Dog Adoption Application

Date

First Name

Last Name

Address

City

State

Home Phone

Cell Phone

Best time to be reached

Best method

Age

Do you rent or own?
RentOwn

If you rent, are you allowed to have pets?
YesNo

May we contact your landlord to verify this information?
YesNo

Landlord's phone number

Are you planning on moving within the next few years? If so, what will you do with the dog?

Do you have children?
YesNo

If so, what are their ages?

Does anyone in your household suffer from allergies?
YesNo

Why do you want to adopt a dog?

Have you had a dog before? If so, what happened to them?

Are you interested in a specific dog?
YesNo

If yes, what is its name/ their names?
If not, please describe your "perfect" dog (e.g. breed, color, character etc.) so that we can help you find a good match

Please describe the housing you will provide for the dog.

What will you feed this dog?

Where will the dog be kept when you’re not around?

Do you have a fenced backyard?
YesNo

What type of exercise do you plan on giving this dog?

How many hours per day will the dog be without human companionship?

Who will be responsible for the care and cost of the dog?

Do you understand that dogs need an annual vet visit and maybe additional visits during the year?
YesNo

Which vet do you plan on taking the dog to (please provide name, veterinary clinic/hospital and phone number)?

Can we contact your vet for a reference?
YesNo

If you go away, who will take care of the dog?

How often do you travel?

Please add any additional comments about the home you would provide for a rescued dog:

Do you have any other pets? If so, please list them below (name, species, sex, age, neutered?)

Did you ever surrender an animal to a shelter/rescue? If so, please describe the circumstances:

Have you ever had an animal put to sleep? If yes, please describe the circumstances:

By submitting this form, you agree that all information on this application is true and complete and that you fully understand all questions. You further understand that any falsified information will terminate the adoption process. You authorize release/disclosure of any records relating to the above information. Crème de la Crème Animal Foundation reserves the right to refuse any application they deem unsatisfactory. The completion of this application form does not guarantee that you will be able to adopt a dog.

I understand that there is an adoption fee associated with this adoption. Further, I acknowledge that this payment is not for purchase but a donation to the rescue organization towards animal care procedures previously performed (such as spay/neutering, immunizations, heartworm screening/prevention, and flea/tick prevention).

Thank you for considering a rescue dog!
Woof, Woof...

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