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*

Number and ages of children*

Hours worked per week*

Is anyone in household allergic to pets?*

Yes
No

Please tell us more about you and your family and what you are looking for in a dog. If you have any additional comments please also add them here.*

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