If you are not applying for a specific dog, please tell us your preference in age range, sex, and weight of the dog you would like to adopt.
Applicant Full Name *
Applicant Full Name
Co-Applicant Full Name
Co-Applicant Full Name
If Applicable
Phone Number *
Phone Number
Address *
Address
If Applicable
If Applicable
If Applicable
If Applicable
If Applicable
If Applicable
If unemployed or retired, please enter N/A
If unemployed or retired, please enter N/A
If unemployed or retired, please enter N/A
Describe your household *
(check all that apply)
If none, please say N/A
(food, vaccinations, monthly heartworm, monthly flea/tick preventative, unexpected medical expenses, grooming, training classes, etc.)
This field is required if you have any past or present pets. We do perform vet checks. Please authorize your vet to speak with us if necessary.
This field is required if you have past or present pets.
This field is required if you have past or present pets.
Please include at least two references, non-family members
By checking this box, I certify that the above information is true and accurate to the best of my knowledge. I understand that completion of this form in no way guarantees my ability to adopt a dog. I further understand this is only the first step in the adoption process. *