dog adoption application

* required information
 
Contact Information
First Name:*
Last Name:*
Email:*
Address Line 1:*
Address Line 2:
City:*
State:*
ZIP/Postal Code:*
Phone:*
Cell Phone:
Alternate/Summer Address Line 1:
Alternate/Summer Address Line 2:
Alternate/Summer Address City:
Alternate/Summer Address State:
Alternate/Summer Address Zip:
Alternate/Summer Phone:
Occupation:*
Who is this pet for?:*
Do you live in a:*
Do you:*
How long have you been at your current residence? (Years/Months):*
If you rent, do you have your landlord's permission to own a pet?:
If you rent, please provide landlord's name and phone number:
What type of dog do you want? (e.g. Breed, size, age, sex, etc.):*
What type of dog will it be?:*
Do you have a fenced-in yard?:*
How many hours per day will
your dog be left alone?:
*
Where will you leave
it during that time?:
*
Veterinarian Name:
Veterinarian Phone #:
Number of children in
your home & ages:
*
Would you object to an
ARF representative visiting
your dog in its new home?:
*
Are you willing and able to
accept financial responsibility
for annual shots, check-ups
and emergency medical care?:
*
How did you hear about us?:
Your Pets
# Dogs currently in your home:*
# Cats currently in your home:*
Dog #1 Name:
Dog #1 Breed:
Dog #1 Age:
Dog #1 Neutered?:
Dog #2 Name:
Dog #2 Breed:
Dog #2 Age:
Dog #2 Neutered?:
Cat #1 Name:
Cat #1 Age:
Cat #1 Neutered?:
Cat #2 Name:
Cat #2 Age:
Cat #2 Neutered?:
Have each of your pets
been to the veterinarian
within the last 12 months?:
Do you have other pets?:*
If yes, what are they?:
If you don't have a pet now
have you ever had a pet?:
If yes, what were they and
what happened to them?:
Have you adopted
from ARF before?:
*
If yes, was it a cat or dog?:
What year did you adopt?:
How did you hear about ARF?:
Stay Informed!
Yes, I want to receive updates on ARF news and events.
Thank you for your interest in adopting a dog at ARF. One of our Adoption Coordinators will contact you shortly.