Applicant's Name
*
First Name
Last Name
Address
*
Address 1
Address 2
City
State/Province
Zip/Postal Code
Country
Email Address
*
Phone 2
*
(###)
###
####
Name of animal you're applying for
*
Why do you want to bring a new pet into your home?
*
Do you have any other Adults living at home?
*
Select One
Yes
No
Sometimes
If yes, please list how many and relationship to yourself.
Do you have children at home
*
Select one
Yes
No
Sometimes
If yes, list all ages
Do you currently have any pets
*
Select one
Yes
No
If yes, list type, breed, age, sex and if they are spayed or neutered.
Will your current pet(s) accept a new pet in the house?
*
Select one
Yes
No
Not Sure
I do not currently have pets
Have you owned other pets in the past?
Select one
Yes
No
If you did own pets in the past, list type, how many years you owned the pets, and the reason for no longer owning them.
If your previous pets died, what were the circumstances of death?
What type of dwelling do you live in?
*
Select one
House that I OWN
House that I RENT
Townhouse/Condo that I OWN
Townhouse/Condo that I RENT
Apartment
Other
If Other, please describe
Do you plan on moving in the future?
Select one
Yes
No
Is your yard completely fenced in?
*
Select one
Yes
No
If yes, what is the type and height of fence?
Would you leave this pet unattended in the yard?
*
Select one
Yes
No
Where will you keep your new pet? Please specify details.
*
Approximately how many hours will your pet be left alone?
*
Select one
Never
1-3
4-6
7-10
12+
What provisions will be made for your pet if no one is home during the day?
What arrangements will be made for your pet if you go on vacation?
*
Are you familiar with crate training?
Select one
Yes
No
Do you plan to crate train your new pet?
*
Select one
Yes
No
How will you ensure that your new pet gets enough daily exercise?
*
Will you assume all financial responsibilities for your new pet (vet exams, vaccinations, food, licensing, supplies etc)?
Select one
Yes
No
Are you planning to take your new pet to training classes?
*
Select one
Yes
No
Unsure
If Pound Dog Found Dog recommends that you take your pet to training classes, will you do so?
*
Select one
Yes
No
Unsure
Name of Personal Reference #1
First Name
Last Name
Reference #1 Phone
(###)
###
####
Reference #1 Email
Reference #1 City, State
Name of Personal Reference #2
First Name
Last Name
Reference #2 Phone
(###)
###
####
Reference #2 Email
Reference #2 City, State
Is there anything else you would like to add that might assist us in processing your adoption application?
