Adoption Application

Donations are tax deductible

Tax ID: 45-3324735

State: *

Where will the dog sleep at night?: *

List the name, breed, age and whether or not they have been spayed or neutered for each pet you own:

Email Address: *

Are you aware of pet deposit and monthly fees if any?:

List the name and type of pet you owned in the past 5 years that is no longer with you, and the reason you no longer have the pet:

Name(s) of the pet you are interested in adopting : *

How Long?: *

Who will be responsible for taking care of the dog?: *

Street Address: *

How did you hear about us? *

Why did you decide to get a dog?: *

Where will the dog stay when no one is home?: *

Family Lifestyle: *

Enter names and ages of people living in the home: *

Your First & Last Name: *

How many hours per day will the dog be alone without people home?: *

Dog Adoption Application

What are you looking for in a pet?: *

Property Type: *

Landlord's Number:

Cell Phone:

Zip Code: *

Where will the dog stay when you are home?: *

Current or previous veterinarian name, practice name, address and phone number:

Work Phone:

How and how often will you exercise the dog?: *

Phone: *

Who will care for the dog when you are out of town?: *

Do you have permission to get a dog?

Landlord's Name (if applicable)?:

Do you have a fenced yard?: *

Occupancy: *

Type of fence and height:

City: *

If you do not have a fenced yard are you prepared to walk your dog multiple times daily in spite of weather?:

Under what conditions would you have to give up your dog?: *