Adoption Application

The minimum adoption donation ranges from $300 to $400. This amount only partially covers the cost of veterinary care, boarding fees, and other miscellaneous expenses involved in the temporary care and adoption of our dogs.

Prior to placement, all dogs will be spayed or neutered, receive current vaccinations, and are usually microchipped. If not, arrangements will be made on an individual basis. Special consideration may be given to those willing to adopt older dogs or dogs with physical problems. We appreciate any additional contribution you may be able to make.

Please read these instructions before applying to adopt.

We’re a 100% volunteer organization of people with families and day jobs. We endeavor to respond as quickly as we’re able and we appreciate your patience and understanding.

All fields on the application marked with an asterisk must be completed. For your application to be successfully submitted, there should be no error messages asking for additional information. If you receive an error message, the required fields on the form will be highlighted in red. Please enter or update the required information and click the submit button at the bottom of the page. When your application is successfully submitted you’ll receive a thank you message as confirmation.

Thanks for your interest in adopting from us!

Please complete the form below.

Areas marked with * are required.

Dogs name you are interested in adopting *

How did you hear about us? *

If "Other" please specify

Your First & Last Name *

Date of birth *

Address: Street *

Address: City *

Address: State *

Address: ZIP Code *

How long have you lived at this address?

Do you own or rent? *
 Own Rent

If renting, landlord phone number (required if renting)

Preferred method of contact *
 Phone Email

Email Address *

Primary Phone Number (please include area code) *

Primary Phone Type *
 Home Cell Work

Secondary Phone Number (please include area code)

Secondary Phone Type
 Home Cell Work

Alternative Phone Number (please include area code)

Alternative Phone Type
 Home Cell Work

Best time to call *
 Anytime Morning Afternoon Evening

Employer *

Employer phone number *

Residence Type? *
 House Apartment Townhouse Other

Are dogs allowed at residence? *
 Yes No

Are there locks on all gates? *
 Yes No

Is the yard fenced in? *
 Yes No

Fence height?

Is there a pool? *
 Yes No

Is the pool fenced in? *
 Yes No NA

Do you have children? *
 Yes No

If children, provide age, gender, and any allergies of each child

Do you have pets at home now? *
 Yes No

If yes, please indicate breed, gender, age, and if they are spayed or neutered for each pet

Do your pets get along with other animals? *
 Yes No Don't know NA

Where will the dog sleep? *

Will the dog be alone during the day? If so, how long and where will he or she be? *

How much time will the dog spend outside? *

How often do you plan to exercise the dog, and how? *

Do you have a doggie door in your house? *
 Yes No

Who will be mostly responsible for the dog? *

Who will provide for your pet in the event that you become ill or unable to care for him/her?

Have you had a dog before?
 Yes No

If so, what happened to it?

If so, what breed was it?

Have you ever given away a pet before?
 Yes No

If so, when?

If so, why?

Name and phone number of your vet

Please provide any other information that you feel is pertinent