Adoption Application

Must be filled out entirely- Application will NOT be processed if information is incomplete.

Dog of Interest or general pre approval

First / Last name:

Applicant Birthdate:

Phone number

Email address

Prefered Method of Contact:

select one

Text

Call

Other:

Please list all members living in the house:

Include children if over 50% of time spent. If over 18 years old include middle name and birthday.

A background check will be completed. Please disclose any findings we will encounter and explain these charges for anyone in the household.

Provide middle names and birthdates for individuals over 18.

Address

Do you own, rent or other?

Please list landlord name and contact number if renting.
PHONE NUMBER MUST BE PROVIDED IF RENTING!
Parents name and contact number if living with them.
Own home but rent land- provide land owner contact.

Plan on moving in the next year?

if yes-select other and explain the plans for the adopted dog.

Other:

Fenced yard?

if yes-select other and explain height, material and gates

Other:

My house is like..

Clear choice

Calm & Quiet (nextflix & chill)

Party Central (lots of visitors, friends, children running)

Middle Ground (overall chill but controlled busy)

Is everyone in agreement to adding a new dog?

if no- select other and explain

Yes

Other:

Anyone in the household have allergies?

if yes- select other and explain

Other:

Please list all current pets in the household:

please list age, breed , vaccine status and if spayed/neutered. If not vaccinated or altered explain why.

List any pets you no longer have and an explanation as to why not:

provide dates as well as explaination.

Veterinary Clinic Used:

Dont forget to give your Veterinarian approval to speak with us.

Veterinary Clinic Phone Number:

Dogs take time, patience and training. Is your household prepared to treat the pup with patience and love while it adjusts

Please provide your training and approach for any possible concerns that could arise .

If bringing new dog into a home with resident animals, are you willing to do slow introductions which could result in separation and rotations until comfortable ?

rotations, including crates, bedrooms, other ways of separating animals safely to keep from interacting until slowly integrating. This could be due to illness, adjustment period etc. Please explain your introduction ideas and plan if problems arise:

What are you looking for in a dog ?

Please List size, energy, breeds, personality traits

How much extra training do you want or plan on doing to get your newly adopted pet adjusted into your pack ? Are you willing to seek a professional trainer - If not, why ?

Keep in mind, reputable trainers can be $100s-$1000+

Are you willing to work with the newly adopted pup on potty training

If no - why

Where will the dog sleep at night?

Are you willing to use a kennel/crate if the dog needs ?

If not explain why

How many hours will the dog be alone a day?

Use this space to explain schedules if needed.

References - MUST NOT LIVE IN APPLICANTS HOME

First / Last name

Phone number

Relation to applicant:

First / Last name

Phone number

Relation to applicant:

Home Check

We ask for a home check to ensure a clean , safe environment for the newly adopted dog.

To assist in the application process you can upload photos main rooms and yard to your application. If you chose not to you will be contacted later to complete the home check.

Delete all uploads

Choose files or drag here

If a weekend and Vet offices are closed you can attach your current dogs vet records below.

To assist in the application process you can upload veterinary paperwork showing the current dog(s) in home are altered and up to date on all core vaccines. Also, that heartworm testing and prevention is updated.

Delete all uploads

Choose files or drag here

Please select

Agreement

I agree by signing this electronically, I acknowledge that I have completely read this questionnaire/ application and comprehend it fully. I agree to cooperate with a home check (whether in person, via picture or video; pending circumstances) 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 pet adopted by me through Our Pack Animal Rescue, Inc. I certify that the above information is correct, and I understand that the information will be verified. I agree to have Our Pack Animal Rescue complete background check, reference call checks and conduct a home inspection to be able to approve my application.

Signature

Date

YYYY