Applicant Name
*
First Name
Last Name
Co-applicant name (if applicable)
If you are adopting with a spouse, partner, or significant other, please provide their name
First Name
Last Name
Applicant Email Address
*
Co-applicant Email Address
Primary Phone Number
*
Please provide the best number to contact you
(###)
###
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Alternate Phone Number
(###)
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How did you hear about us?
*
Applicant Employment Status
*
If other, please explain
Length of Employment (if applicable)
Applicant Address
*
Please provide the address of your primary residence (where the dog will be living)
Address 1
Address 2
City
State/Province
Zip/Postal Code
Country
Primary Residence
*
Owned or Rented?
*
If other, please explain.
If renting, is your name on the lease?
If renting, do you have your landlord's permission to have a dog?
Landlord Name (if applicable)
Please indicate your landlord's name or the name of the property management company from which you rent
First Name
Last Name
Landlord Phone Number (if applicable)
(###)
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Are there children / teens under the age of 18 living at your residence?
*
If yes, please list their name(s) and age(s)
Does anyone living at your residence have allergies to animals?
*
If yes, please list their allergies
Does your residence have a fully fenced yard?
*
Do you have any current pets?
*
If yes, please list your current pets
Please include name, breed, age, and spay/neuter status
Veterinarian Name
*
Please provide your current or planned veterinarian's name
First Name
Last Name
Veterinarian Phone Number
*
(###)
###
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What is your dog ownership experience?
*
Please indicate which of the following best describes your experience with owning a dog
If other, please explain
Have you ever been denied an animal adoption?
*
If yes, please explain
Why are you looking to adopt a dog?
*
What qualities are you looking for in the dog(s) you adopt?
*
Please indicate the qualities and characteristics of your ideal dog. Feel free to indicate all details such as age, gender, breed, energy level, behavioral traits, etc.
In your opinion, what are the most important responsibilities of dog ownership?
*
How will you deal with any behavioral problems that may arise?
*
Please explain the process you will use to house train your dog
*
Both puppies and adult dogs may require house training, we want to ensure you are aware and can provide house training courses / refreshers
How will your dog be exercised?
*
How many hours will the dog be left home alone?
*
Do you plan to crate your dog when you are away from home?
*
Please indicate your agreement to the below acknowledgements
*
I have read the above questions and information carefully and have filled out this application honestly. I understand that omission of information and/or failure to answer all questions and sign the application may result in the application being denied. If an omission or untruth is discovered after an adoption takes place, I understand that the Mama Zoey and Puppies Rescue reserves the right to annul the adoption and reclaim the animal.
I understand that the above questions and information are an application to be considered for a dog's adoption and does not guarantee I can adopt the dog(s) in which I am interested.
I understand that I will be required to complete an Adoption Contract and pay the applicable adoption fee before an adoption is considered final.
I give Mama Zoey & Puppies Rescue permission to fully investigate the information provided on this application, including but not limited to a landlord or veterinarian.
I understand that Mama Zoey & Puppies will conduct a home visit, as well as a meet & greet with the other pets in my household, on a mutually agreed upon date before an adoption decision is made.
I understand that the ability to adopt a dog is dependent on many factors, including but not limited to the compatibility of the family and home with the individual dog and other applications received for the dog(s) in which I am interested.
I understand and agree that it is Mama Zoey & Puppies Rescue's prerogative, when multiple applications for the same dog are received, to decide which home is most appropriate and that their decision is final, and therefore will respect that decision.
I understand that, unless otherwise indicated by Mama Zoey & Puppies Rescue, I am free to re-apply and undergo the application process in the future.
E-Signature
*
By writing your name, you certify that the information provided on this application is true and accurate
First Name
Last Name
Date
*
MM
DD
YYYY
