Dog Adoption Application

Are you over 18: Yes No

Number of adults, including yourself, at home ?

Number of children at home ?

Please list the names of all people, including yourself, living at home, and the ages of those under 18:

Do you  Own or Rent your home ?     Type: Single Family    Townhome/Condo    Apartment    Mobile Home    Other

Name of landlord/housing complex manager:     Phone:

If RENTING, does your lease allow for dogs? Yes    No    If YES, what is the weight limit ?   lbs

If RENTING, does your lease contain specific breed limitations/restrictions?Yes     No
If YES, what are those restrictions?  

Fenced yard?    Yes    No    If yes, type:

How many hours a day will your dog be left alone during the day?        
Details:

Where will your dog be kept when alone?     

Where will your dog sleep?    

How will you encourage and reinforce appropriate behavior?

How will you prevent/manage inappropriate behavior?

How do you plan on training your dog ?

If you go away for a few days, or on a vacation, who will take care of your dog?    

What will you do with your dog if you have to move?    

Does anyone in your family have allergies to dander or hair?    Yes    No

Owning a dog is a serious financial responsibility. Are you prepared financially to spend a MINIMUM of $300 per year for veterinary care, (including routine vaccintations, heartworm preventative medication and flea/tick preventative medicaiton), food and expenses?
Yes    No

A well-cared for dog may live in excess of 12 years.
Does your lifestyle, career and family plans allow you to make this commitment?    Yes    No

Under what circumstances would you return the dog to A New Leash On Life Dog Rescue?

Please list all companion animals you have had as an adult

Who is/are your vet(s)?     Phone number:

Please provide a vet phone number to expedite your application review. Please make sure that this is the phone number of the vet who has provided annual exams and vaccinations for your pet(s). Without this information, we are unable to complete the application review process. A delay will place your application behind fully and accurately completed applications.

Some vets require an owner's permission to disclose vet history. If this is the case with your vet, please contact them and authorize them to disclose your pet(s)' information to A New Leash on Life Dog Rescue volunteers. Again, if we are delayed in our review process, your application will be placed behind applications that are able to be completely reviewed.

Have you ever had to give up a Pet for any reason? Yes    No

If YES, what happened to the Pet?

How did you hear about A New Leash On Life Dog Rescue ? Paper     Friend     Internet     PetSmart    

Other    

THANK YOU FOR COMPLETING THIS APPLICATION AND YOUR INTEREST IN ADOPTING A DOG FROM A NEW LEASH ON LIFE DOG RESCUE!