes NoDo you trust your workers not to let the dog get out? Yes NoAnteriorSiguienteYour 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 Do you currently have pets? Yes NoIn which of the following situations might you allow your dog off leash? Public park Dog park Beach Hike Neighborhood walk Back yard Front yardPets are an investment of your time and money. Can you afford to provide medical care, grooming, proper diet, shelter, and exercise for your new dog? Yes NoWhich of the following reasons might force you to give up your dog? (Check all that apply) Excessive barking/ neighbor complaints Aggressive on leash Destructive chewing Biting/aggression Digging Divorce/Separation Allergies Shedding/Dirty Not trainable Poor Watchdog Moving/Relocating House-training problems Financial problems Growling/Nipping at guests Excessive vet bills/chronic illness Having a baby Nips or bites children New spouse/ partner doesnʼt like dogs Pets arenʼt getting along None of the aboveEntrada de textoShare your reasons for wanting a dog? (check all that apply) Family pet Gift for someone else Protection/guard dog Companion Childʼs companion Companion for another petHave you or would you be willing to enroll your current dog(s) in obedience classes? Yes No Only if I had problemsWhat method do you intend to use to housetrain your dog? (check all that apply) Rub nose in offending spot Take out every couple of hours Crate training Consult professionalWhat food will you feed the dog? (Specify brand if known) Dry Canned Would you like food recommendations? Yes. PleaseAre you able to make a long-term commitment to care for your pet for its entire life span, which could be as long as 15 years or more? Yes NoOther concernsIf you do not currently have a vet, would you like a referral? Yes. pleasePlease read and initial each statement below I understand that a home visit is required prior to final placement I understand that a home visit does not guarantee placement I agree to provide my own collar, leash and a personal ID tag at the time of completing the adoption contractWe reserve the right to refuse adoption to any applicant for any reason. This questionnaire becomes part of our contract.” I agree
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