Please list the name of interested animal:
Address
Telephone-day/night/business/Cell
Email
Place of Employment:
Nature of Employment:
# of hours worked per day:
Who shares your household?
If children are in the home what are their ages?
Do you live in a :
How long at current address
Do your own or rent your home?
If you rent, do you have landlord permission to have a
dog?
If rental, name and phone of landlord:
Is your yard securely fenced?
If no fence or yard, what arrangements will you make for
the dog's exercise and toilet?
List the dogs &/or cats you have
had
Yrs. Owned
yes
no
yes
no
yes
no
no
yes
yes
no
Where was the animal kept?
Do you still have the pet?
yes
no
no
yes
yes
no
no
yes
yes
no
If not, what happened to him/her?
Where will the pet be kept during the day?
Where will the dog sleep at night?
Approximately how many hours a day will the dog be left
alone?
What behavior(s) do you consider unacceptable for a dog?
Would you be willing to spend time training the dog to
alleviate issues like jumping, barking and pulling on a leash?
Have you ever lost, had stolen, or given away a pet?
What type of dog food do you feed or have
fed in past?
Your new dog may take 2-3 months to adjust to his/her
new home.
Who will care for the dog when you go on vacation or in
your absence?
Who is your Veterinarian /Clinic?
May we call your vet as a reference?
Are you planning to move?
What circumstances would cause you to give up this pet?
What is your preferred level of exercise
for the dog?
Couch Potato
Do you have any experience with dog training?
Would you be willing to attend obedience classes at your
own expense?
How would you rate your dog experience?
1st Time Guardian
What training methods do you plan to use? ( applies to
dogs of all ages)
If the pet you adopted bit anyone, even by accident, What
would you do?
Is there anything you would like to tell us or any questions
you might have for us?
What is a reasonable amount to spend if your pet became
ill? Would you have pet insurance?
Will your dog wear a collar with tags?
How will you discipline your dog if he/she misbehaves?
Please consider this before adopting... Realize that dogs
need vet care throughout their entire lives, quality pet food, training,
grooming and many more things that will come up. Will you be able to
afford these things and take care of the animal properly?
Are you able to make a lifetime commitment to care for
this animal, which could be from as much to 10 to 20 years?
I am aware that my new dog must be returned to THE MUTT
SCOUTS in the event I can no longer care for it for ANY reason
I am aware that the adoption fee for my dog is non-refundable
and goes to care for many of The MUTT SCOUTS animals in need.
I agree to let a representative of THE MUTT SCOUTS visit
my home prior to adoption
I understand that any attempt to falsify any information
on this application may be grounds for denial and/or relinquishment
of my animal back to THE MUTT SCOUTS
I have read the legal section and I agree
to its terms and will also
Please
doublecheck that you have filled in all the fields - indicating 'n/a'
if a question does not apply to you - incomplete applications cannot
be processed and will be deleted..
By clicking
the 'submit' button I certify that the above information is true.
I further certify that I am financially and physically able to care
for this animal. I understand that proper food and veterinarian care
can be costly and I am able to meet these obligations. I understand
that home checks may be made on a random basis prior to or following
adoption. If any information contained in this application is found
to be false, I understand the dog will be removed from my premises
without a refund of monies paid.
