Dog Adoption Application

Please complete the below form and we will contact you regarding your Dog Adoption Application. Thank you!

THS – Dog Adoption Application

Name of pet you are interested in adopting*
Your Name*
First Last
Date*
MM slash DD slash YYYY
Address*
Street Address Address Line 2 City State ZIP Code
Home Phone*
Work Phone*
Email*
Do you live in?*
- House
- Duplex
- Condo/Townhouse
- Apartment
Do you:*
- Own
- Rent
Landlord's Name
First Last
Phone
Your veterinarian:*
First Last
Phone*
Location:*
Previous Veterinarian:
First Last
Phone
Location:
Ages of people living with you or who visit often:*
How will you house-train your new dog?*
If you move, what are your plans for the care of your dog?
Estimate annual cost of caring for a dog:*
Please list all the pets you've had in the past five years:
Name Breed Age Years with you Current on vaccines? Years gone?
How will you train your dog?*
- Yourself
- Dog Trainer
- Dog Training Courses
Why do you want a pet?*
Why adopt?*
*
I have completed this application truthfully and fully understand the adoption process.
Printed Name*
First Last
Signature*
Date*
MM slash DD slash YYYY
I have owned a dog before.*
- Yes
- No
- Currently own dog(s)
The last time I had a dog was…
- 2-10 years ago
- 10+ years ago
- Not currently, but within the past year
My dog needs to get along with other dogs.*
- No
- Yes
If yes, please list names, ages, genders and breeds:
Name Age Gender Breed
My dog needs to be good with (check all that apply)
Children over 8 years old
Children under 8 years old
Elderly people
Cats
Animals other than dogs and cats
My dog will primarily be an…*
- Inside dog
- Outside dog
- Service dog
How many hours will your dog spend outside per day?*
Please enter a number from 0 to 24.
My dog needs to be able to be alone (per day)….*
- 2 hours or less
- 4 hours or less
- 8-10 hours
- 12 hours
When I'm at home, I want my dog to be by my side…*
- All of the time
- Some of the time
- Little of the time
When I'm not at home, my dog will spend her time…*
- Loose in the house
- In a crate in the house
- Confined to one room in the house
- Outside
I want a guard dog.*
- No
- Yes
I want my dog to hunt or herd with me.*
- No
- Yes
I want my dog to be the type that is very enthusiastic in the way she shows she loves people.*
- Very
- Somewhat
- Not at all
I want my dog to be playful.*
- Very
- Somewhat
- Not at all
I want my dog to be laid back.*
- Very
- Somewhat
- Not at all
I am comfortable doing some training with my dog to improve manners such as jumping, stealing food, and pulling on the leash.*
- A lot of training
- Some training
- No training
I (or my children) want to participate in Agility, Flyball or Obedience with our dog.*
- No
- Yes
I am interested in a dog with "special needs" (medical or behavioral).*
- No
- Yes
It's most important to me that my dog….*

Name	Breed	Age	Years with you	Current on vaccines?	Years gone?

Name	Age	Gender	Breed