Home
Adoptions
Dogs
Cats
Get Involved
Volunteer
Helping Heroes
Legacy Paws
Vet Clinic
Services
Dog Grooming
Pet Store
Prof Photos
Gallery
Lend A Paw!
Online Canine Adoption Application
CANINE ADOPTION APPLICATION
Date:
*
Name of Dog(s) you are interested in adopting:
*
This dog will go home up to date on vaccines, spayed/neutered, and micro-chipped.
Thank you for choosing adoption! Please take a few minutes to tell us about yourself.
Name of Applicant:
*
Address:
*
Primary Phone Number:
*
Alternate Phone Number:
Email Address:
Number of Persons in Household:
*
Relationships:
*
Number of Children:
*
Ages of Children:
Do you plan on having any children in the future?
*
Do you
*
Rent
Own
Type of Dwelling:
*
House
Apartment
Condo
Townhouse
Mobile Home
If you rent, does your lease have any restrictions on number or types of pets?
Do you have pets at home already?
Dogs
Cats
Small Animals
How many?
How would you rate your dog experience?
*
First Time
Had One or Two
Very Experienced
How many hours a day will the dog be alone?
*
Less than 1
1 - 3
4 - 6
7 - 9
Over 9
Describe your home atmosphere:
*
High Traffic
Some Activity
usually Peaceful
What was your primary reasons for adopting a dog?
*
Companionship
Protection
Working
Other
How will your dog get exercise and outdoor time?
*
Where will the dog stay when he/she is home alone?
*
Who, other than members of your household, has access to your home when you are not there?
*
What areas of the house would be off-limits to the dog?
*
Where will the dog sleep at night?
*
Does any member of your household suffer from animal related allergies?
*
If yes, do you have a plan for dealing with this or would you like more information?
What kinds of dogs have you owned in the past?
*
What would prompt you to return this dog? Do you have any deal-breakers?
*
Is there anything else about yourself that you would like to share with us?
*
By clicking the submit button, you agree to the following: "I am prepared to make a lifetime commitment to care for my pet, including medical care, grooming, a healthy diet, shelter, exercise and love. I am prepared for veterinary expenses, including emergency medical costs that will be incurred during my pet's lifetime. I have a contingency plan in case circumstances cause me to vacate my current premises and I have trouble finding a place that allows pets. I certify that the information on this form is true, and I realize that any false information given may result in nullifying the adoption."
Pet Orphans of Southern California reserves the right to refuse to adopt to any applicant for any reason.
The Adoptions Coordinator will call you to discuss your application. If you would like to discuss any of the following topics during that conversation, please check them here:
housebreaking
off-leash dog parks
collars and leashes
destructive behavior
kids and pets
feeding this dog
crate training
introducing pets at home
moving with pets
grooming, nail trimming, and shedding
microchips and other ID options
pet sitting and boarding
exercise, toys and fun activities
finding a veterinarian
puppy proofing your home
Word Verification:
Submit
Reset