Canine Adoption Form - The Dogwood Animal Rescue Project

Canine Adoption Application

Name(Required)

First Last

Spouse/Partner (if applicable)

First Last

Home Address (physical street address required)(Required)

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

How long have you lived at the address above?(Required)

Home Phone(Required)

Work Phone

Mobile Phone

Email(Required)

Enter Email Confirm Email

Are you applying for a specific dog(s)?(Required)

If so, which dog(s)? Please apply for a maximum of 2 at a time:(Required)

How did you come to learn about this dog and/or adopting from Dogwood Animal Rescue Project (DARP)?(Required)

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(Required)

Please list the full names, ages and relationship (to you) of all regular/routine VISITORS to your household, including VISITING pets.(Required)

Is everyone in your household in favor of adopting a dog?(Required)

Yes

Housing Type(Required)

House

Condo

Apartment

Mobile Home

Housing(Required)

Own

Rent

Live With Parents

Other

Specify Other(Required)

Landlord's Name(Required)

First Last

Landlord's Phone(Required)

Does your rental agreement allow dogs?(Required)

Does the agreement have restrictions regarding size or quantity of dogs/animals permitted?(Required)

Please specify(Required)

What is your household activity level?(Required)

Low

Moderate

Active

Very Active

Do you currently own any other pets?(Required)

Yes

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?*(Required)

Dog Living Arrangements and Care(Required)

Indoors

Outdoors

Indoor/Outdoor

Dog Run

Who will be responsible for feeding the dog each day?(Required)

How many hours per day will the dog be alone?(Required)

Less than 3

3-6

6-9

Greater than 9

What does your normal schedule outside the home look like? Please include your typical daily hours away from home, including work, activities and errands.(Required)

Where will the dog stay when you are not home?(Required)

House

Garage

Outside

Other

Specify if other(Required)

Will the dog be left unattended with children?(Required)

Yes

Who will take care of your dog while you are on vacation?(Required)

If you must re-locate, what will you do with your dog?(Required)

Most dogs require exercise. Who will provide this? What kind of exercise?(Required)

In what family activities will your dog be included?(Required)

What activity level would you like your dog to have?(Required)

Low

Moderate

Active

Very Active

Are you getting the dog for protection or to be a watch dog?(Required)

Yes

Is your property/yard securely fenced?(Required)

Yes

Please describe the size, height and type of fencing you have available.(Required)

Does the fence need repairs?(Required)

Yes

Will you chain the dog in the yard?(Required)

Yes

Would you agree to having us visit you at your home?(Required)

Yes

How will you prevent the dog from getting fleas and/or Heartworms?(Required)

What type of identification will your dog wear?(Required)

Where do dogs sleep at your home?(Required)

Tell us about yourself and why you'd be the right home for this dog:(Required)

Dog Specifications

Is this dog a gift?(Required)

Yes

Have you owned a dog before?(Required)

Yes

What happened to the dog?(Required)

What breed(s) of dog interest you?(Required)

*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)?(Required)

Yes

What age interests you? (check all boxes that apply)(Required)

Puppy (<1 yr)

Young (1-3 yrs)

Adult (3-8 yrs)

Senior (>8 yrs)

What size interests you? (check all boxes that apply)(Required)

Extra Small (<15lbs)

Small (15-30lbs)

Medium (30-65lbs)

Large (65-120lbs)

Giant (> 120lbs)

What coat types are acceptable?(Required)

Long

Medium

Short

Requires grooming

Any coat type

Training

Have you ever attended a dog or puppy obedience class or a behavioral class?(Required)

Yes

Do you plan to take your dog to an obedience class?(Required)

Yes

Who will be responsible for training your new pet?(Required)

What techniques and equipment will you use to train your pet?(Required)

How do you plan to socialize your dog? If so, do you need recommendations?(Required)

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:(Required)

Costs

There 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(Required)

Yes

Please acknowledge your understanding (Initial)(Required)

Date(Required)

References

May 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)(Required)

Yes

Veterinary Clinic or Hospital name:(Required)

Veterinarian's Name

Veterinarian’s phone:(Required)

If no, why not?(Required)

Acknowledgement of Responsibility

You 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(Required)

I/We will give our dog daily companionship, and not just when it’s convenient.(Required)

I/We are willing and financially able to care for the dog as described in the Costs section above(Required)

Signature (type your name)(Required)

Date

Important

IMPORTANT: To allow time for processing, please don’t close your browser window too quickly after hitting Submit. You will receive an automated email confirmation to let you know we received your application. If you don’t receive the confirmation, we don’t have your application!