I am interested in adopting a...(Required) Baby: up to 6 months Teen: 7 months – 2 years Adult: 2 – 7 years Senior: 8+ years Doesn't Matter Which Caring for Creatures dog(s) are you considering?(Required)What is it about this dog that caught your interest?(Required)Adopter InformationName(Required) First Last Co-Applicant Name First Last Address(Required) Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Cell Phone(Required)Home Phone(Required)Email(Required) Are you at least 18 years of age?(Required) Yes No Are you a veteran?(Required) Yes No How many adults are in your household?(Required)How many children are in your household?(Required)What are the ages of everyone in your household, including yourself?(Required)Do you have children under the age of 12 who visit frequently?(Required) Yes No Are family members aware that you are considering adopting a dog?(Required) Yes No Have you ever been accused or convicted of animal neglect, abuse or cruelty?(Required) Yes No If yes, when? Please explain the incident.(Required)My home is a...(Required) House Apartment Condo Live with parents Other How long have you been at your present address?(Required)Do you own or rent?(Required) Own Rent Do you have your landlord’s permission to own a dog?(Required) Yes No Does your landlord/lease prohibit any specific breed or breed mixes from residing in your residence?(Required) Yes No If so, please explain:(Required)Is there a size limitation?(Required) Yes No If so, please explain:(Required)Landlord's Name(Required) First Last Landlord's Phone(Required)Are you planning to move in the next six months?(Required) Yes No Would your dog go with you if you moved?(Required) Yes No Do you have a yard?(Required) Yes No If yes, please describe the fenced area. Include type of fencing material, the height, and size of fenced area.(Required)How would you describe your household activity level?(Required) Very quiet & easy going Usually something going on Three ring circus! / People coming and going all day How would you describe your neighborhood?(Required) Rural-Off the beaten track Rural-Subdivision Residential Neighborhood Busy City Street Your New PetWhy do you want to adopt this pet?(Required)Is this dog a gift for someone?(Required) Yes No If yes, who?(Required)Does this person live in your home?(Required) Yes No Please describe any specific characteristics you are looking for in a dog.(Required)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 If other, please explain:(Required)What percentage of time will your dog spend outdoors?(Required)What percentage of time will your dog spend indoors?(Required)When outdoors, how will your dog be kept? (Fenced yard, chain, kennel, tie out, invisible fence, etc.)(Required)When your dog is outside for extended periods of time, is there protection from the inclement weather?(Required) Yes No If yes, please describe:(Required)How do you intend to exercise your dog?(Required)Where will your dog sleep?(Required)What type of food(s) do you plan to feed your dog? (Check all that apply)(Required) Canned food Dry food Raw diet Freeze dried Approximately how long would you expect your dog to be alone each day?(Required)Where will you keep your dog when you are not at home?(Required)Are you familiar with crate training?(Required) 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?(Required) Yes No Have you ever trained dogs?(Required) Yes No If yes, what commands were taught?(Required)When you travel, who will care for your dog while you are gone?(Required)Please describe in detail how you plan on introducing your new dog into your home.(Required)If you have other pets in the home, please describe in detail how you plan on introducing your new dog to existing pets.(Required)Are you financially prepared to cover the veterinarian cost for your new pet?(Required) Yes No This includes regular check-ups, keeping your dog up-to-date on vaccines, monthly heartworm and flea and tick preventatives, and any unforeseen illnesses or injuriesList Your Current PetsIf you have more than four, we will be in contact to discuss your other pets.How many pets do you currently have?(Required)01234Existing Pet 1 Name(Required)Existing Pet 1 Type of Animal(Required)Existing Pet 1 Breed/Breed Mix(Required)Existing Pet 1 Approximate Age(Required)Existing Pet 1 Approximate Weight(Required)Existing Pet 1 Sex(Required) Female Male Existing Pet 1 Spayed/Neutered?