(NO work email, personal address only. This is the email address we use to stay in contact you.)
District of Columbia
Name & Phone Number of Person Reference 1:
Name & Phone Number of Person Reference 2:
Own or Lease Your Home:
Do you live in an apartment, duplex, residential home, etc.?
How long have you lived at your current residence?
under 6 months
longer then 6 months
If you lease, do you have a letter or lease stating you are allowed to have pets?
no but i can get one
If you have children at home, what are their ages?
Is everyone in your home in agreement to adopt a Animal?
Where will your pet sleep at night?
Where will your new dog stay when no one is home?
Are you willing to purchase a crate and use it for your new dog?
Do you have a fenced yard? (If you do not live in an apartment, a fence is REQUIRED.)
If so, what type of fence do you have and how tall is it?
Check one that fits you.
I\'m active and love to be outdoors
I enjoy reading, computer games and watching TV/Movies
I would love to have a Animal I can take to the park every
I\'m more into taking walks around the neighborhood
I would rather spend my time playing with my dog in my yard
I\'m looking for an easy dog that just wants to be my companion
Which Animal(s) are you interested in adopting?
Tell us what makes this Animal a great match for you or your family?
List your Current Pets List all animal(s) by NAME, SEX and AGE that are currently in your care.
Are all of these pets current on vaccinations, neutered and on monthly heartworm preventative?
What other animals have you had in the past FIVE years and what happened to them. Please be specific. Died/How, Ran Away/How, etc.(Do NOT include pets you had as a child.)
Under what circumstances would you NOT commit to keeping the dog you adopted?
I am fully committed to the pet once i adopt him/her.
If the pet needs more tanning.
If i had to move
If i developed a serious health problem
If i had a child
If my relation with my current spouse/partner ended
Name of Vet Clinic:
Do you have any comments that would like to share or that may help us in approving your application?
Should be Empty: