Adoption Application – Dogs Canine Adoption Application Due to COVID 19 and for the safety of our volunteer team and adopters, we have restructured our procedures and are following protocols for safety during the adoption process.Please answer ALL parts of the requested responses, in order for us to have the necessary information to process your application, thank you!Family InformationName* First Last Home Address* Street Address City State / Province / Region ZIP / Postal Code AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongo, Democratic Republic of theCongo, Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzech RepublicCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatini (Swaziland)EthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacauMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth KoreaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussiaRwandaRéunionSaint BarthélemySaint HelenaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth GeorgiaSouth KoreaSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan Mayen IslandsSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTurks and Caicos IslandsTuvaluUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaVietnamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland Islands Country How long have you lived at the address above?* Home Phone*Work PhoneMobile PhoneEmail* Are you applying for a specific dog(s)?*YesNoIf so, which dog(s)? Please apply for a maximum of 2 at a time:* How did you come to learn about this dog and/or adopting from Dogwood Animal Rescue Project (DARP)?*I follow DARP on Facebook and saw this dog in my newsfeedSomeone I know shared this dog or DARP on FacebookSomeone I know shared this dog or DARP with me (not through Facebook).I found this dog or DARP on Instagram.I found this dog/DARP through the DARP websiteI found this dog/DARP on PetfinderOtherOther - please specify IMPORTANT: We will not be able to process this application without the following information. STARTING WITH YOURSELF, please list the all people living in your household, including children. We need: 1. FULL NAME 2. AGE 3. RELATIONSHIP TO YOU* Please list the full names, ages and relationship (to you) of all regular/routine VISITORS to your household, including pets.*Is everyone in your household in favor of adopting a dog?* Yes No Housing* Own Rent Live with parents Landlord's Name* Landlord's Phone*Does your rental agreement allow dogs?* Yes No Does the agreement have restrictions regarding breed, size, or quantity of dogs/animals permitted? Please specify. Housing Type* House Condo Apartment Mobile Home What is your household activity level?* Low Moderate Active Very Active Do you currently own any other pets?* Yes No IMPORTANT: We will not be able to process this application without the following information. Please list all animals living in your home: 1. Species/breed 2. Age 3. Male or Female 4. Is the animal spayed/neutered?*Dog Living Arrangements and CareWill the dog be:* Indoors Outdoors Indoor/Outdoor Dog Run Who will be responsible for feeding the dog each day?* How many hours per day will the dog be alone?* Less than 3 3-6 6-9 Greater than 9 Do you have a plan for your dog when you are gone for longer than 6 hours?* Is this your normal hours away from home or has your schedule changed due to COVID? Please explain*Where will the dog stay when you are not home?* House Garage Outside Will the dog be left unattended with children?* Yes No If yes, please explain:Who will take care of your dog while you are on vacation?*If you must re-locate, what will you do with your dog?*Most dogs require exercise. Who will provide this? What kind of exercise?* In what family activities will your dog be included?*What activity level would you like your dog to have?* Low Moderate Active Very Active Are you getting the dog for protection or to be a watch dog?* Yes No If yes, Please explain your needs:Do you have a fenced yard?* Yes No Does the fence need repairs?* Yes No If yes, please explain:*Will you chain the dog in the yard?* Yes No If yes, why/how often?*Would you agree to having us visit you at your home?* Yes No How will you prevent the dog from getting fleas and/or Heartworms?*What type of identification will your dog wear?* Where do dogs sleep at your home?*Tell us about yourself and why you'd be the right home for this dog:*Dog SpecificationsIs this dog a gift?* Yes No If yes, who is the dog for?* Have you owned a dog before?* Yes No What happened to the dog?* Deceased Lost Rehomed What breed(s) of dog interest(s) you?**We recommend you do breed research on the types of dogs that will fit your lifestyle. Please watch our social media pages (Facebook and/or Instagram) for available dogs. Please note if there are breeds you have researched and feel would be a good fit for your lifestyle.* Are you familiar with the(se) breed(s)?* Yes No What age interests you? (check all boxes that apply)* Puppy (<1 yr) Young (1-3 yrs) Adult (3-8 yrs) Senior (>8 yrs) What size interests you? (check all boxes that apply)* Extra Small (<15lbs) Small (15-30lbs) Medium (30-65lbs) Large (65-120lbs) Giant (> 120lbs) What coat types are acceptable?* Long Medium Short Requires grooming Any coat type TrainingHave you ever attended a dog or puppy obedience class or a behavioral class?* Yes No If yes, please list the classes and dates you attended them:*Do you plan to take your dog to an obedience class?* Yes No If no, why not?*Who will be responsible for training your new pet?* What techniques and equipment will you use to train your pet?*How do you plan to socialize your dog? If so, do you need recommendations?*Please describe what you would do if your dog develops any of the following behavior problems: barking, chewing, digging, aggression, inappropriate urination in the house:*CostsThere are ongoing costs associated with owning a dog. Are you willing and financially able to provide the following for your dog for its entire life? (Note: costs provided below are average costs) $60-$150 FOR INITIAL VET CARE; $50 -$200 for initial obedience training; $25-$100 + per month for food; $150 + for yearly veterinary care and vaccines; $20 + for annual county licensing fees; $500 + for special vet care needs or $800 to over $1,100 per year* Yes No Please acknowledge your understandingInitial:* Date* MM slash DD slash YYYY ReferencesMay we contact your veterinarian for a reference? (Please note, even if you no longer have a dog, veterinary offices keep records for 10-20 years)* Yes No If no, why not?Veterinarian’s name:* Veterinary Clinic or Hospital name:* Veterinarian’s phone:*Acknowledgement of ResponsibilityYou will be sharing your life with this dog for up to 15 years or more please be sure you are ready for the commitment. Please initial each of the statements below indicating you accept them.I am/We are ready to make a LIFETIME commitment to our new dog* I/We will give our dog daily companionship, and not just when it’s convenient.* If the dog needs to be returned please note that space may not be immediately available with the original foster or an alternate foster and you, as the owner, may need to foster/board the dog until we can find a new home for it. I/We understand that if we return the dog, we will be responsible for its care until a new home is found* I/We are willing and financially able to care for the dog as described in the Costs section above* Signature (type your name)* Date* MM slash DD slash YYYY Important! When you click 'Submit', please don't close your browser window too quickly. Please wait for the application to process. Upon acceptance, you will receive an email confirmation from Dogwood Animal Rescue Project.Important To allow time for processing, please don't close your browser window too quickly after hitting Submit.