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Adoption Application
Adoption Application
Name
*
E-mail
*
Address
*
Phone Number
*
Breed/Type of Dog
*
Preferred Color
*
Preferred Gender
*
Will this be your first dog?
*
Do you have any other pets?
*
Do you have any Children? If so what are their ages and comfort with dogs?
*
What is your lifestyle best described as?
*
Very Active
Mildly Active
Rarely Active
Do you need a non-shedding hypo allergenic dog due to allergies?
*
Yes
No
I plan on adopting the dog for:
*
Family Dog
Service Dog
Facility Dog
Therapy Dog
Agility or Dog Sports
Other
Preferred temperament?
*
Assertive
Confident
Reserved
Unsure
Help me find the right fit
How many hours will the dog be left alone?
*
8 Plus Hours
5-8 Hours
2-5 hours
Less than 2 hours
Please tell me anything else you about what you are looking for and wanting from your new dog:
*
Submit