Caring For Creatures

I am interested in adopting a:
 Puppy Dog

Preferred Age:
---8 weeks – 6 monthsTeenager/Young Adult (6 months – 5 years)Middle Aged (6-10 yrs.)Senior (10+ yrs)Doesn’t Matter

Which Caring For Creatures dog(s) are you considering?

How did you hear about Caring For Creatures?
---WebsiteFriendRadioFacebookPetfinderOther
If Other, please explain

Adopter Information

Applicant Name:

Co-Applicant Name:

Street Address:

City:

State:

Zip:

Home Phone:

Cell Phone (if different than home):

Email:

Are you at least 18 years of age?
 Yes No
(Adopters must be at least 18 years of age to be considered legal adopter and execute an Adoption Contract.)

Are you a veteran?
 Yes No

How many adults are in your household?

How many children are in your household?

What are the ages of everyone in your household?

Are family members aware that you are considering adopting a dog?
 Yes No

Have you ever been accused or convicted of animal neglect, abuse, or cruelty?
 Yes No
If yes, when?

Your Home

My home is a:
---HouseApartmentCondoLive with parentsOther
If Other, please explain

How long have you been at this address:

Do you:
 Own Rent

If you rent, do you have your landlord’s permission to own a dog?:
 Yes No
Does your landlord/lease prohibit any specific breed or breed mixes from residing in your residence?
 Yes No
If yes, please explain:

Is there a size limitation?
 Yes No
If yes, please specify:

Landlord's name:

Phone No.:

Are you planning to move in the next six months?
 yes no
Would your dog(s) go with you if you moved?
 yes no

Do you have a yard?
 Yes No
If yes, is it fenced?
 Yes No
If yes, how high?

What materials/type of fencing?

Approximate size of fenced area?

How would you describe your household activity level?
Very quiet & easy-goingUsually something going onA 3-ring circus! People coming and going all day

Your New Pet

Why do you want to adopt this pet? (mark all that apply)
 Family Companion Companion for child Companion for other dog Companion for self Security Working dog Breeding Service Pet Emotional Support Pet Other
If other, please explain:

Is this pet a gift for someone?
 Yes No
If yes, who?

Does this person live in your home?

Please describe any specific characteristics you are looking for in a dog (such as: breed or mix, long hair/short hair, coloring, high/low energy level, good with children, good with other animals, etc.):

Under what circumstances would you not keep your pet? (Mark all that apply)
 Divorce Illness in family Moving New Baby New Job Housebreaking problems Destructive behavior Biting/Scratching Fleas Allergies Shedding Conflicts with children Conflicts with other pets Animal becomes ill High veterinary costs None of the above
Other (please explain)

What percentage of time will your dog spend:
Indoors?

Outdoors?

How do you intend to exercise your dog?

How do you plan to take him/her out for potty breaks?

When the dog is outdoors, how will he/she be kept? (for instance: fence, chain, line, kennel, leash,
outdoor run, etc):

If your dog is outside for extended periods of time, is there protection from inclement weather?
 Yes No
If yes, please describe:

Where will your dog sleep?

Approximately how long would you expect your dog to be alone each day?

Where will you keep your dog while you are not at home?

When you travel, who will care for the pet while you are gone?

Are you familiar with crate training?
 Yes No
If no, would you be willing to learn more about it and consider the use of a crate as a training and transitional aid?
 Yes No

Have you ever trained dogs?
 Yes No
If yes, what commands were taught?

Are you financially prepared to cover the veterinarian costs for your new pet? (This includes regular
check-ups, keeping the pet up-to-date on vaccines, monthly heartworm preventative, flea and tick
preventative and care for any unforeseen illnesses or injuries.)
 Yes No

List your Current Pets

How many pets do you currently have?

*If you do not currently have any pets, please proceed to the next section.

*If you have more than 3 current pets, we will contact you for the additional pet’s information during our application review.

1.

Pet’s name:

Type of animal:
 Dog Cat

Approximate Age:

Sex:
 Male Female

Spayed/Neutered?:
 Yes No

Current on Vaccinations?:
 Yes No

Name and phone number of the veterinarian(s) you took this pet to?

How many years have you had this pet?:

Primarily kept:
 Indoors Outdoors Both

2.

Pet’s name:

Type of animal:
 Dog Cat

Approximate Age:

Sex:
 Male Female

Spayed/Neutered?:
 Yes No

Current on Vaccinations?:
 Yes No

Name and phone number of the veterinarian(s) you took this pet to?

How many years have you had this pet?:

Primarily kept:
 Indoors Outdoors Both

3.

Pet’s name:

Type of animal:
 Dog Cat

Approximate Age:

Sex:
 Male Female

Spayed/Neutered?:
 Yes No

Current on Vaccinations?:
 Yes No

Name and phone number of the veterinarian(s) you took this pet to?

How many years have you had this pet?:

Primarily kept:
 Indoors Outdoors Both

List your Previous Pets

How many previous pets have you had in the past 10 years?

* If you have not had any previous pets, please proceed to the next section.

* If you have had more than 3 previous pets in the past 10 years, we will contact you for the additional pet’s information during our application review.

1.

Pet’s name:

Type of animal:
 Dog Cat

Approximate Age:

Sex:
 Male Female

Spayed/Neutered?:
 Yes No

Current on Vaccinations?:
 Yes No

Name and phone number of the veterinarian(s) you took this pet to?

How many years did you have this pet?:

What happened to this pet?:

2.

Pet’s name:

Type of animal:
 Dog Cat

Approximate Age:

Sex:
 Male Female

Spayed/Neutered?:
 Yes No

Current on Vaccinations?:
 Yes No

Name and phone number of the veterinarian(s) you took this pet to?

How many years did you have this pet?:

What happened to this pet?:

3.

Pet’s name:

Type of animal:
 Dog Cat

Approximate Age:

Sex:
 Male Female

Spayed/Neutered?:
 Yes No

Current on Vaccinations?:
 Yes No

Name and phone number of the veterinarian(s) you took this pet to?

How many years did you have this pet?:

What happened to this pet?:

** We contact veterinarians for a reference. Do you grant CFC permission to contact your vet?
 Yes No

(In some instances, vets require a release from their client before we can receive medical information from them. CFC will let you know if this is necessary upon review of your application.)

Please provide any additional information you think would assist us in helping you select the best
dog for you and your lifestyle:

Signature:

Date: