I am up to date with shots, good with kids, good with dogs, and good with cats.
Noah is 14 weeks old
will be about 9 lbs full grown.
fee includes his Nueter at our vet. $ 195.00
He is already microchipped and has had vaccines
We WILL CONTACT YOU AFTER WE RECIEVE YOUR ADOPT FORM .
Please COPY PASTE FORM BELOW AND submit Dog Adopt Form to email@example.com
Dog Adopt Form
Applicant Name: ___________________________________________Age___
Zipcode______________ Phone: __________________________________
Email:__________________________________ Can we text you?_____
Name of companion you are interested in adopting with us ____________________
Are you willing to have a visit to your home before or after this adoption? _____
Do you and all persons in household agree that you have the time, patience and finances to commit to this companion for their lifetime?_________
Do you have hands on experience with the breed you want to adopt with us___
Current companions: Dogs, #___ Cats, #____ Is your cat Declawed_______
Pets Ages_______________________Breeds____________________Other pets______________
Are they Spayed / Neutered?_____ IF NO, Why?________________________________________
Are your pets Indoor__ Outdoor__ Both__ Pet door___ Garage____ kennel___ Other_______
Who is your current Veterinarian___________________________________Phone____________________________
Do you have a vehicle to take this pet to a veterinarian? Yes__ No___
What brand of pet food will you be giving this pet as a regular diet____________
How many hours each day will this pet be alone______________________________
Companion History: When did you last care for a companion? _______age of pet_____
Were they spayed/neutered ? ____Were they indoor or outdoor?_________ Kennel___
Where is this companion now?_________________________________________
Will this dog get too big for your home or children once they are fully grown?________
Crate Hours: Daytime ______________Night Time_________ Potty training only____
What type of fence do you have?_____________________No fenced yard______
Taking dog for walks to go potty________Will be potty pad training________
When will this dog go outside to play and get exercise ?________________________________
Does your home have stairs?______How many_______ Are pets allowed on furniture____
Have you considered chewing and jumping issues? ____Will you have time to bring to training?
Going Away on vacation, work trips etc.
Will you take companion with you ?___ Have a Petsitter ___Board ____Take to family ,friend, neighbor home_____ Friend ,family, neighbor, name and phone_______________________________________
List everyone living in your home or visiting on a regular basis, weekends etc.
Adults ages __________roommates______ children ages__________ grandchildren ages______________________ _____________________________________________
When you are not home where will this companion be _________________________
Are you In a House____ Apartment___ Condo___ Mobile Home___ Hotel___ Temp housing___
Buying __ Military Housing__ Living with someone ___ Month to Month ___Renting __
Can you provide written permission from your property manager allowing this type of breed or pet where you live now?___ Manager/Landlord name and Phone___________________________
Have you paid your pet deposit?_________ When is your lease up?________________________
If you move, are deployed, have a baby, have a family member move in ,Will you keep this pet?____
If you must give up this companion do you have family who can care for them?______________
If you are unable to care for this pet where will pet go? __________________________________
What would cause you to give up this companion?______________________________________
Applicant Employment _________________________ Phone________________ supervisor________________ How long at this employment ?______
Co-Applicant Employment ____________________Phone____________________
REFERENCES, Please list references, Pet sitter, Groomer, Neighbor, Friend, Co worker
1. Name_________________________________ Phone #(____)_________________
2. Name________________________________________ Phone #(____)_________________
By signing below I attest that I have Never been convicted of animal abuse, Animal cruelty,
Neglect or abandonment in the state of Virginia Or any other state or country.
I certify that I am 21 years of age.
Any untruthful answers or not meeting the requirements for this adoption can result in the forfeiture of the companion adopted by me?
I have read this Questionnaire and understand that applying does not ensure approval. Visiting a companion does not ensure Adoption.
Applicant Name Print_______________________________Date_____
Co-Applicant Name print____________________________________Date_______