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MEET YOUR NEW BEST FRIEND

ADOPTION APPLICATION

First Name:
Last Name:
Phone Number:
E-mail Address:
Date of Birth:
Street Address:
City:
Zip Code:
Are you interested in a specific dog?
  • - select a option -
  • Yes
  • No
If yes, which dog(s) are you interested in?
Do you rent or own your home?
  • - select a option -
  • Rent
  • Own
If you own, please attach a copy of your homeowners insurance:
Upload your documents...
Which do you live in?
  • - select a option -
  • Single Family Home
  • Apartment
  • Condo
  • Other
Square Footage of Home:
Please list all human members of your household and their ages:
Does anyone in your home have pet allergies? Please explain:
Is your backyard fenced?
  • - select a option -
  • Yes
  • No
If yes, please list the type of fencing and height:
Where will the dog be kept during the day?
Where will the dog be kept at night?
How long will the dog be home alone (without human supervision)?
Please list your current veterinarian's name and phone number:
What is the atmosphere of your home?
  • - select a option -
  • Quiet
  • Moderate
  • Busy
What is your personal activity level?
  • - select a option -
  • High
  • Moderate
  • Low
How much exercise will the dog get per day and what will that exercise consist of?
Are there any other pets living in the home? If yes, list type of animal, age, gender, and if they are altered):
Please list all pets you have had within the past five years and provide a brief explanation of your previous experience with dogs:
What is your desired size of dog?
What is the desired activity level of your ideal dog?
  • - select a option -
  • Low
  • Moderate
  • High
What is the desired age of your ideal dog?
  • - select a option -
  • Puppy (birth - 1.5 years)
  • Adolescent (1.5 - 4 years)
  • Adult (3 - 8 years)
  • Senior (8+ years)
Is everyone living in the household in agreement with adopting a dog?
  • - select a option -
  • Yes
  • No
What behavioral or medical issues would lead you to consider surrendering the dog back to SacRDR? What steps would you take to address these issues, should they arise?
Additional Comments:
Do you have any questions, or is there anything else you would like to mention?

Please read our terms and conditions carefully and sign below:

I hereby certify that I agree with and will abide by the following terms and conditions: SacRDR will conduct a home visit prior to finalizing an adoption, for all potential adopters. If the adopter can no longer care for the dog at any point, the dog is to be released back to SacRDR. Once adopted, the dog cannot be rehomed or gifted to anyone other than the approved adopter without prior consultation and approval by a SacRDR representative.
Applicant's Signature:
Today's Date:

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LET’S BE BEST FRIENDS

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