Dog Adoption Application printable pdf download

DOG ADOPTION APPLICATION

(Please Print Clearly & Answer all Questions.)

We have the right to refuse adoption to anyone.

BASIC INFORMATION

Applicant's name_____________________________ Driver’s License #:________________

Name of puppy interested in____________________________________________________

Name of secondary puppy_____________________________________________________

Local Address______________________________________________Apt#_____________

City_________________________________State__________________Zip_____________

Home Phone ________________Work Phone __________________ Email _____________

DESCRIPTION OF RESIDENCE:

Do you Rent?______ Own?_____

___House

Property owner's name:____________________ Phone___________

___Apartment How long have you lived here?______________________________

___Mobile-Home

___Duplex

#Adults in house______#Children______Children's Ages_______

CURRENTLY PETS

KIND

SPAY/NEUTER

KEPT WHERE?

TIME OWNED

___ AGE___

PREVIOUS PETS

WHAT HAPPENED?

ADOPTEE INFORMATION

 Are you at least 18 years old?______ Yes _________No

 What is the name of your veterinarian?_____________________________________

 Veterinarian's address__________________________________________________

 How long have you used this vet? ________________________________________

 Who will be responsible for the daily care/feeding of this dog?

_______________________________________

 Who will financially support this dog?______________________________________

 Reason for wanting this dog?____________________________________________

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Dog Adoption Application