Adoption Application

Adoption application

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

* Indicates required field

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? (SDR does not recommend the use of invisible fences because this type of fencing does not provide a safe/secure place for the dog. It doesn't protect from other predators, dogs, or humans from coming in and causing harm to the dog. Dogs have been known to run through these fences, get shocked, and become so scared they continue to run) *

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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