When considering the addition of a canine companion to one's family, the dog adoption application represents a critical first step in the process. This comprehensive form is designed to gather essential information about potential adopters, ensuring that they can provide a suitable and stable environment for their new pet. It starts with basic personal information, including the applicant's name, contact details, and employment history, to assess their lifestyle and capacity to care for a dog. The application delves deeper, requesting details about the applicant's residence—whether it's a house, apartment, or other living situation—and includes questions about ownership and permission to have pets. This information is crucial in understanding the physical environment the dog will inhabit. Applicants are also asked about their household composition, including any children or other pets, which helps in determining the compatibility of the dog with its potential new home. References are required, not from immediate family members, to provide an unbiased view of the applicant's ability to care for a pet. The form explores the applicant's previous experiences with dogs, their reasons for wanting to adopt a dog, and how they plan to address various aspects of pet care, including exercise, training, and dealing with potential behavioral issues. Importantly, the form includes questions aimed at understanding the applicant's commitment to the long-term well-being of the pet, acknowledging the time, effort, and financial resources required to properly care for a dog. Through its detailed inquiries, the dog adoption application seeks to ensure that adoptive families are well-prepared to offer a loving, safe, and permanent home to their new furry family member.
| Question | Answer |
|---|---|
| Form Name | Dog Adoption Form |
| Form Length | 6 pages |
| Fillable? | No |
| Fillable fields | 0 |
| Avg. time to fill out | 1 min 30 sec |
| Other names | housetrain, tsa puppy adoption, Gardner, trainable |
ADOPTION APPLICATION
Basic Information
Name: ______________________________________________________________________
Driver's license number: _____________________________
Street address: _______________________________________________________________
City/State/Zip: ________________________________________________________________
Home Phone: _________________Cell: ________________ Work: _____________________
Email: _____________________________________
Employer: ___________________________________________________________________
How long at current job: ________________
Provide two references that are not members of your immediate family:
Personal reference #1: _______________________________ phone: ____________________
Relationship: _______________________________________ years known: _______________
Personal reference #2: _______________________________ phone: ____________________
Relationship: _______________________________________ years known: _______________
About Your Home….
Do you live in a(n)?: |
|
House |
Townhouse |
Apartment/ Condo |
Other: ______________________ |
Your home is: |
|
Owned, by you or your spouse/life partner
Owned, by someone else within the house
Rented directly from the owner or through a management company
Rented as a part of a group of roommates
Other: _____________________________________________________
If renting, is your name on the lease? YES NO ___________________________
If renting, do you have your landlordʼs permission to have a dog? ________________________
Landlord's name and phone: _____________________________________________________
Who shares your household? |
|
|
Spouse/Life Partner |
|
Roommate(s) # _______________ |
Boyfriend/Girlfriend |
|
Other: _____________________ |
Are there children in the home? |
YES |
NO |
If yes, how many? __________ |
How old? __________________ |
|
At what age do you feel children are responsible enough to take care of a pet without assistance? (i.e. walk, feed, train) _____________________________________________
If your present relationship/ living situation were to change and you were no longer able to care for the dog, a new application must be submitted and approved in order to transfer ownership.
Initial: __________
Do you plan to move soon? ______________________________________________________
Does anyone in your household have an allergy to dogs that you are aware of?
YES NO
Is someone home during the day? YES NO Who? _________________________
How many hours will your dog be alone each day? ________________________________
Where will your dog spend most of his/her day when you are home?
indoors |
garage |
yard |
enclosed patio |
indoor/outdoor |
other: ______________________________ |
additional info: ___________________________________________________________
Where will the dog stay when he/she is home alone?
indoor/outdoor (doggy- door)
inside only (specify):
run of the house crate specific room(s): _______________________
outside only (specify):
yard garage enclosed patio other: _________________________
additional info: ___________________________________________________________
When will the dog be inside? _____________________________________________________
When will he/she be outside? ____________________________________________________
Where will the dog sleep at night?
indoor/outdoor (doggy- door)
inside only (specify):
run of the house crate specific room(s): _______________________
outside only (specify):
yard garage enclosed patio
dog house other: ________________________
What rooms are off limits? ______________________________________________________
And your yard…..
I do not have a yard at this time (skip to the next section)
What outside areas are available to the dog? (check all that apply)
front yard |
|
dog house |
|
back yard |
|
garage |
|
enclosed patio |
other: _________________________________ |
||
Do you have a doggie door? |
YES |
NO |
|
Is your yard shared with neighbors? |
YES |
NO |
|
Is your yard fenced? |
YES NO |
What is the type of fence? ____________________ |
|
Fence height? ________ Highest point |
______ Lowest Point |
||
Have you recently inspected your fences? |
YES |
NO |
|
Are they in good condition with no holes or loose points? YES NO |
|||
If your dog will have free access to a fenced yard, where is it located? |
|||
front yard |
back yard |
side yard |
|
Which of the following is used to secure your gate?
latch |
padlock |
keyed lock |
other: _______________________________________ |
we do not lock our gate for the following reason: _____________________________
If your gate does not have a lock, are you willing to install one? YES |
NO |
|
Who has access to your yard? (check all that apply) |
|
|
Gardner |
Housekeeper |
|
Pool man |
Delivery |
|
Utility |
Neighbor |
|
Postal worker Other: _____________________________________________
If yes, where is the dog kept while they are working? __________________________________
Do you trust your workers not to let the dog get out? YES NO
Your Experience with Dogs…..
