Downtown Dog Rescue · ADOPTION QUESTIONNAIRE

Contact Information

Applicant's Name

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First Name

Last Name

Spouse/Partner Name

First Name

Last Name

Applicant's Email

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Verify Email

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Spouse/Partner Email

Verify Email

Address

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Address Line 1

Address Line 2

City

State/Province

ZIP/Postal Code

Country

Phone

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Spouse/Partner Phone

Your Home and Experience

Are you interested in a particular dog? If so, name of the dog.

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What type of dog are you looking for?

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Couch potato

Medium energy

Very active

Other (describe)

Please indicate your age group.

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25-35

35-45

45-55

55-65

65-75

75+

How many adults (over 18) live in your home?

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If there are children (under 18) living in the home, please list their ages.

Do you live in a:

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House

Apartment

Condo/Townhome

Other

If OTHER, please describe. If CONDO/TOWNHOME, please list if there are BREED or SIZE restrictions in the HOA.

Do you own or rent your home?

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Own

Rent

Do you have the landlord’s permission to own a dog?

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Yes

No

Have you checked for any BREED/SIZE restrictions? List them or write "None". If you have not checked with your landlord, please do so before submitting this application.

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Do you have a yard?

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Yes

No

Is it fenced?

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Yes - Fully fenced

Yes - Partially fenced or not private

No Yard

Other (describe below)

How high is the fence? What is it made out of (chain link, wood, rod iron, etc)? Is it fully enclosed?

Do you have a pool?

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Yes

No

How many hours a day would your dog be left alone? Please describe if you have a variable scheudule.

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Where would the dog be left alone during the day?

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Where would the dog sleep at night?

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What kind of activities are you interested in doing with your dog?

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What is your experience with dogs?

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This is my first dog.

I grew up with dogs, but this will be my first as an adult.

I've had dogs in the past.

I currently have dogs.

If you currently have other pets, please describe them in detail as this will help us determine if the dog you are interested in is a good match. Gender? Age? Size? Breed? Temperament? Any behavioral issues with animals/people?

Is your pet(s) spayed/neutered?

Yes

No

If NO, why not?

If you had dogs in the past, please describe.

Have you ever had a pet that had MEDICAL or BEHAVIORAL issues?

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Yes

No

If so, WHAT and HOW did you resolve them?

Have you ever had to take a dog to the shelter?

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Yes

No

If so, why?

How did you hear about Downtown Dog Rescue

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Petfinder

Adopt-A-Pet

Instagram

Facebook

Friend/Relative

Other

Where if OTHER

Your Instagram Account Name

Your FaceBook Account Name

Is there anything else you’d like to share with us?

Are you able to donate the suggested fee of $250, which helps us rescue and provide medical care, boarding, spay/neuter for other abandoned dogs?

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Yes

No

If no, please explain why and what you would be able to donate for adopting one of our dogs. (Inability to make suggested donation in full does not disqualify an applicant from consideration).

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By clicking SUBMIT, I understand that filling out this application does not guarantee adoption and that all information is complete and correct.