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 AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific 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 PhoneYour veterinarian:* First Last Phone*Location:* Previous Veterinarian: First Last PhoneLocation: 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:NameBreedAgeYears with youCurrent 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* Reset signature Signature locked. Reset to sign again 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:NameAgeGenderBreed 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 catsMy 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….* Δ
