Dog Adoption Application

Congratulations on your decision to welcome a new family member

Filling out this application helps us match you with a dog who truly fits your home and your life. If some of the questions feel personal, it is only because we care about where our dogs end up. Fields marked * are required.

When you submit, your application is emailed to Cats For Life and a PDF copy is saved to your device for your records.

Your contact information

How we'll reach you about your application.

First name *

Last name *

Street address *

City *

State *

ZIP code *

Email *

Cell phone *

Home phone

Work phone

How did you hear about us?

The dog you'd like to adopt

Which dog are you interested in? *

Please tell us why you would like to adopt a dog *

I am adopting this dog for (check all that apply):

If other, please explain

Your home

Do you live in *

Do you *

If you rent or lease, name of complex and office phone number

Are you planning to move in the next six months? *

What will happen to this dog if you move unexpectedly? *

What will happen to this dog when you go on vacation, or in case of an emergency? *

How many hours during the average day will your dog be without a human? *

Do you want this dog to be *

Where will this dog be kept during the day? *

At night? *

When you're not home? *

Does your home have a dog door?

Yard and exercise

If your yard is fenced, please check for gaps and weak spots before bringing a dog home. For a large dog, consider whether the fence is tall enough (6 feet).

Do you have a fenced-in back yard? *

Does your gate have a lock?

If your gate has no lock, could one be added?

If there is no fenced yard, how will you exercise the dog?

If the yard is not fenced, who will walk the dog, and how often will you take the dog out?

What type of vehicle do you own?

If you have a truck, how will your dog be transported?

Your household

Please list everyone this dog will live with, including yourself: name, age, and relationship to you *

Did your entire family agree on adopting this dog? *

Will the whole family share in the care of this dog? *

Is anyone in your household allergic to dogs? *

Are there children who visit your home frequently?

If yes, what are their ages?

Are there regular visitors to your home, human or animal, that your new dog would need to get along with?

If yes, please describe

Your pets, now and in the past

Do you have any other pets living with you now? *

If yes, please list them: type, name, breed, spayed or neutered, and how long you've had them

Have you had pets in the past? *

If yes, please list them: type, name, breed, spayed or neutered, how long you had them, and where the pet is now

Veterinary care

Do you have a regular veterinarian? *

May we contact your veterinarian for a reference? *

Clinic name, address, and phone number

How often do you feel a dog should see a veterinarian?

What do you know about heartworms? *

What will you feed your new dog?

Behavior

What kind of behavior do you find unacceptable? *

If the dog has problems with behavior, what will you do about it? *

Local personal references

If possible, please include one relative who does not live with you.

Reference 1 name *

Phone *

Relationship *

Reference 2 name

Phone

Relationship

Please confirm

I certify that the information above is true, and I understand that false information may result in nullifying this adoption. Cats For Life, Inc. reserves the right to refuse an adoption to anyone, with or without cause. *

Yes, I understand