Dog Adoption Application FormPlease enable JavaScript in your browser to complete this form. - Step 1 of 4Which dog are you applying for: Name *FirstLastEmail *Phone *Address *Address Line 1CitySelectAlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingStateZip CodeNextWhat's Your Occupation?Housing SituationOwnerRenterAre you allowed to have dogs in your home?YesNoAre there children living in your home?YesNoDog Living ConditionsInndoor OnlyIndoor/OutdoorOutdoor OnlyWill your dog be allowed on furniture?YesNoDo you have other pets?NonCat(s)Dog(s)Bird(s)Reptile(s)Rodent(s)Select all that applyIs your yard shared?YesNoIs your yard fenced?YesNoPartiallyPreviousNextDo you have a swimming pool?YesNoWhat kind of Training do you have experience with:Crate TrainingPotty TrainingObedience TrainingNonSelect all that applyHow often are you home each day?1-5 hours6-12 hours13-24 hoursI would like my dog to be:Enjoys being held / carriedSits in my lapCalm / relaxedMedium energyActive / PlayfulGets along with dogsPlays with toysQuietBe social with everyoneGets along with catsSleeps with meGets along with childrenSelect all that applyMy dog needs to adjust to new situations quickly:Not importantSomewhat importantVery importantPreviousNextI 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.Updating preview…This is a preview of your submission. It has not been submitted yet! Please take a moment to verify your information. You can also go back to make changes.PreviousSubmit