Adoption Application

D.O.G. Canine Rescue

Adoption Application

* Indicates required field

Name *

First

Last

Phone Number *

Address *

Email *

What dog are you interested in? *

In what type of home do you live? (house / Apt / Etc) *

Do you rent or own? *

If you rent, please provide the name and contact information of your landlord. Dogs will not be adopted out unless there is written and verbal consent by the landlord. *

How many people reside in the home? *

Are there any children? What are their ages? *

Who will be the primary caregiver to the dog? *

Where will the dog be kept when you are not home? *

How many hours, per day, will the dog be left alone? *

Where will the dog sleep at night? *

What methods will be used to train the dog? *

Will the dog be allowed on furniture? (Not a requirement) *

Is your yard fenced? (Having a fence is not a requirement for all dogs, but is for others.) *

Do you have any resident animals currently? If so, what kind and what are their ages? *

If so, are they current on vaccinations and annual check-ups? *

Name & number of your current veterinarian. *

Have you ever given up a pet before? If so, please explain. *

Have you applied through any other rescues? *

Is there anything else you would like to tell us or something you think we should know? *

Please sign electronically below verifying the above information is accurate and true. *

Submit