Animal Shelter Dog Adoption Application
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1
2Thank you for taking time to complete this application. Your information will help us find a suitable
home for each animal as well as help you find the one most compatible with your lifestyle.
PETS & PALS ANIMAL SHELTER
DOG ADOPTION APPLICATION
Please tell us why you are interested in adopting a dog:
For Pet #
Pet’s Name
Adopter’s First/Last Name:
Home Phone:
Cell Phone:
Work Phone:
E-Mail:
Address:
City:
Zip:
How long have you resided at this address?
Own
Rent
Live with parents
Have you received your Landlord’s/Parent’s approval?
Yes
No
Landlord/Parent’s Name:
Phone #
If this is an apartment/condo, where do the dogs potty?
Do you have a completely secure fenced yard?
Yes
No
Fence Height:
Dog chained up or kept in a dog run? Yes
No
Dog run dimensions?
Is there an in-ground pool?
Yes
No
Describe type of fence around pool:
Will you be using a crate?
Yes
No If yes, please explain when and how long you would crate your
dog:
Current pets in household:
VET NAME AND PHONE NUMBER
KEPT
HOW LONG
TYPE OF PET/NAME
AGE
SEX
WHERE SPAYED/NEUTERED
IN/OUT/BOTH
OWNED
Pets owned in past 5 years:
TYPE OF
TIME
VET NAME AND PHONE NUMBER
PET/NAME
OWNED
WHERE SPAYED/NEUTERED
REASON NO LONGER OWN
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