Expensive *

By checking the box below you realize dogs are expensive. Vet costs are on the rise with routine annual visits costing between $300 - $1,000, plus another $500 a year for prevention of heartworm & flea/tick. Grooming expenses for low/no shed dogs and those with long hair may cost upwards of $400 every 6 weeks. Dog food and general supplies may cost approximately $1,000 a year. This of course, doesn't account for emergencies. Are you ready for this financial responsibility?

Yes, I am

Would you be willing to consider a different dog if we feel this one is not a fit for you and your family? *

Yes

No

Will the dog reside in your home?

Yes

No

Your name: *

First Name

Last Name

Address: *

House number, street, city, state and zip code

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Phone: *

(###)

###

####

Do you plan on having children in the next 5 years?

Yes

No

Are any members of your household allergic to animals? *

Yes

No

Are there other visitors to your home, human or animal, with which a new dog will have to interact? *

Yes

No

Do you live in a neighborhood that is part of an association? *

This will be verified!

Yes

No

For Renters only: Landlord’s phone number

(###)

###

####

Do you plan on moving in the next few years? *

Yes

No

Do you have a completely fenced yard suitable for a dog? *

We do not require a fence for all of our dogs but some dogs we do. Please answer this honestly as we will verify.

Yes

No

Do you have a kennel run or tie out for a dog? *

Yes

No

Are you planning to enroll the dog in obedience/training class?

Yes

No

Do you plan on crating your new dog? *

Yes

No

Have you had a rescue dog before? *

Yes

No

Are the animals currently in your home neutered or spayed? *

Yes

No

Are the animals in your home current on vaccinations, heartworm testing, heartworm prevention, flea prevention and rabies? *

Yes

No

Have you ever adopted or owned a dog you were unable to keep?

Yes

No

Do you plan on adding any additional pets to your home in the next 12 months? *

Yes

No

Do you realize that owning a dog is a 15 to 20 year commitment? *

Yes

No

Is the person named above aware they are expected to take your pet(s) should something happen to you? *

Yes

No

Please provide the name of your veterinarian. *

Please contact your veterinarian and give them permission to speak to us.

Yes

No

Vet's phone number

(###)

###

####

Is there another name that the dog’s records may be listed under? *

Yes

No

Please keep in mind that you are applying for a lifetime companion. Are you willing to make the investment in both time and money to care for and properly manage your new pet (this includes house training, obedience training, food, toys, methods of restraint, yearly license, yearly shots and visits to the vet, possible obedience classes, etc.) *

Yes

No

Are you willing to keep your animal on flea/tick/heartworm prevention? *

Yes

No

Dogs require yearly boosters, heartworm testing and monthly prevention for flea/tick and heartworm. They may jump on, knock over, and nip at small children if not handled or trained properly. You may need to take your puppy or dog to obedience classes if you are having trouble training on your own. Are you willing to deal with all of these issues and the expenses? *

Yes

No

Reference # 1 Name *

First Name

Last Name

Reference #1 Phone *

(###)

###

####

Reference #2 Name* *

MUST be a non-family member who has been to your home

First Name

Last Name

Reference #2 Phone *

(###)

###

####

Make sure to agree to all statements below before submitting your application.

I agree that all of the information I have given in this adoption form is true and complete.

I agree that this dog will reside in my home and is not being adopted as a gift to be given to someone else.

I understand that everything in this application will be verified. If I have omitted any information, even unintentionally, my application can be denied.

I understand that completion of an application is not a guarantee I will be able to adopt the dog I applied for.

I understand that the rescue is not responsible for the accuracy of information received about the temperament, habits or physical condition of the dogs available for adoption. However, all information known about the pet is given to you prior to adoption.