Adoption Application

Adoption application

Please answer ALL of the following questions. Incomplete applications will not be considered.

Name of dog you're interested in adopting *

Your name *

First

Last

Email *

Best phone number to reach you *

Best time to contact you *

Address *

Line 1

Line 2

City

State

Zip Code

Country

Your date of birth (m/d/yyyy) *

Please list the first, middle and last names of anyone over 18 in the household, and their ages *

Do you understand that we will be doing a cursory background check to insure that we are adopting this dog to a safe environment? *

Yes

If the above dog is not available, would you still want to be considered for other dogs? If yes, any specific kind? *

Is this dog for you or for someone else? *

What characteristics are you looking for in a dog? For example, what breed, size, age, gender, disposition, etc. *

When you're home, do you want your dog to be by your side: *

All of the time Some of the time Not much of the time

Have you had a dog before? If yes, when was the last time you had a dog? *

Are you comfortable investing money and time in training for your dog to improve manners such as jumping, counter surfing, pulling on the leash, etc.? *

Number of hours you work per day, and how many days per week: *

Names and ages of all children living with you, or who visit regularly: *

Who, besides immediate family, resides with you? *

Do you own or rent your current residence? *

If you rent, please provide the name and phone number of your landlord: *

Is this a house, duplex, condo, townhouse, apartment, or mobile home? *

How long have you lived at your current residence? *

Do you know the city animal ordinances/licensing procedures? Please explain. *

Do you have a fenced-in yard? If yes, what type of fence is it, and how tall? *

If you do not have a fenced-in yard, explain how you will allow for the dog to relieve itself. *

Will the dog be kept inside or outdoors? *

Please explain where/how dog will live, and what a typical day would be for the dog: *

How many hours per day will the dog be left alone? *

Will the dog be crated during the day? If so, for how long? *

Do you currently have any other animals living with you? Please describe them, including ages, breeds, personality, health conditions, whether spayed/neutered, current on shots, training they have received, etc: *

Please list any companion animals you have had in the last five years, and explain where they are now/what happened to them: *

What do you feed your resident animals? *

What steps have you taken to learn about this breed and/or dog guardianship? *

How have you trained your dogs in the past? What is your plan for training this dog? How would you address unwanted behaviors? *

If this dog needs to be housebroken, what measures do you take to housebreak a dog? *

How would you handle accidents or misbehaving? *

What behavioral and/or training issues can you absolutely not deal with? *

If you were to return this dog to us for any reasons, what might they be? *

If this dog were to outlive you, what plans do you have for its ongoing care? *

If, for any reason, you are unable to keep this dog, will you agree to return him/her to SDR? *

Would you allow a volunteer of SDR to make a preliminary home visit and follow up? *

Does any person residing in your home have any allergies to any substances, including animal dander? *

Does every member of your household want to adopt a dog? *

How much do you estimate the cost of this dog would be on a yearly basis? Please give an estimate and explain. *

Please provide the name and phone number of your vet: *

In case of an emergency, do you have a driver's license and access to a vehicle in order to transport this dog to a veterinarian? *

Yes No

Please provide the names, phone numbers, and email addresses of at least three references. You will not be considered for any adoptions unless we have three references. *

How did you hear about us? Please be specific (PetFinder, Craigslist, Google, etc.) *

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