Dog/puppy Adoption Application (Page 2 of 3) in pdf

Do you have other animals at home? Yes

How many?_________________

If yes, please provide the following information on your animals:

Kind

Animal’s Name

Sex

Age

Time

Spayed/

Owned

Neutered

Are all your pets current on their vaccinations? Yes

What is the name your veterinarian/clinic?__________________________________

How many hours per day will this pet be alone? (without human companionship)____

Where will this dog be during the day?____________At night?__________________

Will this dog be allowed indoors?_________Where will this dog sleep?___________

When this animal is outside, will it be: In a fenced yard

On a leash

Allowed to run loose

On a trolley

Chained

Other_______________________________

If the yard is fenced, will it safely confine this animal?_________________________

Type of fence___________________________Height_________________________

What kind of outside shelter will be provided?_______________________________

Are you willing to enroll this dog in obedience classes?________________________

Are you aware of your local animal control regulations?________________________

Is your dog licensed?_______Will you license this dog?_______________________

How many pets, other than the ones previously listed, have you owned in the last five

years?_______________________________________________________________

____________________________________________________________________

What happened to them?________________________________________________

____________________________________________________________________

Would you allow our representative to see this animal in its new home?_ Yes

Are you aware of the financial commitment and responsibilities of owning a companion

animal? (Approximately $400 a year for food, vaccinations, licensing, etc., not including

emergency medical care.) Yes

Are you willing to spend this much or more?_________________________________

Dog/puppy Adoption Application Page 2