Dog Adoption Application - Friend of Petraits - Animal Rescue

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Dog Adoption Application

Home / Dog Adoption Application

Please fill out the form below to apply to adopt a dog or puppy!

Dog Adoption Application

How did you hear about our organization?*
List the names of the specific animals, available from adoption from our website, you may be interested in:*
Name (adopter 1)*
Date of Birth*
Phone*
Email*
Adopter #1 Employer*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code
Typical work hours*
Employer Phone*
Name (adopter 2) if applicable

If you do not have a second adopter, please say "n/a" for the second adopter questions. Thank you.
Date of Birth
Email
Employer Name (adopter 2)
Title Address Phone State Zip
Typical work hours
Home Address of Applicant(s)*
Street Address Address Line 2 City State ZIP Code
Length of time living at present address?*
Do you*
- Rent
- Own
Do you live in a:*
- House
- Apartment
- Condo
- Townhouse
Are you sure you are allowed to have pets in your current housing?*
- Yes
- I am not sure
Do you, or does someone else in the household smoke cigarettes?*
- Yes
- No
When are you hoping to meet this pet?*
When are you ready to take this pet home?*
Type of companion animal you are applying for?*
- Puppy
- Adult Dog
Characteristics important to you*
- Good with all dogs
- Good with some dogs
- Energetic
- Mellow
- Good with children
- Good with cats
- Hyperallergenic
- Housebroken
- De-clawed (cats)
Other characteristics important to you:
Example: Size of animal, etc.
Please describe the number of people in the household, ages and relationship to adopter*
Why are you interested in adopting a pet?*
- Gift
- Companion for me
- For a child
- For protection
- Fill void left by previous pet
Other reason for adopting a pet:

write n/a if not applicable
How long have you been considering adopting a companion animal?*
Is this your first companion animal?*
- Yes
- No
What do you believe is the currently life expectancy for a dog?*
Do you have any serious health issues, diagnoses, or physical limitations that would impact your ability to care for this pet now or throughout the expected life of this pet?*
- Yes
- No
What are your plans for this animal, should the pet outlive you?*
Please tell us about your past and present companion animals
Pet #1: Type of Animal
Pet #1: Name
Pet #1: Age of animal
Pet #1: Male or Female?
- Male
- Female
Pet #1: Breed
Pet #1: Weight
Pet #1: please check all that apply
- Neutered or spayed
- Current on vaccinations
- Declawed
- Not applicable
Check all that apply
Pet #1: If deceased, please indicate age of death and what pet died of
Pet #2: Type of Animal
Pet #2: Name
Pet #2: Age of animal
Pet #2 Male or Female?
- Male
- Female
- Not applicable
Pet #2: Breed
Pet #2: Weight
Pet #2: please check all that apply
- Neutered or spayed
- Current on vaccinations
- Declawed
- Not applicable
Check all that apply
Pet #2: If deceased, please indicate age of death and what pet died of
Pet #3: Type of Animal
Pet #3: Name
Pet #3: Age of animal
Pet #3: Breed
Pet #3 Male or Female?
- Male
- Female
- Not applicable
Pet #3: Breed
Pet #3: Weight
Pet #3: please check all that apply
- Neutered or spayed
- Current on vaccinations
- Declawed
- Not applicable
Check all that apply
Pet #3: If deceased, please indicate age of death and what pet died of
Please describe any other additional pets you have/had and tell us about the type of animal, age, breed, weight, vaccination status, declaw status and if they are deceased.
Have you applied to this rescue before?*
- Yes
- No
Have you ever adopted from any other rescue before?*
- Yes
- No
If yes, please list name of shelter, shelter address, and the date. This may speed up the processing of your application.
How do you plan to introduce your companion animal to other animals and/or people in the household?*
Are you prepared to spend several weeks or, perhaps months, waiting for your new companion animal to adjust to their new environment? And for you to adjust to your new animal?*
- Absolutely!
- I am not sure
Veterinarians
Who was/is your veterinarian for your current or past pet(s)? Please list name, address and phone number.*
What veterinarian do you plan to use in the future? Please list name, address and phone number.*
When was the last time you visited your vet, with what pet, and for what?
How much do you anticipate spending on your new companion animal's veterinary care per year?*
How often will your new pet visit the veterinarian?*
How would you handle expensive medical costs, emergencies and diagnosis of a medical condition?*
Behavior and Home Life
Who will be primarily responsible for feeding/caring for your new pet?*
Do you have any of the following?*
- Completely fenced back yard
- An outside run
- Dog house
- Training crate
- Doggie door
- Basement
- Balcony
- None of the above
If you have a fenced back yard: how high is the fence?
If you have a fenced backyard is it wood or chain link?*
- Wood
- Chain link
- Not applicable
What is the longest period of time you would leave you companion animal unattended outside?*
Where will your pet be kept during the day?*
Where will your pet sleep at night?*
How long will your pet be left alone?*
What brand of food will you feed your pet?*
How often will your new pet go outside?*
Please describe your beliefs regarding obedience training:*
Have you ever turned an animal into a shelter? If yes, what were the circumstanced?*
How would you handle your pet jumping or sleeping on the couch?*
How would you handle the destruction of furniture?*
What would you do if your pet chewed and ruined your belongings?*
What would you do if your pet excessively barked?*
What would you do if your pet urinates or defecates where it is not acceptable?*
What would you do if your pet kept you awake at night?*
What would you do if your pet was an excessive shedder?*
What would you do if your pet was biting or play biting?*
What would you do if a current or future household member developed allergies to your companion animal?*
If you have to move, describe what you would do with your animal.*
When home alone the dog will be:*
- In a plastic crate
- In a wire crate
- In a dog pen indoors
- Outdoor kennel
- Indoor kennel
- Indoor/Outdoor kennel
- Tied up outside
- Kept loose indoors
- Kept loose outdoors
- Not applicable I am adopting a cat/bird/guinea pig etc.
Regarding when the dog will kept when home alone - if you have different circumstances than the choices above, please describe:
How will exercise your dog: please check all that apply*
- Leash walks everyday
- Cable or dog run in yard
- Free to run in a fenced yard
- Supervised off leash exercise in unfenced area
- Free to roam
- Bring to dog park (public area where dogs can run and play together off-leash)
- Electric fenced yard
- Not applicable
Regarding exercising your dog: If you have another method, please describe here:
Reference Section
Non-Family Reference #1: Please provide name, email address and phone number of a reference not related to you:*
Non-Family Reference #2: Please provide name, email address and phone number of a reference not related to you:*
Family Reference #1: Please provide name, email address and phone number of a reference related to you.*
Family Reference #2: Please provide name, email address and phone number of a reference related to you.*
Signature and Acknowledgement
I certify that the information I have provided is accurate and honest.*
I agree
Adopter #1*
First Last
Date*
MM slash DD slash YYYY
Adopter #2 (if applicable)
First Last
Date
MM slash DD slash YYYY
Phone
This field is for validation purposes and should be left unchanged.

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