Dog Adoption Application

 

DOG'S NAME:

    Dog ID:

    Dog Age:

 

PERSONAL INFORMATION:

NAME:

ADDRESS:

     City:

     State:

     Zip Code:

PHONE NUMBER:

     Alt Phone Number:

EMAIL ADDRESS:

YOUR AGE*:

     * MUST be 21 to Adopt

 

QUESTIONS:

Is anyone in your family allergic to Dogs?

 

YES

 

NO

Are there any small children in your household?

 

YES

 

NO

Are ALL members of your household aware of and in agreement with this adoption?

 

YES

 

NO

Are ALL of your current pets spayed/neutered?

 

YES

 

NO

 

WHAT ANIMALS DO YOU CURRENTLY OWN:

PET NAME:

   Pet Age:

    Dog/Dog/Other:

 

PET NAME:

   Pet Age:

    Dog/Dog/Other:

 

PET NAME:

   Pet Age:

    Dog/Dog/Other:

 

PET NAME:

   Pet Age:

    Dog/Dog/Other:

 

PET NAME:

   Pet Age:

    Dog/Dog/Other:

 

 

WHO IS YOUR CURRENT VET?

   Vet Name:

   Vet Phone Number:

 

 

Where will your dog spend his time? (maximum 500 characters)

 

If outside, how do you plan to keep your dog contained? (maximum 500 characters)

 

Do you have a fenced yard?

 

YES

 

NO

 

If your new dog/puppy is not housetrained, what method will you use to train him?

 

By clicking Submit AppliDogion, I certify that all information contained on this appliDogion is complete and accurate to the best of my knowledge.

 

 

Franklin County Humane Society | Union Missouri
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