How would you describe your dog owning experience?
I have had dogs of my own as an adult
I grew up with dogs or have worked with them but have not had my own as an adult
I have never had one or have limited experience with dogs
Other: _____________________________________________________________
Have you owned a pit bull/ bully breed before? YES NO
If no, what is your experience with them? ___________________________________________
What do you appreciate about this breed? __________________________________________
Are you aware of the
YES NO
How are you prepared to address this should it arise? Please be specific: _______________
____________________________________________________________________________
How many dogs have you owned in the past 5 years? _________________________________
What happened to the other dog(s)? _______________________________________________
Do you currently have pets? |
YES |
NO |
If yes, please complete the following: |
||
Type |
Breed |
Gender |
Age |
Spay/Neutered? |
If not, why? |
____________________________________________________________________________
____________________________________________________________________________
____________________________________________________________________________
____________________________________________________________________________
How do you feel your current pets will adjust to a new dog in the house? ________________
Have you had experience with behavioral or medical issues with your previous or current pets?
If yes, please describe: _________________________________________________________
If there are children in the household, please describe their experience with dogs:
____________________________________________________________________________
____________________________________________________________________________
About this dog……
Why do you want to adopt a rescued pit bull/bully breed? ______________________________
____________________________________________________________________________
Share your reasons for wanting a dog? (check all that apply)
family pet |
gift for someone else |
protection/guard dog |
companion |
childʼs companion |
companion for another pet |
Other:____________________________________________________________________
How will you exercise your dog? ___________________________ How often? ____________
What type of training are you interested in doing with your pit bull? _______________________
Have you or would you be willing to enroll your current dog(s) in obedience classes?
YES NO only if I had problems
How would you discipline your dog if he or she misbehaved/ chewed household items? _______
____________________________________________________________________________
What method do you intend to use to housetrain your dog? (check all that apply)
Rub nose in offending spot |
|
Take out every couple of hours |
Crate training |
|
Consult professional |
Other: ________________________________________________________________
If your pit bull develops behavioral problems, what will you do? __________________________
____________________________________________________________________________
In which of the following situations might you allow your dog off leash?
public park |
dog park |
beach |
hike |
neighborhood walk |
|
back yard |
front yard |
|
Additional information…….
If your dog got out/ was lost, what would you do? ___________________________________
What food will you feed the dog? (Specify brand if known)
Dry___________ |
Canned ___________ Other _____________________________ |
Would you like food recommendations? Yes, please
Pets are an investment of your time and money. Can you afford to provide medical care,
grooming, proper diet, shelter, and exercise for your new dog? YES NO
Other concerns: ______________________________________________________________
Are you able to make a
could be as long as 15 years or more? YES NO
Other concerns: ______________________________________________________________
What is your monthly budget for your dog? ________________________________________
Who is your veterinarian (name and phone)? ________________________________________
____________________________________________________________________________
If you do not currently have a vet, would you like a referral? Yes, please
If you move, what will you do with your dog? ________________________________________
Which of the following reasons might force you to give up your dog? (Check all that apply):
excessive barking/ neighbor complaints |
aggressive on leash |
destructive chewing |
|||
biting/aggression |
digging |
|
divorce/separation |
allergies |
|
shedding/ dirty |
not trainable |
poor watchdog |
|
moving/relocating |
|
|
financial problems |
growling/nipping at guests |
|||
excessive vet bills/chronic illness having a baby nips or bites children
new spouse/ partner doesnʼt like dogs pets arenʼt getting along
None of the above
other: __________________________________________________________________
Additional comments about why you would like to adopt this particular dog: _______________
____________________________________________________________________________
____________________________________________________________________________
____________________________________________________________________________
Is there anything else you would like to share about with us? ___________________________
____________________________________________________________________________
____________________________________________________________________________
and finally……
Please read and initial each statement below:
_____ I understand that a home visit is required prior to final placement.
_____ I understand that a home visit does not guarantee placement.
_____ I agree to provide my own collar, leash and a personal ID tag at the time of completing
the adoption contract.
_____ I can give a gift of $_______ to help offset the costs incurred preparing this dog for
adoption. (Inability to make a donation does not disqualify an applicant from consideration.) I understand that any donation or contribution is a gift freely given, not a purchase price for a dog.
We reserve the right to refuse adoption to any applicant for any reason. This questionnaire becomes part of our contract.