Adoption Application Name First Name Last Name Spouse or significant other First Name Last Name Are you 21 or older? Adopters must be 21+ * Yes No Dog you're interested in * Address * Address 1 Address 2 City State/Province Zip/Postal Code Country Mailing Address (if different) Address 1 Address 2 City State/Province Zip/Postal Code Country Phone * (###) ### #### Best time to call Email * Employer * Have you owned a dog before? * Yes No If so, please give us a brief history How long have you been thinking about getting a dog? * Why have you decided to get a dog and why, specifically, this breed? * Are you aware that some breeds are active, very intelligent dogs, who may shed and/or require a lot of grooming, exercise and/or interaction with their family? * Yes No Please list all other dogs you currently have, including name, sex, breed, age, and if spayed/neutered. If not spayed/neutered, please explain * Please list all other dogs you've had in the past ten years. For each dog, include the name, sex, breed, age of the dog when acquired, how long you had the dog, and why you no longer have the dog and/or where the dog is now, and cause of death if applicable * Please list all other animals that you own. If none, please write "none" * Who will be the primary caretaker of the dog? * List all plans for this dog: pet, guard, dog obedience, search/rescue, Other: * Would you prefer a: * Male Female No Preference How old a dog are you looking for? * Under 1 year 1 to 2 years 2 to 4 years 4 or older No preference What size dog are you looking for? * Under 50 lbs Over 50 lbs No preference When are you looking to adopt? * Right Away In a few weeks Over a month from now How long do you think your dog is going to take to adjust to his/her new home? * How long are you willing to wait for the new dog to become adjusted and bond with you? * One Week One Month As long as it takes Under what circumstances would you consider returning your dog to us? * How would you correct a dog if he/he has a housebreaking accident in your home? * How would you correct the dog if he/she has chewed something like shoes or furniture? * What type of home do you live in? * Home Condo Townhouse Duplex Apartment Mobile home Other Do you: * Own Rent If you rent, we must receive written approval from your landlord giving consent for the requested dog to be on the property BEFORE the application is started. You must email to: Soul2SoulAR@gmail.com How long have you lived at his address? * If less than a year, please list previous address Address 1 Address 2 City State/Province Zip/Postal Code Country If you bring a child or baby in the home, what will you do with the adopted dog? * If you have temporary financial or health problems, who will care for the dog? * Do you have a fenced yard? * Yes No How will you handle exercise and toilet duties? * How many hours a day will your dog normally be left alone? * Where will your dog spend the day? Be specific * Where will your dog spend the night? * How many adults reside in the home? Their relationship to the applicant? * How many children reside in the home? Age(s)? * Does any family member have allergies to animals? * Yes No Don't know Do you have a regular vet? * Yes No If yes, please list the names and phone numbers of your last two veterinarians Do we have permission to contact your vet and collect information? Please make sure to contact your vet and give them verbal approval for your vet to provide us information * Yes No Have you ever taken a dog to obedience class? * Yes No Name of trainer/where? Will you take your new dog to obedience class? * Yes No Will you consult a trainer or behaviorist if your dog develops behavior problems? * Yes No Have you ever been charged with or convicted of animal neglect, abuse, or cruelty of any kind? * Yes No If so, please explain Would you let us visit your home by appointment? * Yes No How did you hear about our rescue dogs or who referred you to us? * List (3) three references, including their relationship to you, home and work phone numbers at which we may reach them. Please let them know we'll be calling. You may only list one family member and do not use your vet as a personal reference. * Do you understand the information received during the approval process is confidential and we cannot give details to the applicants if they are denied? * Do you understand the adoption fee is non-refundable, because this fee is applied toward the medical and boarding expenses that have already incurred for each dog? * Yes No If you have anything to add, please feel free to use the space below By submitting your application, you are declaring that the information provided in this application is true and complete to the best of your knowledge. We can and will deny any application if an application has falsified any information provided during the approval process. * Yes No Thank you!
