Adoption Application

Step 1 of 7

Applicant
First Name*
Last Name*
Primary Phone*
Secondary Phone
Email*
Confirm Email Address*
Home Address*
City*
State*
Zip Code*
Driver's License #*
Driver's License State*
Date of Birth*
Co-Applicant
First and Last Name
Email Address
Confirm Email Address
Date of Birth
Primary Phone
Secondary Phone
Driver's License #
Driver's License State

Age Desired
Sex*
Activity Level*
Is there a specific dog you are interested in?*
- Yes
- No
Which dog are you interested in?
Why are you interested in this particular dog?
How did you find out about Adore?*

Please provide the names & ages of all people living in the home.
Do they share your interest in adoption?*
If no children, are you planning on children?*
Have you ever had a dog before?*

Please list all current pets living in the home.
Name, Species, Sex, Spayed/Neutered, Age, Temperment
Please list your most recent pets that no longer live in the home.
Name, Species, Sex, Spayed/Neutered, Age, Temperment
Current Veterinarian Information
Do you currently have a veterinarian?*
Name
Phone Number
Address
City
State
Zip Code
Where do you plan to purchase your heart worm preventative?*
Which brand do you use?*
Where do you plan to purchase your flea/tick preventative?*
Which brand do you use?*

How long have you lived at your current address?
Do you rent or own?*
Please provide landlord name and phone number.*
Does your landlord allow dogs?*
Up to what size?*
How long will the dog be left alone daily (without humans)?*
Will the dog be allowed in the house?*
Where will the dog stay when you are away from the house?*
Are you familiar with the use of dog crate training?*
Is your yard fenced?*
What kind of fence?*

Will your dog receive formal obedience training?*
Are you aware that routine costs average $500/dog/year?*
Have you ever sold, given away, or surrendered a pet to a shelter?*
Please explain the circumstances.*
Please tell us why you want a dog.*
Please tell us a little about your lifestyle, your family and activities.*
Do you have any special requirements or requests?*
Please list and/or explain requirements or requests.
Please let us know who will care for your dog when you are on vacation.*

Please list one professional reference (non-relative).
Name*
Company Name*
Phone Number*
Email Address*
Street Address*
City*
State*
Zip Code*
We do home visits prior to placement. When is the best time of day?*
Do you give us permission to contact your veterinarian for a reference?*
Please list the name and number of two non-relative personal references.*
I/we attest that the information provided on this application is true and accurate to the best of my/our knowledge.*
- Agree
I/we understand that completion and submission of this application does not guarantee adoption of a dog.*
- Agree

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