Free Rescue Dog Adoption Application Form Template

Rescue Dog Adoption Application Form

Please complete this form to help us assess your suitability for adoption.

Personal Information

Name

    Date of Birth

      Age

        Phone number

          Email

            Address

              Household Information

              Number of adults in the household

                Number of children in the household

                  Ages of children

                    Does anyone in your household have allergies to dogs?

                    Is everyone in the household aware of and agree to adopting a dog?

                    Home Ownership

                      • Own

                      • Rent

                      Landlord Name (if renting)

                        Phone number

                          Does your landlord allow dogs?

                          Do you have a fenced yard?

                          If yes, please describe the type and height of the fence:

                            Current Pets Information (if applicable)

                            Do you have pets?

                            If yes, please list down:

                            Name

                            Species/Breed

                            Age

                            Are your pets spayed/neutered?

                            Are your pets vaccinated?

                            Adoption Preferences

                            Preferred Breed

                              BeagleBoxerBulldogChihuahuaDachshundGerman ShepherdGolden RetrieverLabrador RetrieverPit Bull TerrierPoodleRottweilerShih TzuStaffordshire Bull TerrierYorkshire Terrier

                              Age

                                • Puppy

                                • Young Adult

                                • Adult

                                Coat Type

                                  • Short

                                  • Medium

                                  • Long

                                  Why do you want to adopt a rescue dog?

                                    Have you ever owned a dog before?

                                    If yes, please describe your experience:

                                      Have you adopted from a shelter before?

                                      Have you given up a pet before?

                                      If yes, specify the reason:

                                        How do you plan to handle training and discipline?

                                          How many hours per day will the dog be alone?

                                            Where will the dog stay when you are not at home?

                                              Who will be primarily responsible for the dog's care?

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