Thank you for applying! What is the best way to contact you?

Text, email, phone call

Is this pet meant to be a gift? If yes, please answer the following questions from the perspective of the lucky recipient. --Select-- Yes No

meaning family, friend etc.

What kind of dog are you interested in?

Small breed, Large breed, calm, active,

What would be the ideal kind of dog for you?

Active, calm, sweet, shy, couch potato

Are you applying for a specific dog on our page?

Please list the dogs name below

Do you have prior experience with dogs?

how long, breed type, etc

Are you 18 years of age or older? Yes No

What is you occupation and how many hours a day do you work?

Do you own your home or rent?

We welcome adopters who rent, or live in an apartment or condo. We want to alert you that some landlords and management companies have size and breed restrictions, limits on number of pets, and/or require pet deposits or additional fees. Please if you rent please provide the landlords info below.

name, phone number

Please list names and ages of all those living in your household including yourself.

What would you say the environment in your home is like?

Is it active, calm, noisy, busy, etc..

If you currently have dogs in the home do they typically get along with new dogs they are introduced to?

Will the dog be living indoors or outdoors?

If outdoors please explain

How many hours a day will the dog be left alone?

When left alone, where will the dog stay?

Kennel, free roam, designated room, outdoors ect

Do you have a fenced yard? If so what type of fencing.

privacy, chain-link, etc

Are you planning on moving soon? Yes No

What current vet do you use? (we do vet reference checks)

please list name, location, phone #

Please provide 1-2 references of someone not related to you if you do not currently have a vet.

Name, phone number

Please list names, ages, and breed all the current pets in the home, and what their temperaments are like

Are all the animals in your home up to date on vaccines, flea and tick, heartworm preventions, and Spayed/Neutered? Yes No

If not up to date or spayed/neutered please explain why.

If you were to go out of town, who will watch the dog? Please list names and contact info

boarding kennel, Friend, Family: please list contact info

Is there any circumstance that would lead you to surrender an animal?

If the adoption does not work out, you understand and agree the dog must be returned to our rescue. (They may not be given away, surrendered to another shelter, abandoned. rehomed, sold, etc.) yes No

This is not optional

Do you agree to letting a member of our team do a home check? Yes No

If no, can you explain why?

Do you agree to provide this animal with adequate food, fresh water. and shelter from the elements, as well as daily exercise, and be kind at all times? Yes No

Do you agree to provide the animal with the required veterinary care, including monthly heartworm prevention? Yes No

Do you also agree that in the event of an illness or injury, you will promptly get it the medical care it needs? Yes No

If an instance occurs to where you are no longer able to care for the animal, do you agree to keep and foster the animal until we can find alternative placement for it? Yes No

We'll explain this pet's medical and behavioral history. Please check any additional topics you'd like to discuss: Feeding this pet Grooming/nail trimming Exercise, toys and other fun activities Puppy/Kitten-proofing the household Working with a trainer Microchips and other ID options Finding a veterinarian Crate training Pulling on-leash Flea/Heartworm prevention

You may check all that apply.

Please use this space to provide any other information you'd like to share or questions you may have.

*I have read and agree to the Terms and Conditions