Dog Application

Adopt-A-Pet Puppy/Dog Application
Note: We are having a problem with digital applications not coming through to us. If you are interested in submitting an application, please email: [email protected] and we will send you a pdf version that you can print out, fill in by hand, and email or fax back to us. Thanks for your patience as we troubleshoot this issue.

Please complete the form below in its entirety.
Be sure that you fit within adoption eligibility requirements displayed here. Please note that there may already be pending applications on the dog you have your heart set on. Although we try to accommodate applications on a first-come, first-serve basis, in the case of multiple applications for the same animal we reserve the right to select the applicant which we believe is most suitable for the particular animal.
In order to ensure the well-being of our animals, we reserve the right to decline an application for any reason. Even if your paper application is preliminarily approved, final approval of adoption is at the discretion of the adoption counselor upon your arranged meet-and-greet session.

* Indicates required field

Primary Applicant's Name (First, Middle, Last) *

Primary Applicant's Age *

Primary Applicant's Best Contact Number *

Which Describes your Situation? *

When do you hope to adopt? *

Primary applicant's email address *

Primary Applicant's Address (including City, State, Zip) *

ACKNOWLEDGEMENT 1: Upon picking-up the dog, I WILL bring the following items (no exceptions): an appropriately-sized collar with an attached ID tag that shows my contact name, address, and phone number; an appropriately-sized choke chain, prong collar, harness, or gentle collar as specified for dog; a leash; personal ID (i.e. Driver's License or Government-Issued Photo Identification) that includes current home address; cash or check for adoption fee (NO credit cards)

Acknowledgement Agreement *

Co-Applicant's Name (First, Middle, Last) *

Co-Applicant's Age *

Co-Applicant's Best Contact Number *

Relationship to Primary Applicant *

Co-Applicant's Email Address *

FAMILY DYNAMICS

# of Adults in Household *

Ages of children in household (if any) *

Will your family situation change? *

If yes, please describe *

Does any household member have a conviction(s) of violent crime(s) and/or animal abuse? *

If yes, please describe *

Can an AAP representative complete a home check? *

List any household members unwilling to adopt *

List any household members with dog allergies *

How will you handle allergies? *

What happens to animal if a new baby enters the house? *

What happens to animal if a new family member, spouse, or significant other is allergic to pet(s)? *

HOUSING/LIVING SITUATION

What is your current situation? *

I live in a... *

How long at Current Address? *

If under two years, what was your previous address? *

How long did you live at your previous address? *

Answer the following row of questions ONLY if you rent/lease your current place of residence OR if you live in a condo/townhome:

Does your lease/rental allow dogs? *

How many? *

Any restrictions? *

Name, #, Email Address of Landlord/Manager: *

Do you plan on moving in the foreseeable future? *

If yes, when? *

What type of housing will you move into? *

What would you do with your pet if you moved into housing that didn't allow dogs? *

What would you do with your pet if you moved into a new state/country? *

Do you have a relative, neighbor, or family member that is willing to take care of your pet if you die, become incapacitated, or otherwise become unable to care for your pet(s)? *

If No, what would happen to your pet? *

If yes, provide name, relationship, phone number, and email address of this individual *

AVAILABILITY

How often do you travel? *

How will you provide for your pet when you travel? *

What is the primary applicant's working situation? *

What is the co-applicant's working situation? *

Is anyone at the house a stay-at-home person? *

If yes, who? *

If no, how long will pets be alone? *

Where will your pet be when you're home? *

Where will your pet be when you're gone? *

Where will your pet be when you're asleep? *

Will your dog be indoors or outdoors at most times? *

How many hours per day will your dog be outside? *

If you have a fenced yard, describe the type and height of fence *

When Outside, where will your dog be? (Check all that apply) *

CURRENT & PAST PETS
PLEASE INCLUDE ALL PAST PETS. SKIP THIS SECTION IF N/A.

Type (Dog, Cat, Rabbit, etc.) *

Breed/Size/Gender/Age/Indoor or Outdoor *

All Animals Spayed/Neutered? *

Which pets do you no longer own? Where are they? *

Do you currently have dogs? *

Do you currently have cats? *

If you have dogs, select the option that applies *

I have had a pet stolen *

I have had a pet hit by a car *

I have had a pet lost *

I have had to surrender a pet before *

If yes, please explain the circumstances *

If yes, what did you do with the pet? *

Have you adopted from a different organization in the past? *

Have you recently applied to adopt a pet from a different organization? *

If yes, name the organization *

If yes, what was the date? What were the circumstances for not adopting? *

PET OWNERSHIP

Will you spay/neuter your pet at our expense? *

How will you discipline your dog? *

Do you have experience with dog training? *

Which statement describes your plans with training? *

If yes, please describe *

State who will feed, groom, walk, trim, transport to vet, and serve as the pooper-scooper of the dog *

Anticipated Exercise Level *

Based on your lifestyle, what level of exposure will your dog have? *

DOG OF INTEREST

Desired age range *

Desired breed/hair length *

Desired color/size *

I will be willing to provide a permanent home to... (select all that apply) *

First choice dog *

Second choice dog *

ACKNOWLEDGEMENT 2: Adopting a dog or a puppy is a serious responsibility. A dog you adopt today will likely be a part of your family for the next 10 to 20 years. A dog makes considerable demands on your time and resources. As a dog owner, you will need to spend time training, socializing, grooming, feeding, scooping poop, exercising and playing with your dog each day. Dogs that have not had training need even more time and socialization. All dogs require regular medical care. Some dogs require special food or medications. Some dogs require regular professional grooming. Vet bills, pet sitting and vacation boarding fees may add considerable expense to your family budget.

Acknowledgement *