EmailMe Form - Doggies Inc Adoption Application

What dog/puppy are you interested in adopting?

Name:

Age of applicant:

Spouse’s/Partner’s name (if applicable)

Age of Spouse/partner if applicable:

Address

Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country / Region

Phone

### - ### - ####

Email

Is everyone in the home in agreement with wanting to adopt this dog that you are applying for?

Do you rent or own?

How long have you lived at this location?

Do you have a fenced yard?

If yes, how tall is your fence and has it been “dog-proofed”?

If you rent, do you have written permission from your landlord to have pets? If yes, are there any restrictions?

Do you have to pay a pet deposit and if yes, has that been accomplished yet?

Do you live in a

Are you:

Ages of any children in the home or ages of children that visit regularly (if applicable):

Any plans to start a family or add children to your family in the future (at any time)?

If yes, what would happen to a dog if it was not good with the new baby/child and/or if the new baby/child was allergic to the dog?

Anyone else living in the home that we need to know about (grandmother, grandfather, etc)?

Please list any pets that are currently in the home including species (dogs, cat, etc), age, gender and if those pets are up to date on vaccinations, spayed/neutered, and current on heart worm prevention and flea/tick prevention (if dogs or cats):

Name of the vet that your pets are seen at or that any previous pets have been seen at and the CONTACT INFORMATION for that vet. If you have not owned pets previously, please provide the name and contact information of the vet you plan to use for your pets.
(• Please note – if you have pets in the home, they must be up to date on vaccinations, spayed/neutered and on monthly preventatives for heart worm and flea/tick for dogs. Dogs must also be registered at the city/town office where you live).

Please list (including the kind of pet, how long owned, when owned, and where the pet is now) any pets that you have owned previously that you no longer have. If a pet that you owned is deceased, please indicate if the pet passed due to accident, illness, old age or other.

Have you ever surrendered a pet to an animal control facility (pound), shelter or a rescue? If yes, please provided detailed information including the name of the facility/rescue, when this took place, and the circumstances involved in surrendering the pet.

Are you looking for a high, medium or low energy dog?

Are you looking for a non or low shedding dog or does the amount of shedding matter to you?

If you are looking for a non or low shedding dog, what is the reason? PLEASE NOTE: most of the dogs we rescue are mixed breed dogs and we do not know what the mix is in most instances.

Does anyone in the home have allergies to animals (specifically dogs or cats)?

Who would be the primary care-giver for this dog (feeding, vet visits, exercise, etc.)?

How much “alone time” would a dog have in your home (hours/day) on average?

Are those consecutive hours or spread out over the course of the day?

Where would your new dog stay (inside, outside, where in the house) when no one is home?

Who would look after your pet(s) when you go on vacation or need to be away from the home and cannot take your pets?

If 65+ (age), what is your back up plan for a pet in the event that in the future you could not properly care for an animal.

If a single applicant, what is your back up plan for a pet if you became unable to properly care for the pet?

Do you have any plans to move from where you live within the next two years?

How much would you be prepared to spend on monthly care for a dog?

How much would you be able/willing to spend on a dog in the event it needed emergency treatment or a non-routine expensive procedure?

What is your plan for daily exercise for this dog (please be specific as to the number of walks/day, distance or time, etc)?

Would this dog be an inside only (not including walks, etc.), inside/outside, or outside only dog? Please explain:

How would you correct a dog that is chewing on inappropriate things?

How would you deal with a dog that is having accidents (bladder/bowel) in the home?

If your dog was having problems/issues in the house that you were not sure how to correct, would you be willing to enroll the dog in basic obedience classes or enlist the help of a trainer?

Is there any additional information that you would like to share?

We require a home visit before proceeding with any trial period or adoption. Would this be possible?