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?---WebsiteFriendRadioFacebookPetfinderOtherIf 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 NoIf yes, when?
Your Home
My home is a:---HouseApartmentCondoLive with parentsOtherIf 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 NoDoes your landlord/lease prohibit any specific breed or breed mixes from residing in your residence? Yes NoIf yes, please explain:Is there a size limitation? Yes NoIf yes, please specify:Landlord's name:Phone No.:
Are you planning to move in the next six months? yes noWould your dog(s) go with you if you moved? yes no
Do you have a yard? Yes NoIf yes, is it fenced? Yes NoIf 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 OtherIf other, please explain:
Is this pet a gift for someone? Yes NoIf 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 aboveOther (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 NoIf 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 NoIf 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 NoIf 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.
3.
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.
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: