Facebook name and link (used for video chat on virtual home inspection)*
Please verify with your Landlord or Homeowners' Insurance Company that the breed you are interested in is permitted on property. Breeds such as pit bulls or bulldogs may not be.*
Home Information (What type of home will the dog live in?)*
Home Ownership Information*
Home Owner/Landlord's Name (If you are not the Home Owner)
Home Owner/ Landlord's Phone an/or E-mail (If you are not the Home Owner)
The Home has the following (Please select all that apply):*
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If there is no fenced in yard, how will you exercise the dog?
If the yard is not fenced who will walk the dog and how often will you take the dog out?
Name, Age & Relationship
(if child; not required)
Name, Age & Relationship
(if child; not required)
Name, Age & Relationship
(if child; not required)
List additional household members below (Name, Age & Relationship)
Did your entire family agree on the adoption of this one dog?
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Will the whole family share in the care of this dog?
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Is there any member of your household who is allergic to dogs?*
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Are there any children that visit your home frequently that are not your own?
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Do you want this dog to be:
*
Where will the dog be kept during the day? *
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Where will the dog be kept at night?*
Where will the dog be kept when you are not at home?*
How many hours a day will the dog be alone?*
Are you planning to move within the next 6 months?*
What will happen to the dog if you move unexpectedly? *
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What will you do if your newly adopted dog suddenly develops unwanted aggressive behaviors, what is the first thing you will do?
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If you move, what will happen to the dog if your new residence doesn't allow dogs/pitbulls? *
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What will happen to the dog if you go on vacation or in case of an emergency?*
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Emergency Contact Information (in case dog is found an you are unreachable)*
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Do you agree to abide by the law in proper transportation in your owned vehicle? Please type agree
Do you have the time and patience to work with your new family member and allow them time to decompress and adjust (3-3-3 rule)
*
Please tell us why you would like to adopt a dog:
Do you have any other pets living with you now?
*
Pet #1 (Dog, Cat, Bird, Etc)
Pet #2 (Dog, Cat, Bird, Etc)
List pets below (Breed, Sex/Spayed or Neutered & Age)
Have you owned pets in the past?*
Where are your Past Pets now?
Veterinary Name or Office and address
*
How often do you feel a dog should see a veterinarian?
Are your animals up to date on shots, including bordatella and can you provide proof?
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Do you feel you are financially capable of paying for routine veterinary care and extra needs such as grooming and training?*
Are your animals microchipped? If we this doesn't apply put N/A
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What will you feed your new dog? *We send home with food to help with transition, this will help us know how much to send *
What kind of behavior do you find unacceptable?
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If the dog has problems with destructive behavior what will you do about it? *
Would you euthanize a dog for aggression towards other animals (dogs, cats, livestock)*
Are you currently on probation or parole?
*
If you are currently or will be on probation or parole, please list the officer's name and phone number and describe the circumstances below:
Additional Information for consideration (if any)
Reference #1 phone number or email*
Reference #1 relationship to applicant
Reference #2 Phone or Email:
*
Reference #2 Relationship to Applicant:
*
Acknowledgment of Applicant/Signer
*
*This is not an adoption agreement, this does not secure adoption. This is an application. By electronically signing this form, you hereby agree that you have provided factual information to the best of your knowledge on this application. You understand that falsifying information will prohibit you from adopting a pet from us as well as from other rescues or shelters in the community. You also understand that falsifying information on this application can result in woofwoof fosters revoking your adoption agreement and removing the pet from your care if you are the selected individual for adoption.
