Help Us Help Them!
City, State, Zip
Own or rent your home
Apartment, duplex, residential home, etc?
How long have you lived at your current residence?
Ages of children at home, if any
Is everyone in your home in agreement to adopt a dog?
Do you have a fenced in yard?
If so, what type of fence and how tall is it?
How active of a lifestyle will you and your dog have?
Which dog(s) are you interested in adopting?
Tell us what makes this dog a great match for you or your family?
List all dogs by NAME, SEX and AGE that are currently in your care and if you have ANY CATS?
Are ALL of these pets current on VACCINATIONS, NEUTERED and on MONTHLY HEARTWORM PREVENTATIVE?
What other dogs have you had in the past FIVE years and what happened to them. PLEASE BE SPECIFIC. Died/How, Ran Away/How, etc.(Do NOT include pets you had as a child.)
Name of Vet Clinic
Where will your dog sleep at night
Where will your dog stay when no one is home?
Are you willing to purchase a crate and use it for your new dog?
Under what circumstances would you NOT commit to keeping the dog you adopted?
I am fully committed to the dog once I adopt it
if it needs more training
If I had to move
If it developed a serious health problem
If I had a child
If my relationship with my current spouse/partner ended
Do you have any comments that would like to share or that may help us in approving your application?
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1000 Sunset Rd – P.O. Box 204
El Dorado, AR 71730