Dog Adoption Form

First Name *

Last Name *

Area Code *

Phone Number *

Email

Name of dog you are interested in:

What is your approximate age? *

Where are you located? *

Do you live in a house or apartment (own or rent)? *

If you rent, is your landlord okay with dogs? *

Yes No

Do you have a (fenced) yard? How high is your fence? *

How many people live in your household, and is everyone in your household okay with adopting this dog? *

Do you have children? If yes, how old are your children? *

Do you have any (animal hair) allergies? *

Yes No

Do you have any other pets?

Yes No

If yes, what kind of pets (breed/weight)? Are they spayed/neutered? Age? Dog friendly?

If you have pets, can you separate them at first and introduce slowly? Plan B if they don't get along?

What would you do if the dog doesn't get along with your pets/family, or is reactive/has behavioral issues?

Are you experienced with (working) dogs?

Have you fostered/adopted before?

How many hours will the dog be alone per day? *

Will you let the dog decompress for some days, avoid overwhelming interactions, and follow 3:3:3 rules?

Can you walk the dog multiple times a day and physically/mentally stimulate him?

How would you stimulate the dog?

What's the name of your vet and will the dog get an annual check up?

Do you have a pool? If yes, is it secured?

Would you be able to drive the dog to vet visits?

Are you willing to work through separation anxiety, potty/leash training, crate training, etc.?

In case this dog isn’t available, are you open to adopt another urgent dog?

Yes No

Where will the dog spend most of his/her time? Will the dog live indoors and be part of your daily routine?

Who will care for the dog if you get sick / can’t care anymore?

What will happen to the dog if you move?

What will happen to the dog if your family situation changes?

What if someone in your family suddenly becomes allergic?

Does your budget allow for continuous care (food, vet, etc.)?

Can you pay for the transport (depending on location)?

What if your financial situation changes?

Are you aware you can't rehome or surrender the dog without the rescue’s approval and agree to this?

Yes No

Can you provide photos or videos of your home and yard?

If there is anything else you think we should know, please note it here.

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By submitting this form you agree that we may store your contact details and share them with other rescue volunteers, shelter networkers and registered rescue organisations for the purpose of matching you with a dog. You can ask to remove your details at any time.

Thank you so much for wanting to adopt a dog!

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