Adopt/Foster Application

Tell Us About Yourself

* Required Fields

Select a Date

Dog Applying For

Full Name

Address

City

State

Zip

Phone

Cell Phone

Tell Us About Your Home

How long in current home

How many times have you moved in the past 5 years?

If yes, HOA contact name

HOA contact phone #

Homeowner's Insurance Name

Insurance Phone #

Type of Fence (Wood, Vinyl, Chainlink, Metal, Other)

Fence Height

Number of Adults in the home?

Number of Children in the home?

Ages of Family Members (ex. 30, 35, 10, 2)

How would you describe your household (ex. Active, Mellow, Quiet)

Does everyone in the home agree on adopting a dog?

Does anyone in the household have allergies to animals, pet dander, asthma?

If you have other pets at home, please complete below

Pet Name(s)

Species (Dog, Cat)

M/F

Pet Age(s)

Time Owned

Spay/Neuter (Req'd by rescue)

If your dog is not spayed or neutered, please tell us why.

Are your current pets good with people? other animals?

Do you have cats?

If yes, how do they react to dogs?

Are your current pets up to date on vaccinations?

If no, please explain.

Current veterinarian or N/A

Veterinarian Phone # or N/A

Have you ever given a pet to a rescue/shelter/returned to breeder?

If yes, please explain.

Tell Us About Caring For A New Dog

Who will be the primary caregiver(s) for this dog?

When you are home, where will the dog be kept?

How long/often will the dog be left alone? (ex. work day incl travel time)

When no one is home (ex. work, shopping, etc.) where will the dog stay?

Are you willing to work through this dog's adjustment issues, if any?

Are you willing to provide vet care that may exceed $1,500 in a year for unexpecteed issues, if any?

Are you opposed to crate training?

Is there anything else you would like us to know?

New Dog Preferences

How soon to adopt?

Dog Color

If you are applying to Foster or Foster to Adopt,
please answer the following questions .

If yes to either, please let us know why.

How often does your family travel?

What kind of arrangements would be made for the foster dog while you travel?

Are you opposed to crate training your foster?

Are you available to take the Foster dog to a rescue appoved veterinary appointment?

Will you be able to take a Foster dog to an emergency vet (nights/weekends) if needed?

Have you ever fostered for another agency or rescue? If yes, please list below.

Agency or Rescue Name

When fostered?

Number of Dogs

Success!

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Please be honest when completing this application. There are no wrong answers. The questions help us to place our dogs in the right homes.

Thank you!