To be considered as an adopter you must:

· Be at least 24 (sometimes negotiable) years old.
· Be willing and able to spend the time and money to maintain this pet for its natural lifetime.
· If you are not a homeowner, we need land lord approval.
· The dog you are adopting is a companion animal, it is not to live on a chain, or be ignored while kenneled up. Please do not apply if you are an outdoor only home. We do not adopt to outdoor situations as we are confident that we can find indoor homes for all of our animals.
· If you move, you must plan to take the pet with you.
· Dogs may not ride in the back of pick-ups un-secured.

Please complete ALL questions and boxes. Leaving questions blank or not filling out this form completely can be cause for the application to be discarded or denied.

We are having some technical issues with the application right now which is causing some to not come through to us. Before submitting, please save a copy of your answers and send us an email to make sure we received it. We apologize and hope to have this resolved soon.


Date:
Type/Name of dog desired?
Age of dog desired?
What is the oldest dog you would consider adopting?
Approximate weight as an adult?
APPLICANT INFORMATION
Name:
Address, City, State, Zip:
How long at your current residence?
Home Phone:
Cell Phone:
Email Address:
Date of Birth:
If employed, list employer and title.
How long at your current job?
Work Number:
How many other adults live in your home?
What are their ages?
How many children live in your home?
What are their ages?
Does anyone living in the home have allergies to pets? If yes, please explain.
CO-APPLICANT INFORMATION
Name:
Relationship:
Cell Number:
Email Address:
Date of birth:
If employed, list employer.
Work Number:
GENERAL INFORMATION
Do you own or rent your home?
If you own your home, can you provide a copy of your title deed, tax statement, mortgage statement,
If you own your own home, does your home owners insurance, HOA, etc... have any restrictions on dogs
What county you live in?
Do you plan on moving in the near future?
What type of home do you live in?
If a rental, are dogs allowed? Are there any breed restrictions?
What are the size restrictions, if any?
Complex name/address?
Contact information for Manager/Landlord
Do you live on a busy street, residential, country road
What is the speed limit?
Where will the dog live (not including walks and playtime)?
Where will the dog spend nights?
Do you have a securely fenced yard? If so, what is the type and height?
Do you have an in-ground pool? Is it fenced off or does it have a stable cover?
Will you allow the dog to run loose? If yes, where?
How many hours per day will the dog be alone?
Where will the dog stay when left alone?
Describe the activity level in your home:
In the absence of the primary caregiver, who will care for the dog?
Under what circumstances would you return the dog?
If for some reason you are not able to care for this pet in the upcoming future, what will you do wi
Have you ever had to return or surrender an animal in the past? If so, please list circumstances.
Have you researched the breed(s) you are interested in?
Please explain the good and bad characteristics of the breed.
Are you willing and able to take responsibility if this pet acquires an illness later in life?
Are you willing and able to pay veterinary costs of caring for your new pet?
Are you willing and able to take the time to work with the dog on various issues such as house train
If the dog is not house trained, how will you manage this?
Would you consider obedience training if required or recommended?
Please briefly tell us what type of methods and/or tools you have used in the past when correcting a
How much time are you prepared to allow for your new pet to adjust to your home?
Will you be able and willing to regularly exercise this adopted dog?
Please describe your method of exercise.
PET INFORMATION
Please list current pets names, species and breed, age, sex, spayed/neutered, current on vaccines an
If you currently have dogs, are they on heartworm prevenative year round? If no, please explain.
Please list past pets names, species and breed, age at time of seperation, years owned, sex, spayed/
If you had dogs, were they kept on heartworm preventative? If no, please explain.
Will your new dog be on heartworm prevention?
Please list name and phone number of current vet.
Please list the name and phone number of past vets and/or other vets you have used.
Do you consider your pets a part of the family?
Are you aware that a dog is a large and lifelong committment?
Are you willing and able to take care of this pet for its natural lifetime?
PERSONAL REFERENCES
Please list two non-relatives, your relationship to them, phone number and best time to contact.
Is there anything else you would like us to know about you that may help in approving your applicati
Comments? Questions?

By submitting this application,

I certify that the above information is true and accurate to the best of my knowledge and that I understand that falsification of information can be cause for denial of my application or future forfeiture of the adopted pet. Leaving questions blank or not filling out this application completely can be cause for the application to be discarded or denied.