Adoption Application

PLEASE review our adoption process tab BEFORE completing your application to review our requirements. Incomplete applications will not be processed. In addition, our initial contact with you will be via email. PLEASE check your spam periodically over the first few days after submitting your application to be sure you do not miss our initial email. Due to the volume of applications we receive, applicants that do not respond to the email may not get processed. Please scroll all the way down to finish the application. Thank you!

Name *

Email *

Address *

City, State, Zip *

Phone Number *

Place of Employment *

Who will be responsible for the dog? *

Do you live in a:

If other, please specify

Do you:

Landlords Name and Phone

How long at your present address? *

Do you plan on moving in the next 6 months?

If you move in the future, what will you do with the dog? *

Do you have children at the home?

If yes, what are their ages? *

Are they used to animals? *

Is anybody in the home allergic to dogs? *

Do all adult members of the household know of your plan to adopt? *

Why do you want this dog? (Companion, Guard Dog, Hunting Dog, Other) *

Do you have other animals in your home? If so, how many? *

Please provide the following information for each of your animals: (Type, Age, Sex, Time Owned For, Spayed/Neutered) *

Are your pets current on all vaccinations?

Name and Phone No. of Vet *

How many hours a day will this dog be without human supervision? *

Where will this dog be during the day? *

At night? *

Will this dog be allowed indoors?

Where will this dog sleep? *

When outside, this dog will be: (In a Fenced Yard, On Leash, Allowed to Run Loose, Chained, Other) *

If yard is fenced, will it safely contain the dog?

Type of fence and height *

What kind of outside shelter will be provided? *

Are you willing to enroll this dog in obediance classes?

Are you aware of your local animal control regulations?

Will you license this dog?

How many animals excluding those listed above have you owned in the last 5 years? *

What happened to them? *

Would you allow one of our reps to visit the animal in your home?

Are you aware of the financial commitment and responsibilites in owning a companion animal?

PLEASE PROVIDE THREE (3) REFERENCES: One reference must be a veterinarian. Other references may include neighbors or co-workers. For each reference please list the following: Name/Relationship/Phone No. *

Please provide any additional information you would like to share here

If you are not applying for a specific dog, please indicate preferences here (color, sex, energy level, etc *

How did you hear about us? *