Dog Adoption Application
Applicant Name:_________________________________________Date:______________________
Address:_______________________________
Home phone#:_______________________________Cell#__________________________________
Email:____________________________________________________________________________
Employer Name/Number:___________________________________________________________
Occupation:_______________________________________________________________________
Are You 18 Years or Older? ________________________________________________________
Are You a Student? ________________________________________________________________
What type of puppy/dog are you interested it? _____________________________________
Please check: Male____Female____Puppy____Adult_____
Personality type:_____________Color:_______________Size:_______________
How many people currently reside in your household?_____________
Any children in the household? Ages?____________________________________________
Does any member of the household have allergies?__________________________________
Who will be responsible for the dogs care?________________________________________
What type of dwelling do you live in?_____________________________________________
Do you rent or own?___________________________________________________________
If you rent please name your landlord and phone number.___________________________
Are pets allowed? Yes________No_________Not Sure_________________
Where will the dog be kept?____________________________________________________
If outdoors, will the dog be -attended_________-unattended_________
Do you have a fenced in yard?___________________________________________________
Will anyone be home during the day?____________________________________________