Adoption Application Name * First Name Last Name Are you at least 18 years old? * **Please note you need to be at least 18 to adopt a dog Yes No Age? * Email * Cell Phone * (###) ### #### Name of Employer or School * Occupation * Address Address 1 Address 2 City State/Province Zip/Postal Code Country How long have you lived here? * If you have a yard, is it fully fenced? * Yes No I don't have a yard Do you rent or own? * Rent Own Live with parents Type of housing * Single Family Home Townhouse/Condo Apartment If renting, does your landlord approve of you adopting a dog? * Yes No I don't rent If renting, please provide landlord's full name and phone number * If not renting, put N/A Does your housing have any size/weight restrictions? * Yes No If such restrictions exist, are you willing to provide documentation to show that the adoption of the dog(s) you have selected does not violate any of those restrictions? * Yes No Does your housing have any breed restrictions? * Yes No Including you, how many people live in your home? * Are there children in the home? * Yes No If yes, please list name, age and any experience with dogs for each child Are you willing to supervise your adopted dog at all times when around children? * Yes No Please provide full name, age and relationship of all adults in your home * Does everyone in the home agree to adopting a dog? * Yes No Is anyone in your home allergic to animals? * Yes No Are there other animals in your home? * Yes No Please list each animal in your home and include their breed, age, sex and personality traits. Do they get along with other dogs? Are your current pets spayed/neutered? * Yes No I don't have pets Are your current pets up to date on all vaccinations? Yes No I don't have pets Do you know how many dog(s) and/or cat(s) and/or other pets you are permitted by local laws to maintain at a residence in the jurisdiction in which you live? * Yes No If so, how many dogs and how many cats? How do you know? * What does a normal day for you look like? How many hours a day will your dog be alone? Where will you keep your dog when he is alone? * Where will your adopted dog sleep? * If necessary, would you be able to keep your adopted dog separate from your personal dogs in order to decompress? * Yes No Why do you want to adopt a dog? * Are you willing to work with your adopted dog on any behavioral issues? This can include separation anxiety, barking, digging, accidents in the house, chewing, pulling on the leash, etc * Yes No Are there any behavioral issues you aren't willing to work on? What would be a dealbreaker for you? Please explain in full detail We cannot guarantee a dog to be housebroken, are you equipped to train with love and patience? * Yes No Will you ensure that your adopted dog(s) will reside inside your home and will not be left outside unattended overnight or for any considerable length of time, and that your adopted dog will not be tethered at any time? * Yes No If you go out of town, who will care for your adopted dog? * Have you ever surrendered a pet to a shelter or rescue? * Yes No If yes, please explain Is there a certain dog you are hoping to adopt? If that dog is no longer in need of a home, would you be open to adopting another dog in need? * Has anyone in your home been convicted of a felony or animal cruelty charge? If yes please briefly explain Please provide two personal references that don't live in your home and aren't related to you. Include full name, phone number, relationship and years known for each: * Please provide full name and contact info of at least one other adult in your home: * Please provide links to your social media profiles: * Facebook, instagram, Tiktok, or blog Is there anything else you'd like us to know? By sending this electronically, I acknowledge that I have completely read this application and comprehend it fully. I understand that applying does not ensure approval and that untruthful answers or failure to comply with the requirements of this application can result in the forfeiture of any Advocate4Paws animal adopted by me. I certify that the above information is correct, and I understand that the information will be verified. I understand that by submitting this form electronically, I agree to release and covenant to hold harmless Advocate4Paws and it's members from any claims, damages, costs, or actions incurred because of the care or actions of the adopted dog. I accept full responsibility for the dog(s) actions at all times, and release Advocate4Paws from any liabilities or damages that may be incurred. I agree to have Advocate4Paws complete reference call checks and conduct a home visit inspection (virtually or in person) to be able to approve my adoption application. * I agree Signature * Date * MM DD YYYY Thank you!
