Dog Adoption Application

To be considered as an adopter, you must:

Be 21 years of age or older
Have identification showing your present address
Provide a copy of your driver's license or state ID
Have the knowledge and written consent of your landlord
Be able and willing to spend the time and money necessary to provide medical treatment and proper care of the dog

Completion of this application does not guarantee adoption of a Drowzy Dawg Rescue dog.

All fields marked * are required.

Applicant Information

Full Name *

Current address, city, state, and zip code *

Main contact number *

Alternate number

Age *

Email address *

How long have you lived at this address? *

Are you adopting for yourself or someone else? *

Describe in detail the dog you are looking for, or the name of the Drowzy Dawg Rescue animal(s) you are interested in *

Pet History

Will this be your first dog? *

What kind of pets have you had in the past?

Which of the above listed pets do you still have? (include age, sex, and breed)

Have they been spayed or neutered?

Are they current on vaccines?

What happened to the pets you no longer have?

Have you ever turned any of your animals over to a shelter? *

If yes, please explain

Have you ever had a pet euthanized? *

If yes, please explain

If you have pets, will they adjust to a new dog in the house?

Was your last dog obedience trained?

About the Adoption

Why do you want this dog? (check all that apply)

If other, please explain

Household Information

How many adults are in your family? *

How many children in your family?

What are their ages?

Does anyone in your family have allergies to dogs? *

Is someone home during the day? *

If yes, who?

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

Your Home

Where do you live? *

If other, explain

Do you own or rent your home? *

If you rent, may we contact the landlord to obtain permission for this dog to live in your home?

Landlord's phone number

Yard & Property

Do you have a completely fenced-in yard? *

Does it have a gate?

How tall is your fence?

What kind of fence?

If no fenced yard, please explain

Do you have a dog door? *

Will there be times when the dog is tied up? *

If yes, when?

Will the dog spend any time in the garage? *

If yes, please explain

Do you have a pool? *

Is there a fence around the pool?

Height of pool fence

What kind of pool fence?

Dog Care

If your new dog/puppy is not housebroken, what method will you use to train him/her? *

Will you keep the dog up to date on vaccinations? *

Do you agree to continue monthly heartworm prevention? *

If no, please explain

Veterinarian

Who is your veterinarian? *

Veterinarian phone *

Veterinarian city/state *

Daily Life

Are you able to exercise the dog on a regular basis? *

Method of exercise *

Where will the dog be kept during the day? *

Where will the dog be kept at night? *

If you drive a pickup truck, will you allow the dog to ride in the truck bed?

If yes, please explain

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

What arrangements will you make for the care of your pets in case of an emergency? *

Long-Term Commitment

If you move, will you take the dog with you? *

If no, please explain

Have you ever applied to Drowzy Dawg Rescue before to adopt an animal? *

If yes, when?

Are you willing to have a representative of Drowzy Dawg Rescue come to see where the dog will be living? *

If no, explain

Are you willing to take responsibility for this dog for the next 10 to 15 years? *

If no, please explain

What provisions will you make for the dog should you become unable to care for him/her? *

References

Please list 2 references (name, relationship, address, and phone number).

Reference 1 — name, relationship, address, and phone number *

Reference 2 — name, relationship, address, and phone number *

Release & Agreement

Release for Veterinary Reference: I hereby give permission for any veterinarian providing service to me to release medical information on any/all of my animals to Drowzy Dawg Rescue.

I have read and understand the entire application, and by signing I understand Drowzy Dawg Rescue has the right to deny any application for any reason, and reasons for denial may not be given. Drowzy Dawg Rescue receives applications from multiple areas including email, on-site, and off-site. I am aware that there may be multiple applications on the animal in which I am interested. I certify that the above information is correct. I understand that false information may result in nullifying the adoption.

By signing this application I am certifying that I intend to be the legal owner and person responsible for the care and well being of this animal. I give representatives at Drowzy Dawg Rescue permission to contact my veterinarian, references, and landlord in order to process this application.

Veterinary release — print your full name *

Signature — type your full name *

Date *