SAVE A DOG TODAY APPLICATION!

Your comments are appreciated!

Just complete this form. Click on Submit when ready to send.

Your name:

Address:

City:

State:

Zip Code:

Email:

Work Phone:

Home Phone:

Occupation:

Dog applying for:

Why do you want to adopt this dog?:

Do you know about this breed?:

Why do you think this dog will fit into your lifestyle?:

Please describe a regular day and night for your dog:

Are you aware that a dog can live up to ten to fifteen years?:

Are you ready to take on that responsibility?:

What do you think are the most important responsibilities in having a dog?:

Who are you adopting the dog for?:

Does everyone in your household want a dog?:

Please describe your current pets?:

Are they spayed or neutered?:

Pets gender and age?:

Please describe those pets who are no longer with you and why?:

Does anyone in the household have allergies to pets?:

Please list names and ages of everyone in the household?:

Veterinarian Name and phone number you intend to use:

Who will be responsible for feeding and house breaking or training?:

Do you own or rent your residence?:

If you rent name and phone number of landlord:

What type of home do you live in?:

Is your yard fenced and what type?:

Do you have a pool?:

If yes is it fenced?:

How high are your fences?:

If you have no fence how do you plan to keep the dog at home?:

Where will the dog stay during the day?:

How much time will the dog spend outside each day?:

Will anyone be home during the day?:

How frequently will the adults be gone away from home on business or vacation or trips?:

When you are on vacation where will the dog be kept?:

Where will the dog sleep every night?:

What food brand do you intend to feed the dog?:

Please describe in detail how your going to house train the dog?:

How many hours a day will the dog be left unattended?:

Where will the dog be kept when unattended?:

How many dogs have you been responsible for in the past ten years?:

If your dog would have a broken leg or medical emergency that costs two thousand dollars what would you do?:

Do you know about Heartworm and prevention?:

Are your current dogs on Heartworm prevention?:

Do you give SAVE A DOG permission to contact your vet to release the information in your pet health files to us?:

I represent the information I have provided on this form is the truth to the best of my knowledge and belief. I hereby give my permission for SADT to use any of the above information to confirm all information provided is the truth:

Date:

Do you have any questions regarding the application process?

Your name:
Address:
City:
State:
Zip Code:
Email:
Work Phone:
Home Phone:
Occupation:
Dog applying for:
Why do you want to adopt this dog?:
Do you know about this breed?:
Why do you think this dog will fit into your lifestyle?:
Please describe a regular day and night for your dog:
Are you aware that a dog can live up to ten to fifteen years?:
Are you ready to take on that responsibility?:
What do you think are the most important responsibilities in having a dog?:
Who are you adopting the dog for?:
Does everyone in your household want a dog?:
Please describe your current pets?:
Are they spayed or neutered?:
Pets gender and age?:
Please describe those pets who are no longer with you and why?:
Does anyone in the household have allergies to pets?:
Please list names and ages of everyone in the household?:
Veterinarian Name and phone number you intend to use:
Who will be responsible for feeding and house breaking or training?:
Do you own or rent your residence?:
If you rent name and phone number of landlord:
What type of home do you live in?:
Is your yard fenced and what type?:
Do you have a pool?:
If yes is it fenced?:
How high are your fences?:
If you have no fence how do you plan to keep the dog at home?:
Where will the dog stay during the day?:
How much time will the dog spend outside each day?:
Will anyone be home during the day?:
How frequently will the adults be gone away from home on business or vacation or trips?:
When you are on vacation where will the dog be kept?:
Where will the dog sleep every night?:
What food brand do you intend to feed the dog?:
Please describe in detail how your going to house train the dog?:
How many hours a day will the dog be left unattended?:
Where will the dog be kept when unattended?:
How many dogs have you been responsible for in the past ten years?:
If your dog would have a broken leg or medical emergency that costs two thousand dollars what would you do?:
Do you know about Heartworm and prevention?:
Are your current dogs on Heartworm prevention?:
Do you give SAVE A DOG permission to contact your vet to release the information in your pet health files to us?:
I represent the information I have provided on this form is the truth to the best of my knowledge and belief. I hereby give my permission for SADT to use any of the above information to confirm all information provided is the truth:
Date: