Adoption Questionnaire

It is our policy and goal to make certain that each person who adopts a dog is aware of the responsibilities of pet guardianship, and is capable and willing to accept those responsibilities morally, physically and financially.

By completing this questionnaire you will aid us in determining if you and your family are ready for pet guardianship and if the dog of your interest is a good match for you, your family and your lifestyle. If you agree that adopting a dog is a commitment throughout the lifetime of your companion animal, please fill out this questionnaire.

We reserve the right to refuse any adoption that we feel will not suit our dog’s requirements. 

We often receive multiple applications for the same dog. To be fair we consider applications in order we receive them. We have many wonderful dogs in need of loving homes. We encourage you to peruse our website and select an alternate dog of interest.

Personal Information

Address Line 1
Address Line 2
City
Zip Code
Please list all other household members, their relationship to you, and their ages.

Your home

Personal References

Please list two personal references (not related to you or living with you) and their relationship to you.

Your pets

Your new dog

Certification

Please read and initial each statement below.