Application for Adoption

Pet You Wish To Adopt (required)

Your Name (required)

Spouse / Co-Applicant

Your Email (required)

Your Phone # (required)

Address (required)

Do you own or rent your home? (required)

If you are a renter, how long have you lived at your current address?

If you are a renter, do you have permission to have a pet in the home?

Renters, please provide us with your landlord's name and contact information:

Please provide us with a general description of your property (size, fences, hazards, etc.):

Is this dog going to be an inside or outside dog? (required)
InsideOutsideMix of Both

Are you looking for a short-haired or long-haired dog? (required, may select more than one option)
ShortLong

What size dog are you looking for? (required, may select more than one option)
SmallMediumLarge

Do you wish for your dog to be fairly calm or fairly active? (required)
CalmActive

Please carefully consider/check the following behaviors that you can not or will not tolerate in the pet:

Chews belongingsBarks too muchPet has housetraining problemsPet is too hyperPet sheds too muchPet requires groomingPet requires too much vet carePet scratches furniturePet digs holesPet pulls on leashPet does not interact well with other pets/humansOther

If you selected "Other", please describe?

Number of adults in household and their ages (required)

Number of children and their ages? (required, use 0 if none)

List any pets you have currently, including sex, ages and whether they are spayed or neutered:

Where will you keep the pet when you are not home? (required)

How long will will the dog typically be left alone at home? (required)

What will you do with this pet while you are on vacation? (required)

What would cause you to no longer keep this pet? (required)

What would you do with the dog if you couldn't keep her/him? (required)

Who is your current Veterinarian? (required)

Any additional information you feel to share that would be helpful?

Please list a reference and their contact information (phone number)?