Dog Adoption Application For (Name of Dog):
Today's Date:
The following information is requested so that we can assist you in the selection of a new dog. Our goal is to place animals in loving, safe homes with compassionate people who will make lifelong commitments to them by accepting them as a member of their family. The adoption process is designed to help determine the best match between the pet and the lifestyle of the adopter. This also enables us to determine if the adoption is in the best interest of the pet. In order to adopt a dog or puppy you must: Before completing this application please understand that ALMOST ALL of our dogs and puppies are fostered in the south. Petfinder indicates that the dogs are in Westport CT, but they are only in CT if it states so within their description paragraphs. Preferably own your own home Be 21 years of age or older Have identification showing your present address
Adopter's Last Name:
Adopter's First Name:
Street Address:
City:
State:	AL AK AR AZ CA CO CT DC DE FL GA HI ID IL IN IA KS KY LA ME MD MA MI MN MS MO MT NE NV NH NJ NM NY NC ND OH OK OR PA RI SC SD TN TX UT VT VA WA WV WI WY
Zip:
Home Phone:
Work Phone:
Cell Phone:
Email Address:
	Please check your spam/bulkmail/junkmail folder for our response especially if you use AOL or YAHOO
How long have you been at this address?
How many people in your household?
#Adults/#Children (Ages of Children):
Does anyone in the home have allergies to pets?	YES NO   If so, who?
Employer:
Do you work outside the home?	YES NO
Is anyone home during the day?	YES NO
How long will the dog be alone each day?
Is this your first experience owning a pet?	YES NO
Have you ever had to give up a pet?	YES NO
If YES, What were the circumstances?
Do you currently own any pets?	YES NO
If YES, please provide Pets Name, Breed, Age
Are your pets up-to-date on vaccines?	YES NO N/A
Why do you want to adopt a dog/puppy?
Do you plan to crate train your puppy?	YES NO
Where will the dog/puppy sleep?
Do you have a fenced-in yard?	YES NO
What type of exercise are you planning to provide a dog and how often?
How many pets have you owned in the past 5 years?
Please list each pet and the status of each pet you have owned in the last 5 years if not currently living with you
If you are interested in adopting a puppy, what is your prior puppy experience?
What do you consider a reasonable amount of time to allow a new dog to adjust to your home?
What would you consider doing if the dog was still having trouble adjusting after that time?
REFERENCES
Veterinarian's Name/Phone
Two non-relative personal references
1) Reference Name/Phone
2) Reference Name/Phone
When you push the Submit button, you agree to the following: To keep the adopted animal current on health check-ups and vaccinations To spay or neuter if adopting a puppy Purchase a properly fitted collar and license with your phone number Agree not to tie or chain the pet as a primary means of confinement Agree that your dog live in the house with the family and not be an outside dog Be able and willing to provide standard and emergency medical care. Be aware that expenses for a dog usually run about $700/year. Medical conditions or emergencies can cost much more. Provide professional training when necessary to correct behavior problems