Adoption Application

Ready to Adopt?

Please review and complete the entire form below or download a printable form. Be truthful and provide complete answers, especially when describing your experience and the desired temperament of your new dog. This form will assist us in matching you with the right dog. An adoption fee will apply.

*required field

Applicant Information

Form Name

Name of Dog*

Name of Applicant*

Applicant Age* 21-3030+Senior

Spouse

Spouse Age 21-3030+Senior

Address*

City*

State*

Zip*

How Long?*

If less than one year, previous address

Place of Employment*

Occupation*

Employer Address*

Spouse Employment

Spouse Occupation

Spouse Employer Address

Ages of Children (if any)

Other Occupants in the Home (if any)

Home Phone*

Work Phone*

Cell Phone

Other Phone

Applicant's Email*

Home Environment

Type of Dwelling* HouseCondoApartment

Square footage

Own or Rent?* OwnRent

Do you have landlord’s or HOA permission to have a dog?* YesNo

Pet History

Why do you want this dog?*

What kind of temperament are you looking for in your new dog?*

Please list all pets you have owned as an adult:

Are there any other dogs currently in the household?* YesNo

If yes, please list breed, sex, and age.

Do you have cats?* YesNo

If yes, how many?

What's your cat's age?

Have they been with dogs before? YesNo

Are they indoor or outdoor? IndoorIndoor/OutdoorOutdoor

Other Pets (rabbits, ferrets, etc.)?

Are your pets spayed/neutered? YesNo

Are your pets up-to-date on shots? YesNo

Have you ever bred dogs? YesNo

If yes, which breed(s)?

The Care of Your Dog

Who will be primarily responsible for the care of this dog?*

How many hours per day is the primary caretaker away from home?*

How many hours per day will the dog be left alone?*

Where will the dog be left when left alone?*

What indoor space is available to the dog?*

What indoor space is off-limits to the dog?*

Where will the dog sleep at night?*

What outdoor areas are available to the dog?*

Is your yard fenced? YesNo

Type of Fencing? (Chain Link, Wood, Iron, etc.)

Height of Fence:
Highest point (ft.) Lowest point (ft.)

Does your yard have any gates? YesNo

How many? Height (ft.)

Will you allow us to thoroughly inspect your yard to ensure that it is secure? YesNo

If the yard is found to be unsecure, do you agree to make any necessary repairs before placement? YesNo

If no, please explain.

Does your home have a pool?* YesNo

If yes, is it fenced & gated? YesNo

Who has access to your yard?
GardnerPool manHousekeeperUtility Meter ReaderNeighborOther

Preferred level of exercise with dog?*
Hike/jogVigorous walksShort walksDog ParkDoggie Day CareNone, large propertyOther

If you travel, how often?

What type of travel? BusinessPleasureBoth

Who will care for your dog when you travel?

Under what circumstances would you make the decision to euthanize?*

How would you rate your level of dog owning experience?*
First time ownerBeginnerIntermediateAdvanced

How would you discipline your dog if he or she misbehaved?*

How would you train this dog?*
Local obedience classFirm verbal commandsClicker/hand signalsPrivate TrainerOther

How will you continue to socialize this dog with other dogs?*

Under what circumstances would you give up your dog?
Biting BehaviorDestructive ChewingMarking BehaviorSheddingAllergiesHousebreaking ProblemsAggressive Behavior on LeashPoor Watch DogGrowling at GuestsFinancial ProblemsExcessive Vet BillsNew partner doesn’t like DogsNew BabyInsurance Company ExclusionAllergiesOther

What would happen to your dog if you moved?
Locally*
Out of Area*

Have you ever given a pet away?* YesNo
If so, please explain

Pets are an investment of your time & money. Can you afford to provide ongoing medical care when necessary, training if necessary, and a proper diet?* YesNo

Are you able to make a long-term commitment to care for your pet for its entire life span, which could be as much as 10 to 20 years?* YesNo

Why are you interested in Rescue?*

Disclaimer

Please read each statement and check appropriately below:

I understand that a home visit is required and does not guarantee placement.

I am able to make a $300 donation to Doggone Crazy Animal Rescue ('DCAR'). DCAR is a 501(c)(3) organization and your donation is the only way we can continue our work helping dogs in need. We are a no-kill, all-breed rescue and 100% of your donation goes towards rescue, foster and medical costs. We were able to rescue the dog you are applying for thanks to someone else’s donation.

I understand that I must provide my own collar, leash, and harness, as well as a personal ID tag at the time of completing the adoption contract. If I do not already have these items, they must be purchased before placement.

I understand that applications are not prioritized and dogs are not placed on a first-come first-served basis. Rather, DCAR places dogs in homes that DCAR, in its sole opinion, considers are the best fit for the dog and its new family members.

Should this adoption go forward, this application will be incorporated into the contract by reference.

By submitting this application I certify that the information I have provided is true and accurate. I understand and agree that DCAR has the right to reject this application and/or remove the dog from my possession if DCAR discovers that the information provided in this application is not true and/or accurate.

Doggone Crazy Animal Rescue reserves the right to refuse adoption to any applicant for any reason.