Adoption Application | C.A.R.E. - Companion Animal Rescue Effort

Dog Information

Please enter the information about you and the dog you might want to adopt.

Name of Dog to Adopt*

Foster Parent*

Do you have previous experience with this breed?

Yes
No

Where will the dog be during the day?

Where will the dog be at night?

How many pets do you currently have?

Have you ever raised a puppy before?

Yes
No

Have you had previous pets?

Yes
No

Why are they no longer with you?

Applicant Information

Name*

First Last

Address*

Street Address Address Line 2 City State ZIP Code

Home Phone*

Mobile Phone

Work Phone

Email Address*

Over 21?

Yes
No

Housing Information

Type of home?

Own or lease?

Own
Lease

If you lease, do you have permission to own a dog?

Yes
No

Landlord Name

First Last

Landlord Phone

Fenced?

Yes
No

Fence Height

Fence Type

Yard Size

Swimming pool?

Yes
No

Household Information

Number of people in household

Number of adults

Is anyone in household allergic to pets?

Yes
No

Number of children

Hours worked per week

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