(Required) Yes No Existing Pet 1 Current on vaccinations?(Required) Yes No Existing Pet 1: How many years have you had this pet?(Required)Existing Pet 1: Primarily kept...(Required) Indoor Outdoor Both Existing Pet 1: If both was selected, can you elaborate?(Required)Existing Pet 2 Name(Required)Existing Pet 2 Type of Animal(Required)Existing Pet 2 Breed/Breed Mix(Required)Existing Pet 2 Approximate Age(Required)Existing Pet 2 Approximate Weight(Required)Existing Pet 2 Sex(Required) Female Male Existing Pet 2 Spayed/Neutered?(Required) Yes No Existing Pet 2 Current on vaccinations?(Required) Yes No Existing Pet 2: How many years have you had this pet?(Required)Existing Pet 2: Primarily kept...(Required) Indoor Outdoor Both Existing Pet 2: If both was selected, can you elaborate?(Required)Existing Pet 3 Name(Required)Existing Pet 3 Type of Animal(Required)Existing Pet 3 Breed/Breed Mix(Required)Existing Pet 3 Approximate Age(Required)Existing Pet 3 Approximate Weight(Required)Existing Pet 3 Sex(Required) Female Male Existing Pet 3 Spayed/Neutered?(Required) Yes No Existing Pet 3 Current on vaccinations?(Required) Yes No Existing Pet 3: How many years have you had this pet?(Required)Existing Pet 3: Primarily kept...(Required) Indoor Outdoor Both Existing Pet 3: If both was selected, can you elaborate?(Required)Existing Pet 4 Name(Required)Existing Pet 4 Type of Animal(Required)Existing Pet 4 Breed/Breed Mix(Required)Existing Pet 4 Approximate Age(Required)Existing Pet 4 Approximate Weight(Required)Existing Pet 4 Sex(Required) Female Male Existing Pet 4 Spayed/Neutered?(Required) Yes No Existing Pet 4 Current on vaccinations?(Required) Yes No Existing Pet 4: How many years have you had this pet?(Required)Existing Pet 4: Primarily kept...(Required) Indoor Outdoor Both Existing Pet 4: If both was selected, can you elaborate?(Required)Name of current veterinary clinic you take your pet(s) to.(Required)Vet InformationPhone number of your current veterinary clinic.(Required)Has your pet(s) been seen at any other previous veterinary clinics?(Required) Yes No Name of previous veterinary clinic you took this pet to.(Required)Previous Veterinary Clinic's Phone(Required)List Your Previous PetsHow many pets have you had in the past 6 years?(Required)01234If more than 4, we contact you for the additional pet’s information.Previous Pet 1 Name(Required)Previous Pet 1 Type of Animal(Required)Previous Pet 1 Breed/Breed Mix(Required)Previous Pet 1 Approximate Age(Required)Previous Pet 1 Approximate Weight(Required)Previous Pet 1 Sex(Required)Previous Pet 1: How many years did you have this pet?(Required)Previous Pet 1: What happened to him/her?(Required)Previous Pet 2 Name(Required)Previous Pet 2 Type of Animal(Required)Previous Pet 2 Breed/Breed Mix(Required)Previous Pet 2 Approximate Age(Required)Previous Pet 2 Approximate Weight(Required)Previous Pet 2 Sex(Required)Previous Pet 2: How many years did you have this pet?(Required)Previous Pet 2: What happened to him/her?(Required)Previous Pet 3 Name(Required)Previous Pet 3 Type of Animal(Required)Previous Pet 3 Breed/Breed Mix(Required)Previous Pet 3 Approximate Age(Required)Previous Pet 3 Approximate Weight(Required)Previous Pet 3 Sex(Required)Previous Pet 3: How many years did you have this pet?(Required)Previous Pet 3: What happened to him/her?(Required)Previous Pet 4 Name(Required)Previous Pet 4 Type of Animal(Required)Previous Pet 4 Breed/Breed Mix(Required)Previous Pet 4 Approximate Age(Required)Previous Pet 4 Approximate Weight(Required)Previous Pet 4 Sex(Required)Previous Pet 4: How many years did you have this pet?(Required)Previous Pet 4: What happened to him/her?(Required)Name of veterinary clinic you took your pet(s) to.(Required)Veterinary Clinic Phone(Required)If you have not had a pet of your own, could you please describe in great detail what you would consider important for the ongoing healthcare of your future pet? In addition, what veterinary clinic do you plan on using?(Required)We contact veterinarians for a reference. Do you grant Caring For Creatures to contact your vet?(Required) Yes No How did you hear about Caring For Creatures? (Choose all that apply) Website Friend/Family Radio/TV Petfinder Social Media Other Please provide any additional information you think would assist us in helping you select the best dog for you and your lifestyle:PhoneThis field is for validation purposes and should be left unchanged.
