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Dog Adoption Application
Where did you hear about Underdog Rescue?
Select
Petfinder.com
urbAnimal
Craigs List
Friends/Family
Other
Other:
If referred by a friend or family please let us know who so we may thank
them!
Your Contact Information
Name of dog you are interesting in adopting
Veterinarian Contact Information
1. Are you employed?
Yes
No
a.
Employer
2. Number of Hours Per Week
3. Do you have children living at home with you?
Yes
No If no, skip next
question.
a.
Name(s) and Age(s) of Children
4. Name(s) of other family living with you
5. Besides immediate family, who else lives with you? (List name(s) and
age(s))
6. Do you:
Rent
Own If you own,
skip next question.
a. If
you rent, please provide contact information of your landlord
7. Please choose the type of dwelling
Select
Single-Family Home
Duplex
Condominium
Townhouse
Apartment
Mobile Home
8. Length of time at this address:
Years
Months
9. Can you recite the city animal ordinances and/or licensing procedures?
Yes
No
10. Do you currently have a fenced in yard?
Yes
No
a. If
yes, what type of fence, and how tall is the fence?
b. If
you do not have a fenced yard, explain how you will provide time and an area
for the dog to defecate/urinate.
11. Where will the dog be primarily kept?
Indoors
Outdoors
12. Please explain where and how the dog will live, by reciting what a
typical day would look like.
13. How many hours per day will the dog be left alone or crated?
14. Do you have an appropriate crate/kennel for this dog?
Yes
No
a. If
not, do you plan to purchase one?
Yes
No
15. Do you have a backyard swimming pool?
Yes
No
a. If yes, is it
fenced separately?
Yes
No
16. Do you currently have any pets?
Yes
No
a. If
yes, please describe, in detail, the names, species, ages, breeds, health,
spayed/neutered,
current on vaccinations, training level, and diet.
17. Please list any previous pets you have had in the last 10 years and
where they are now/what
happened to them.
18. Please explain why you are interested in this dog breed or breed mix:
19. Please explain what you like about this particular dog:
20. What steps have you taken to learn about this breed and/or dog ownership?
21. What behavioral/training issues can you deal with comfortably?
22. What behavioral/training issues can you not deal with comfortably?
23. Are you willing and able to take this adopted dog to obedience
classes? Why or why not?
24. If you were to return this dog to us for any reason(s), what might
they be?
25. If, for any reason, you are unable to keep this dog, will you agree
to return it to Underdog Rescue?
Yes
No
26. Please provide the contact information of THREE references.
1.
2.
3.
This application is not a legal, binding contract, whereby filling it out
does not guarantee pet adoption.
By choosing the "I
Agree" button, you are agreeing that Underdog Rescue and Placement can
contact
your veterinarian and references to ascertain your history regarding
pet
care and consistency.
Please understand, our mission is to find permanent
homes for homeless pets,
we use this form as a
part of our
screening process, thus it may take from several days to a week before adoption can
occur.
By selecting "I Agree" you hereby certify that the information provided in
this application is true and correct.
I AGREE
I DO NOT AGREE
Thank you for your interest in our
available dogs/puppies.
We will be in contact with you after reviewing
your application.