I am interested in adopting a: PuppyDog
Preferred Age Range: 8 weeks - 6 monthsTeenager/Young Adult (6 months - 5 years)Middle Age (6 - 10 years)Senior (10+)Doesn't matter
Which Caring For Creatures dog(s) are you considering?
How did you hear about Caring For Creatures? WebsiteFriendRadioFacebookPetfinderOther
If other, please explain:
Adopter Information
Name(s):
Street Address:
City/State/Zip
Home Phone:
Cell Phone (if different than home):
Email:
Are you at least 18 years of age? YesNo
(Adopters must be at least 18 years of age to be considered a legal adopter and execute an Adoption Contract)
Are you a veteran? YesNo
How many adults are in your household?
How many children are in your household?
What are the ages of everyone in your household?
Are there children who visit frequently? YesNo
If yes, what are their ages?
Are family members aware that you are considering adopting a dog? YesNo
Have you ever bred dogs? YesNo
Have you ever been accused or convicted of animal neglect, abuse, or cruelty? YesNo
Your Home
My home is a: HouseApartmentCondoLive with parentsOther
How long have you been at this address?
Do you: OwnRent
If you rent, do you have your landlord’s permission to own a dog? YesNo
Does your landlord/lease prohibit any specific breed or breed mixes from residing in your residence? YesNo
If yes, please explain:
Is there a size limitation? YesNo
If yes, please specify:
Landlord’s name:
Phone Number:
Are you planning to move in the next six months? YesNo
Would your dog go with you if you moved? YesNo
Do you have a yard? YesNo
If yes, is it fenced? YesNo
If yes, how high?
What materials/type of fencing?
Approximate size of fenced area?
How would you describe your household activity level? Very quiet & easy-goingUsually something going onA 3-ring circus! People coming and going all day
Your New Pet
Why do you want to adopt this pet? (mark all that apply) Family CompanionCompanion for childCompanion for other dogCompanion for selfSecurityWorking dogBreedingService PetEmotional Support PetOther
If other, please explain
Is this pet a gift for someone? YesNo
If yes, who?
Please describe any specific characteristics you are looking for in a dog (such as: breed or mix, long hair/short hair, coloring, high/low energy level, good with children, good with other animals, etc)
Under what circumstances would you not keep your pet? (Mark all that apply) DivorceIllness in familyMovingNew BabyNew JobHousebreaking problemsDestructive behaviorBiting/ScratchingFleasAllergiesSheddingConflicts with childrenConflicts with other petsAnimal becomes illHigh veterinary costsNone of the aboveOther
What percentage of time will your dog spend: Indoors: Outdoors:
How do you intend to exercise your dog and send him/her out for potty breaks?
When the dog is outdoors, how will he/she be kept? (for instance: fence, chain, line, kennel, leash, outdoor run, etc):
If your dog is outside for extended periods of time, is there protection from inclement weather? YesNo
If yes, please describe:
Where will your dog sleep?
Where will you keep your dog while you are not at home?
Approximately how long would you expect your dog to be alone each day?
When you travel, who will care for the pet while you are gone?
Are you familiar with crate training? YesNo
If no, would you be willing to learn more about it and consider the use of a crate as a training and transitional aid? YesNo
Have you ever trained dogs? YesNo
If yes, what commands were taught?
Are you financially prepared to cover the veterinarian costs for your new pet? (This includes regular check-ups, keeping the pet up-to-date on vaccines, monthly heartworm preventative, flea and tick preventative and care for any unforeseen illnesses or injuries.) YesNo
List your Current Pets
How many pets do you currently have?
If you do not currently have any pets, please proceed to the next section.
* If you have more than 3 current pets, we will contact you for the additional pets' information during our application review.
1. Pet’s name:
Type of animal: dogcat
Approximate Age:
Sex: malefemale
Spayed/Neutered?: YesNo
Current on Vaccinations?: YesNo
Name and phone number of the veterinarian(s) you took this pet to?
How many years have you had this pet?:
Primarily kept: indoorsoutdoorsboth
2. Pet’s name:
3. Pet’s name:
List your Previous Pets
How many previous pets have you had in the past 10 years?
* If you have not had any previous pets, please proceed to the next section.
* If you have had more than 3 previous pets in the past 10 years, we will contact you for the additional pet’s information during our application review.
How many years did you have this pet? What happened to this pet?
What happened to this pet?
** We contact veterinarians for a reference. Do you grant CFC permission to contact your vet? YesNo
(In some instances, vets require a release from their client before we can receive medical information from them. CFC will let you know if this is necessary upon review of your application.)
Please provide any additional information you think would assist us in helping you select the best dog for you and your lifestyle:
Signature:
Date:
