Adoption Application

Your Contact Information

Name*

First Last

What is your occupation?*

Address*

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

Phone*

Email*

Enter Email Confirm Email

I certify that I am at least 21 years old.*

21 or over
Under 21

Your New Best Friend

We're here to help you find your new best friend!

Do you know what dogs you want to meet?*

Our adoption counselors are dog + human matchmakers and are happy to help you find your perfect dog. But we understand if you have a specific dog or dogs you'd like to meet.

Yes
No

First Choice

Second Choice

Third Choice

Are you looking for a male or female dog?*

Female
Male
Either

Are you interested in an adult dog or a puppy?*

Adult
Puppy
Either

How much exercise can you give your dog each day?*

What will a typical day look like for your dog?*

Are you willing to adopt a dog with special health needs?*

Yes
No
Depends on the situation

Are you willing to adopt a dog with special behavioral needs?*

Yes
No
Depends on the situation

Do you (or anyone in your household) have any special health conditions/limitations, allergies, or special needs that we should consider when finding you the right match? (Please explain.)*

Your Pet History

Do you currently have any pets?*

No, this is my first pet
I have had pets before, but not currently
Yes, I currently have a dog and/or other pets

What kind of experience have you had with dogs?*

Please tell us about your past pets*

Please describe your current pets*

Have you ever given up a pet? If so, please share your experience.*

Do you currently have a vet, or need a recommendation?*

I have a vet
I need a recommendation

Are you aware of the daily, monthly, and yearly preventative care that comes with pet ownership?*

Yes
No

Your Home and Lifestyle

We'll use these details to help match you to the perfect Family Dog for your lifestyle and needs.

Do you rent or own your home?*

Rent
Own

Landlord's Name*

First Last

Landlord's Phone Number*

Are you allowed to have pets in your unit?*

Yes
No

Are there any breed restrictions where you live?*

Yes
No

Please explain the breed restrictions where you live.*

Is it an apartment, condo, or studio?*

Apartment
Condo
Studio

Are you able to provide proof of homeownership?*

Yes
No

Do you have a yard?*

Yes
No

How many adults live at your home?*

Are there any children that live at your house?*

Yes
No

Please tell us about all the members of your household, including their ages.*

Training Plans*

Training is important for a long lasting, happy dog + human relationship! Share your training plans, or areas where you might need help. How much time are you willing to invest in training your dog? What are you plans for training (group class, private training, do it yourself)? Do you know what training methods you will be using?

Where will your dog be kept when you are away?*

Inside only
Outside only
Both inside and outside

How many hours will your dog spend alone on a typical day?*

If you spend a lot of time away from home, please share your plans to keep your dog fulfilled and cared for while you're away. Are you willing to hire a dog walker or use doggy daycare services?

Where will your dog sleep?*

Are you ready to bring your newly adopted dog home right away?*

Yes
No

Please explain*

Please describe the size, energy level, and temperament you'd like in your new dog.*

Is there anything else you would like us to know?

References

Please list one reference that is familiar with you and your pets.

Name*

First Last

Phone*

Relationship*

Wrap-up

How did you hear about Family Dog Rescue?*

Certification Waiver*

I certify that, to the best of my knowledge, the information provided in this application is true and complete. I recognize that any misrepresentation of that information will result in my losing the privilege of adopting a rescued dog from Family Dog Rescue. I understand that Family Dog Rescue has the right to deny my request to adopt a dog, and I authorize checking all information provided in this application.

I accept

Donate

Your Contact Information

Your New Best Friend

Your Pet History

Your Home and Lifestyle

References

Wrap-up