Dog Adoption Application

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DOG ADOPTION APPLICATION
1. Have you asked all adult members of the household if they are in favor of adopting a dog? Yes / No
2. Is anyone in the family allergic to dogs or pet dander: Yes / No
3. Have your children been around dogs/puppies before? Yes / No
4. Have you owned a dog before? Yes / No
5. Many times a new child changes how people react with their dog. If you are considering having children, have you
thought about dog hair on the floor where the baby crawls or a toddler getting bit? Yes / No / N/A
6. Do you own your home? Yes / No
If you do not own your home, do you have permission from your landlord to
have a dog? Yes / No
Landlord’s Name ____________________________________________
Landlord’s Phone Number _____________________________________
Landlord’s Policy on Pets ______________________________________________________
(extra down payment, extra per month, cats only, weight limit, etc.)
7. Have you thought about who will care for the dog when you are on vacation, out of town, or sick in the hospital, etc.?
Explain:______________________________________________________________________________________
8. Pets live 10-20 years, have you considered what you would do with your dog if you moved? Explain:
_____________________________________________________________________________________________
9. What would you consider a good reason to give up a pet? ____________________________________________
10. What will your dog primarily be? Please circle one:
Family Companion / Companion to another animal / Protector of Property / Other: ___________________________
11. What is your home atmosphere like? Circle One: Grand Central Station / Some Activity / Quiet and Peaceful
12. Do you plan to give monthly heartworm prevention? Yes / No Why or Why not? ___________________________
13. Will the dog be inside or outside? __________________________________________
14. Where will the dog be kept during the day? ______________________ At Night? _________________
15. When the dog is left alone, where will it be kept and for how long?________________________________________
16. Will there be a dog house if outside? ________________________________________________
17. Will you allow us to do a home visit if need be? Yes / No
18. Do you understand that this dog/puppy is not guaranteed to be house trained? Yes / No
19. Are you willing to work with the dog/puppy on any troubled behaviors such as house training issues, biting, or
cooperation with other animals? Yes / No
20. Are you committed to provide vet care for your dog such as check-ups, vaccinations (state law requires all pets over
3 months of age receive rabies vaccinations yearly), heart worm prevention, and flea/tick medicines?
Yes / No

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