Professional Documents
Culture Documents
Form - Adoption App
Form - Adoption App
Name: Spouse/Partner:
DOB: / / DOB: / /
Address: City: State:
Home Phone: Cell Phone: Work Phone:
Email: Employer: Occupation
Please list names, ages and relation of everyone else living in household excluding spouse/partner:
Have you or anyone else in your household ever been charged or convicted of animal cruelty? If yes, please
explain.
How many hours will your Dog be left alone during the day?
Where will your Dog be kept when alone?
___Outside ____Crated ____Free Roam of House ____Enclosed Kitchen ____Basement ____Other,
please explain:
We expect you to commit to caring for this dog for the remainder of its life. If you can not keep the dog for any
reason, you MUST return it to All 4 The Animals. You may not give it to a family member or a friend. Are you
willing to agree to this and be legally bound by signing the All 4 The Animals adoption contract upon adopting
a dog?
Yes_____ No_____
LIFES T YLE
The average life expectancy of a dog is 10 to 15 years. We hope by best matching a dog to you &
your family, we are placing the dog for the rest of its life!
15. Are you willing to have your dog spayed/neutered? ___YES ___NO
16. What will you do with your Dog if you have to move?
___Find New Home ___Take Dog on move ___Take to local Animal Shelter ___Return to A4TA ___Other
17. Have you ever had to give up a Pet (Dog/Cat/Other) for any reason?
__________
__________
18. What reasons would cause you to return the dog to All 4 The Animals Rescue?
PE T HISTORY
Please list the animals you currently have:
Type Breed Sex Age Spayed / Current on Kept where?
Neutered Vaccinations
Please list the animals you have had in the past (do not include family pets from childhood):
Type Breed Sex Age Spayed / Where is the animal now? How long did
Neutered you have it?
RE FERENCES
What Vet will you use in this area?
Vet Name Address Phone
By submitting this application, I certify that the information I have provided is true and correct to the best of my
knowledge. I understand that false information may void my application. I understand that All 4 The Animals
reserves the right to reclaim the dog should there be validated suspicions of abuse or neglect.
Thank you for taking the time to fill in our adoption application.