If you are human, leave this field blank.
Which dog are you interested in?
Have you met the dog you are interested in?
Are you open to meeting other dogs if this dog is no longer available or not a good match?
Type of neighborhood you live in
Do you own your or rent?
If you rent, landlord's name/phone number
Your Birth Date-All applicants are subject to background check
Co-applicants Birth Date (if applicable)
We don't adopt to families that keep animals like dogs or cats as outside pets, do you have outdoor pets?
Have you ever adopted a shelter animal before?
What you are looking for in a dog?
Have you ever surrendered an animal to a shelter or re-homed any animal that you have owned?
If yes to the above, please explain
How many people at your residence? List names and ages
Do you have a fenced in yard? If yes, please describe it (homes with electric fences will not be considered)
All residents in your home over the age of 18 are subject to a background check. Please list names and birth date of any one over the age of 18.
How do you plan to exercise your pet?
The dog you want to adopt may have an adjustment period, which could mean accidents chewing or other behaviors. How will you handle that?
Can you be contacted at your place of work?
If you can be contacted at work, please provide your work phone number
How many hours will your dog be along during a 24 hour period?
Are you prepared to pay for training a dog, if needed?
What brand of dog food would you feed your dog?
Are you prepared to pay for the health of your dog by keeping all shots up to date and routinely visiting the vet?
Do you have other pets in our home?
If you have other pets, are they up to date on shots and vaccinations?
Are all other pets in the house spayed or neutered?
If you have other pets, please list types and ages
List two personal references (NON FAMILY members)
Please list their name, relationship to you and phone number
Are these reference aware you are listing them as a reference?
Do you certify all the information supplied on this form is true, please type or sign your name