Form

Adoption Application

Please fill this form out to adopt a dog from "In Dog We Trust"

Welcome to "In Dog We Trust Adoption Program". The following information is requested so that we can assist you in the selection of a new dog. This form and a consultation with a In Dog We Trust representative are designed to help you find the dog most compatible with your lifestyle.
In order to be considered as an adopter you must:

• Be 21 years of age or older.
• Have identification showing your present address.
• Have the knowledge and consent of your landlord.
• Be able and willing to spend the time and money necessary to provide training, medical treatment and proper care for a pet.

Completion of this application does not guarantee adoption of a “In Dog We Trust” dog.

~Thank you!

*denotes required fields

Today's Date*

Month Day Year

Full Name*

First Name Last Name

Home Address*

Street Address
Street Address Line 2
City	State / Province
Postal / Zip Code	Country

Phone Number*

- Area Code Phone Number

Is above address where the dog will live?*

E-mail*

Age:

Describe in detail the dog you're looking for:*

Would this be your first dog?

What Animals currently live in your home: [Please include all animals]

What kind of pets have you had in the past :

Which of these do you still have? (Include age, sex and breed)

Have they been spayed or neutered?:

Are they current on vaccinations? :

What happened to the ones you no longer have?

Have you ever turned your dog in to a shelter? :

If yes, please explain:

Have you had a pet euthanized? :

If yes, please explain:

If you have other pets will they (or it) adjust to a new pet entering the household?

Was your last dog obedience trained? :

Why do you want this dog?

Other reason details:

How many adults are there in your family?:

How many children? :

Children’s ages :

Does any member of your household have an allergy to dogs? :

Is someone home during the day? :

Who? :

How many hours daily will the dog be without human companionship?

Explain:

Which do you live in? :

If other, explain:

Do you own or rent your home?:

If you rent, may we contact the owner to obtain permission for this animal to live in your home?:

Owner's Name

First Name Last Name

Owner Phone Number

- Area Code Phone Number

Do you have a completely fenced yard?:

What kind of fence?:

Height of Fence [in feet]:

Is there a gate?:

If not, explain:

Do you have a dog door?:

Are there times when the dog will be tied up?

If yes, when?

Are there stairs that lead to your home?

If yes, how many?

Will the dog spend any time in the garage? :

If yes, explain

Do you have a pool?:

If yes, is there a fence around the pool?

If your new dog/puppy is not housebroken, what method will you use to train it:

Will you keep the dog up-to-date on vaccinations? :

Who is your veterinarian?:

First Name Last Name

Vet Address

Street Address
Street Address Line 2
City	State / Province
Postal / Zip Code	Country

Vet Phone Number

- Area Code Phone Number

Would you be able and willing to exercise the dog on a regular basis?

Method:

Where will this dog be kept during the day?

During the night?

If you drive a pickup truck, would you allow the dog to ride in the back? :

If you go away for a few days, or on a vacation, who will take care of the dog?

If you move, will you take the dog with you?

Explain:

How much are you willing to spend on medical bills for your dog?

What would you do if the vet bills go over this amount?:

Have you ever applied to adopt an animal from "In Dog We Trust" in the past? If so, when? :

Details:

Did anyone refer you to "In Dog We Trust"?:

If yes, please explain:

Have you ever attended a "In Dog We Trust" mobile adoption?

If yes, where was it?

Are you willing to allow a "In Dog We Trust" representative come to see where the dog will be living? :

Are you willing to take the responsibility for this dog for the next ten to fifteen years? :

What provisions will you make for the dog should you become unable to care for it?

Have you ever been convicted for animal abuse? :

Is there anything else you would like us to know?:

If Yes explain:

Thank you for completing the form correctly, please click on "Submit Form" to complete the application.

We will be contacting you once your Application has been reviewed.

Thank you!