Dog Adoption Request Form

If there is a particular dog you want to adopt, please include its name on the form. We will contact you by phone or email.

Name*
First Last
Phone*
Email*
If there is a particular dog you like, what is its name?
What energy level are you looking for?*
- Hiking/running partner
- Couch potato
- In the middle
Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Do you live in a house or apartment*
- Apartment
- House
How long have you lived at this address?*
- Less than 6 months
- 6 months - 1 year
- 1 year - 3 years
- More than 3 years
Are you renting?*
- Rent
- Own
If renting does your lease allow pets?
- Yes
- No
If renting what is your landlord's contact information?
How many adults in the home?*
- 1
- 2
- 3 or more
How many children in the home?*
- 0
- 1
- 2
- 3 or more
For whom are you adopting?*
- Self
- Relative
- Friend
- Pet
Are there other pets currently in the home? If so please explain
What kind of animals have you previously owned?
Who is your regular vet?*
Will you have food, collar/leash and shelter ready for your new dog?
Where will your dog live?*
- Mostly Indoor
- Outdoor
- Both
Do you have a fenced yard?*
- Yes
- No
What kind of exercise will the dog receive?
Have you ever surrendered an animal to a shelter? If so please explain the circumstances
CAPTCHA

Give us a call – 360-376-6777