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Home
Applications
Adoptable Dogs
Online Store
- Cart
Events
Adoption Guide
About Us

Adoption Application

Please Note: Incomplete Applications will NOT be processed.

Contact Information

First Name *
Last Name *
Address *
(Include Street Address, State and ZipCode)Street AddressApt, Suite, Bldg. (optional)CityState / Province / RegionPostal / Zip CodeCountry
Home Phone
Cell Phone
Date of Birth *Must be 23 years old or above to apply.
Email *

Tell Us About Your Household

Name of the dog you want to adopt.
Other members in your household and age

Personal Pet Information

Please Identify Your Current Pets
(Name,Age,Breed)
Are your pets Spayed / Neutered?
YesNo
Are Your Pets Up to Date With Vaccines?
YesNo
Please identify your pets in the past 10 years
Have you ever sold or given away any of your pets?

Veterinarian Information

Vet's Name
Vet's Phone Number

Housing Information

Do you own or rent your home?
OwnRentOther
* If you rent, Please provide lease Agreement.
Landlord's Name
Landlord's Phone
What Size is Your Backyard?
Is Your Backyard Fenced In?
YesNo
Are There Parks Near By?
YesNo

References (no family members or Significant others of any household members)

Reference 1: Name *
Phone: *
Email:
Best time to contact?
Reference 2: Name *
Phone: *
Email:
Best time to contact?
Reference 3: Name *
Phone: *
Email
Best time to contact?

Questions

Have You Owned a Dog Before?
Have you ever been convicted of dog abuse?
Where will your dog be staying during the day when you are away?
How long will the dog be left alone during the day?
How will the dog get its daily exercise?
Do you plan to attend training classes or train the dog yourself?
What are your plans for the dog while on vacation?
What would cause you to give up your dog?
How did you hear about us?

Verification

Please enter any two digits *Example: 12
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