First Name*

Last Name*

Address

City

State/Province

Zip/Postal Code
 - 

Email*

Home Phone

Work Phone
x

Cell Phone

Alt Email

Text/Pager Email

Which animal are you interested in
Sorry, no animals found

Why are you interested in adopting a pet at this time

Why do you want to adopt a dog?

What do you think are the most important responsiblities in having a dog?

Does everyone in your household know you are applying to adopt a dog?
Choose one: Yes No

Does every member in your household want a dog?

Please describe ALL pets currently with you (species, age, gender, spayed/neutered):

Please describe pets no longer with you and why.

Does anyone in the household have allergies to pets?

How many people reside in your household, Please list name and age of each:

Please provide the name, address and phone number of the veterinarian for your current pets.

Do you give Big Dog Rescue permission to contact your veterinarian?

If you do not currently have a pet, please provide contact information for the veterinarian you intend to use.

Who will be responsible for feeding, housetraining, obedience training, bathing and walking this pet?

Do you own or rent your home

If you rent, have you received the approval of your landlord to have an animal

If you rent, please provide your landlord's name, address and phone number.

In what type of home do you live

Are there rules regarding pets? What are the restrictions? Please list:

Is your yard fenced?

What type of fence

What is the height of your fence?

If you have no fence, how do you plan to keep the dog contained and safe?

How much time will the animal spend alone during the day

Will the animal be kept inside or outside

Where will the animal be kept when you are not home

Where will the animal be kept when you are home

Where will the animal sleep

How much time are you prepared to devote to your dog's daily needs? (hours)

How do you plan to play with your dog?

Will that time be supervised?

Will anyone be home during the day?

How frequently will the adults be gone/away from home on business/vacation trips?

What do you intend to feed the dog?

Please list the brand of food you plan to feed, if you are making home cooked food, please list type

What would cause you to abandon this dog?

If, for any reason, something were to happen to you, that would render you unable to care for the dog, do you agree to return the dog to Big Dog Rescue? By initialing below you agree to return the dog to Big Dog Rescue.

If you have a family member or friend you would like to care for the dog in such an event, please list their contact information here, so that they may be qualified by Big Dog Rescue:

Is the nominated party aware of your wishes? (The nominated party will need to fill out an adoption application and be willing to abide by the adoption contract)

Describe how you will train the pet

Do you agree to take your new K9 to obedience training class

What training program will you enroll in

I represent the information I have provided on this form is the truth to the best of my knowledge and belief, and hereby give my permission for Big Dog Rescue to use any of the above information. Sign and Date*

Big Dog Rescue retains the right to refuse to adopt to anyone for any reason, we also retain the right to check on this adopted dog at anytime. We request copies of all medical records, including all vaccines and dog license renewals. We would like the occasional photo for our wall. Please Initial.*