Dog Adoption Form Dog Adoption Form Name Name First First Last Last Address City State Zip Phone * Phone 2 DL# Date of Birth Email Place of Employment Length of Employment Number of Children at home Ages of Children Emergency Contact Emergency Contact Emergency Contact First First Last Last Phone Relationship Do you Own Rent Is it a Home Apartment How long have you lived there? How long did you live at your previous address? If you rent, has your pet deposit already been paid? Yes No Landlord’s Name/Complex: Landlord's Phone Are you planning to move in the next 6 months? Yes No What will happen to this pet if you move unexpectedly? What are your plans for the pet if you have to evacuate? I want this pet to be Inside only Outside only Inside/Outside Do you understand crate training? How many hours during the average day will the dog be without a human? Do you have any pets now? None Dogs Cats Other How old are they? Have you had other pets? Yes No How long have you had them? Are your current pets spayed and neutered? Yes No If no, why not? If you have a regular veterinarian other than us? What is the Name & Number? What kind of pet behaviors do you find unacceptable? How will you handle them? Do you have a fenced yard? Yes No How will you excercise your dog? What will you feed your dog? Submit If you are human, leave this field blank.
