Applicant's Name

Phone- Home

Email Address

Phone- Cell

Phone- Work

Address

Name of pet(s) you are interested in adopting:

Why are you choosing to acquire a new pet?

How long have you been thinking of adopting a pet?

What interested you in this/these particular pet(s)?

Please list ALL members of your household; including yourself and age

Who would have primary responsibility for taking care of your new pet?

Does anyone in your household have allergies and/or asthma?

Is everyone in your household equally enthusiastic about adopting a pet? (Including significant others who do not live with you)

Do you/your family reside in a House, Townhouse or Apartment?

Do you own or rent your home?

Do you have any restrictions, covenants or bylaws that limit the number or size of dog(s) you are allowed where you live?

Place of Employment for you/your spouse

Do you describe your household's activity level as low, medium or high?

Describe your daily activity (e.g. Walk Daily? Running? Laid Back? etc)

What methods will you use to teach your puppy/dog to go ouside to the bathroom?

Do you understand that changing an animal's environment may cause the animal to have accidents, chew, become nervous or even growl, especially during the early days of adoption?

Describe how you might respond to "Puppy mistakes" (e.g. chewing, barking, nipping, etc)

If a behavioral problem arises (ie: nipping, growling, excitablility, etc), what steps would you take to remedy that situation?

Do you understand that and accept that puppies and dogs can cause damage to your carpets, furniture, vehicles and belongings?

How much do you estimate the yearly cost for dog food will be?

How much do you estimate the yearly cost for grooming will be?

How much do you estimate the yearly cost for obedience training will be?

How much do you estimate the yearly cost for Vet Care will be? (including vaccines, teeth cleaning and emergencies)

How much do you estimate the yearly cost for other cost will be? (dog beds, toys, treats, etc)

The average life span of a dog is 12-15 years of age or longer. Are you wiling to make a commitment to this pet for the rest of his/her life?

Under what circumstances would you "get rid" of a pet and what method would you use?

Are you looking for a pet for inside only, primarily inside, outside only or primarily outside?

Approximately how many hours a day will your pet spend inside? outside?

Where will your pet be kept while you are away from home and/or on vacation?

Where will your pet be kept when you are at work?

Where will your pet be kept while you are at home?

Where will your pet sleep?

What type of food will your pet eat?

When outside, where will you pet be kept? (Fenced in yard or dog pen) Also list the type of fencing and height and dimensions

List what your pet will have access to if they are outside (e.g. dog house, garage, doggie door, etc)

Do you plan to crate train?

Do you currently have other pets? If yes, list species, name, age, if they stay in or out, spayed/neutered, if they are current on vaccines, heartworm prevention and length of time you have owned them

List the name and phone number of your current (or previous) vet clinic.

Who are the vet records under the name of?

How long have you been/were a client at your vet office?

For pets previously owned, but no longer with you, please explain and provide the reason (e.g. passed of old age, accidental death, re-homed, took to shelter, euthanized, etc)

Have you ever owned a "pit" or other type of bully breed?