APF's Dog Adoption Application- English

APF's Dog Adoption Form

Animal Protection Foundation
Great news; you want to adopt a dog or puppy from us. By adopting a homeless pet, you save a life and receive a lifetime of love in return.

We need to get a few details from you so we can find the right match for you and also to secure the future of both, you; as a potential parent, as well as our pet.
Contact Information
Date

DayMonthYear
Date
NAME*

First NameLast Name
HOW OLD ARE YOU?*
years
PLEASE PUT A LINK TO YOUR FACEBOOK AND/OR INSTAGRAM PROFILE/S*
ADDRESS*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
HOW LONG HAVE YOU BEEN STAYING AT THIS ADDRESS?*
MOBILE PHONE NUMBER*

CodePhone Number
Email
example@example.com
WHAT IS YOUR OCCUPATION*
WHAT IS THE NAME OF YOUR EMPLOYER*
HOW DID YOU HEAR ABOUT US
HAVE YOU EVER APPLIED TO ADOPT FROM APF?*

YesNo
History
HAVE YOU EVER OWNED PETS ?*

YESNO
WHAT KIND OF PET?
IF YES, WHAT HAPPENED TO THEM?
DID YOU EVER GIVE UP A PET?*

YESNO
IF YES PLEASE EXPLAIN?
FAMILY, EXPERIENCE AND HOUSING
DO YOU CURRENTLY OWN A PET*

YESNO
IF YES, WHAT PETS DO YOU OWN NOW?
IF YES, ARE YOUR CURRENT PET/S GOOD WITH DOGS?

YESNO
ARE THEY SPAYED OR NEUTERED?

YESNO
IF NOT, PLEASE EXPLAIN:
WHEN HAVE THEY BEEN LAST VACCINATED?

MonthDayYear
Date
DO YOU HAVE ANY VISITING ANIMALS? (friends and family) PLEASE GIVE DETAILS
WHAT IS THE NAME & PHONE # OF YOUR VETERINARIAN?
ARE THERE CHILDREN IN THE HOUSEHOLD?*

YESNO
IF YES, WHAT ARE THEIR AGES?
HOW MANY ADULTS ARE IN YOUR HOUSEHOLD? *
DO YOU OWN YOUR HOME?*

YESNO
IF RENT? (Do you have landlord approval?)

YESNO
DO YOU HAVE A GARDEN?*

YESNO
IS YOUR YARD SECURELY FENCED?

YESNO
DOES ANYONE IN THE FAMILY HAVE AN ALLERGY TO PETS?*

YESNO
DOES EVERYONE IN THE FAMILY AGREE TO ADOPT A PET?*

YESNO
HOW WILL YOUR DOG BE EXERCISED?*
HOW OFTEN?*
WHERE WILL HE SPEND THE DAY?*
WHERE WILL HE SPEND THE NIGHT?*
IF OUTSIDE, DO YOU HAVE SHELTER AVAILABLE FOR HIM?

YESNO
IF YES EXPLAIN
WHEN DO YOU EXPECT TO LEAVE YOUR DOG ALONE AT HOME?*

MorningsAfternoonEveningOther
FOR HOW LONG?
HOW OFTEN?
ARE YOU PLANING FOR ANY OF THE FOLLOWING?

Moving HousePlanning a vacation in the next few weeksTravelNone of the above
ARE YOU FINANCIALLY PREPARED TO PROVIDE THE NECESSARY CARE FOR YOUR PET: INCLUDING PROPER FOOD, VACCINATIONS, PARASITE CONTROL (FLEAS, TICKS, WORMS, ETC.) ADEQUATE SHELTER, AND VETERINARY CARE FOR YEARLY CHECK-UPS AND MEDICAL EMERGENCIES?*

YESNO
Your Pet
Have you seen a dog or puppy on our website or Facebook page that you are interested in? If so please tell us the name
WHAT SIZE OF DOG DO YOU WANT TO ADOPT?

SmallMediumLargeAny
GENDER?

MaleFemaleAny
AGE?

PuppyAdultSeniorAny
CONDITION?

HealthySpecial Needs
DO YOU WANT TO ADD ANYTHING?
BY TYPING MY FULL NAME BELOW, I AFFIRM THAT ALL INFORMATION ABOVE IS TRUE. I REALIZE THAT THIS IS A LIFETIME COMMITMENT AND WILL ENDEAVOR TO GIVE THIS PET A HAPPY AND HEALTHY HOME. IF THERE ARE PROBLEMS WITH THIS PET OR I MUST GIVE HIM UP I WILL CONTACT THE ANIMAL PROTECTION FOUNDATION.*
TYPE FULL NAME HERE
Signature

Clear
Should be Empty:

APF's Dog Adoption Form

Contact Information

History

FAMILY, EXPERIENCE AND HOUSING

Your Pet