Dog & Puppy Adoption Form

(Adoption Form)

How did you hear about us?

Friends

Social Media

Website

Referral

What is your occupation?

What dog or puppy are you interested in?

What is your reason for adopting a dog?

Companion for me

Companion for my pet

Guard dog

Are you 18 years or older?

Yes

Do you own a home?

Yes

How long have you lived at this address?

If you rent are there any restrictions regarding size, type, or how many animals you can have?

Landlords name and phone number (if you own your home just put self).

Please list the names and ages of everyone in your home.

Are all humans in your home aware and in agreement with you adopting a dog or puppy?

Please describe your household: Busy | Calm | Children are in and out a lot | Many people stop by

Please provide the name, address, and phone number of your veterinarian so that we may call for a reference:

Will arrangements be made if you are traveling?

If adopting a dog or puppy, where would he/she be kept when alone?

Where will your dog or puppy spend most of his/her time?

What will your dog or puppy do for potty breaks and exercise?

Who will be responsible for caring, training, exercising the dog or puppy?

How many hours a day will the dog or puppy be alone and where will the dog or puppy be kept?

Do you have a fenced yard? If so, is it secure? What type of fencing is it?

Are you familiar with the 3/3/3 rule?

Are any members of your household allergic to animals?

Yes

Over the past 5 years, how many pets have you owned? (Include current pets)

Please list breed, age, if they're still living with you. (If not, why?)

Have you ever lost or given away a pet?

Yes

If you currently own a dog or cat, how does he/she react to new dogs?

Are your present pets up to date on their annual vaccines?

Yes

N/A

Are your present pets spayed or neutered?

Yes

N/A

Were your previous pets spayed or neutered?

Yes

N/A

If your dog or puppy displays behavioral problems (such as housebreaking accidents, jumping on humans etc.) how would you go about correcting the behavior?

Please describe your personal knowledge of training and experience with dogs.

Are you prepared to commit to a pet for 8-15 years (average life span)?

Yes

If there is anything else you think we should know, please note it here.

PLEASE READ:

To the best of my knowledge, all the information I've given is true and complete. I will comply with all rules and policies of JustCare Animal Rescue & Sanctuary. The choice to adopt a dog(s) or puppy(s) is mine.

By adopting a dog(s) or puppy(s), I release JustCare Animal Rescue & Sanctuary from any responsibility for damage, injury, or harm caused. JustCare Animal Rescue & Sanctuary, at its sole discretion, reserves the right to refuse any applicant for any reason.

In the event that you are unable to care for or keep your dog(s) or puppy(s), he/she should be returned to JustCare Animal Rescue and Sanctuary.

I will provide the animal with proper and adequate food, water, shelter, training, and affection. I will provide medical care, if needed, and as approved by the veterinarian. JustCare Animal Rescue & Sanctuary does not guarantee an animal's temperament, or behavior. JustCare Animal Rescue & Sanctuary, at its sole discretion, reserves the right to refuse any applicant for any reason.

Your Signature

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