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DOG PWR: Play, Wellness, Rescue
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Adoption Form
Thank you for saving a life!
Name
*
Email address
*
Phone number
Address
Occupation (Please list your most recent job, employer, length of time, and how many hours you work per day/week)
Do you rent or own your home?
Select
Rent
Own
Do you have permission to keep a dog on the premises?
Select
Yes
No
How many adults live in the household?
What is your age group?
Select
18-24
25-34
35-44
45-54
55-64
65+
How many children live in the household?
If there are children, please provide their age.
Is anyone allergic to dogs?
Select
Yes
No
Are there any other pets in the household? If so, please list their type, breed, age, and overall behavior.
Which dog are you interested in adopting?
Address where the dog will be living (leave blank if the same as above).
What type of dwelling do you live in?
Select
Apartment
Condo
Single Family Home
Townhouse
Do you have a fenced yard?
Select
Yes
No
How many hours per day will the dog be left alone?
What is your plan for exercise and socialization for the dog?
Are you familiar with training methods? if so, please elaborate.
How do you plan to handle behavioral issues?
Please describe your experience with dogs (if you've had a dog before, what size, how many years, if you've fostered before, etc.)
Are you aware of the financial commitment it takes to own a dog? In the event your financial status changes, what will you do with the dog?
What will you do if your dog becomes ill or needs medical care?
Have you ever surrendered a pet? if yes, please explain.
Do you plan to get pet insurance?
Select
Yes
No, but I am open to hearing more.
No, I have a different plan to cover emergencies.
What is your preferred method of communication?
Please select at least one option.
Email
Phone
Text
What is your ideal adoption timeline?
Select
Immediately
Within a month
Within 3 months
No specific timeline
Submit
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