Dog Adoption Application Form

Which dog are you applying for:

Name *

First

Last

Email *

Phone *

Address *

Address Line 1

City

State

Zip Code

What's Your Occupation?

Housing Situation

Owner
Renter

Are you allowed to have dogs in your home?

Yes
No

Are there children living in your home?

Yes
No

Dog Living Conditions

Inndoor Only
Indoor/Outdoor
Outdoor Only

Will your dog be allowed on furniture?

Yes
No

Is your yard shared?

Yes
No

Is your yard fenced?

Yes
No
Partially

Do you have a swimming pool?

Yes
No

What kind of Training do you have experience with:

Crate Training
Potty Training
Obedience Training
Non

Select all that apply

How often are you home each day?

1-5 hours
6-12 hours
13-24 hours

My dog needs to adjust to new situations quickly:

Not important
Somewhat important
Very important

I certify that the above information is true and correct to the best of my knowledge. I further agree that any adoption made on the basis of this questionnaire is null and void if any of these statements are untrue. I understand that Pets Sanctuary and animal rescue's main concern is that all pets be properly cared for by their owners. I understand the minimum adoption donation for dogs over 5 months are $200. Puppies (up to 5 months) are $400. Dogs over 10 years are $100 -- certain breeds may be at the discretion of Pets Sanctuary. Some adoption prices vary. These fees are necessary to offset the costs incurred related to rescue, care and adoption. I understand that Pets Sanctuary reserves the right to deny adoption of any animal.

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