Dog Application - DrowzyDawg

Welcome to Drowzydawg Rescue adoption program. We request the following information so that we can assist you in the selection of a new dog. This form and a consultation with a Drowzydawg Rescue representative are designed to help you find the dog that is most compatible with your lifestyle.

To be considered as an adopter, you must:

Be 21 years of age or older
Have identification showing your present address
Provide a copy of your driver’s license or state ID
Have the knowledge and written consent of your landlord
Be able and willing to spend the time and money necessary to provide medical treatment and proper care of the dog.

Completion of this application does not guarantee adoption of a Drowzydawg Rescue dog. Please print legibly and complete all pages. Thank you!

Full Name of Applicant *

Street Address *

City *

State *

Zip *

Main Contact Number *

Alternate Number

Email *

Age *

How Long have you lived at the above address? *

Are you adopting for yourself or for someone else? *

Describe in detail the dog you are looking for, or the name of the Drowzydawg Rescue animal(s) you are interested in *

Will this be your first dog? *

What kind of pets have you had in the past?

Which of the above listed pets do you still have? (Please include age, sex, and breed)

Have they been spayed or neutered? *

Are they current on vaccinations? *

What happened to the pets you no longer have?

Have you ever turned one of your animals into a shelter? *

If Yes, please explain

Have you ever had a pet euthanized? *

If Yes, please explain

If you have pets, will they adjust to a new dog in the house?

Yes
No
Don't know

Was your last dog obedience-trained? *

Yes
No
Doesn't apply

If other please explain

How many Adults are in your family? *

How many children are in your family? *

Children's ages?

Does any member of your household have an allergy to dogs? *

Is someone home during the day? *

If yes, who?

How many hours each day will the dog be without human companionship? *

Please explain

Explain other

Do you own or rent your home? *

Own
Rent

If you rent, may we contact the landlord to obtain permission for this dog to live in your home?

Landlord's Phone number

Do you have a completely fenced yard? *

Is there a gate? *

What kind of fence?

Height of the fence?

If no fenced yard please explain?

Do you have a dog door? *

Will there be times when the dog will be tied up? *

If yes, when:

Will the dog spend any time in the garage? *

If yes, please explain

Do you have a pool? *

Is there a fence around the pool?

What kind of fence?

Height of the fence?

If your new dog/puppy is not housebroken, what method will you use to train him/her?

Will you keep the dog up to date on vaccinations? *

If no, please explain

Who is your veterinarian *

Veterinarian Phone *

Veterinarian City/State *

Are you able to exercise the dog on a regular basis? *

Method of exercise

Where will the dog be kept during the day? *

Where will the dog be kept at night? *

If you drive a pickup truck, will you allow the dog to ride in the truck bed? *

If yes, explain

If you go away for a few days, or on a vacation, who will take care of the dog? *

What arrangements will you make for the care of your pets in case of an emergency? *

If you move will you take the dog with you? *

If no, please explain

Have your ever applied to Drowzydawg Rescue before to adopt an animal? *

If yes, when

Are you willing to have a representative of Drowzydawg Rescue come to see where the dog will be living? *

If no, explain

Are you willing to take responsibility for this dog for the next 10 to 15 years? *

If no, explain

What provisions will you make for the dog should you become unable to care for him/her? *

Please Provide TWO personal references:

Reference 1

Name *

Relationship

Address

City/State/Zip

Phone *

Email *

Reference 2

Name *

Address

Relationship

Phone *

City/State/Zip

Email *

Release for Veterinary reference: I (print name)hereby give permission for any veterinarian providing service to me to release medical information on any/all of my animals to Drowzydawg Rescue.

I have read and understand the entire application, and by signing I understand Drowzydawg Rescue has the right to deny any application for any reason, and reasons for denial may not be given. Drowzydawg Rescue receives applications from multiple areas including email, on-site, and off-site. I am aware that there may be multiple applications on the animal in which I am interested. I certify that the above information is correct. I understand that false information may result in nullifying the adoption.

By signing this application I am certifying that I intend to be the legal owner and person responsible for the care and well being of this animal. I give representatives at Drowzydawg Rescue permission to contact my veterinarian, references, and landlord in order to process this application.

Signature: *

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