Adoption Application
Apply to adopt from Save 1 at a Time!
Which pet are you interested in?
Add
Other household members to be included on the application
- {name}
Are you 25 years of age or older? *
- Yes
- No
Are you able to afford the adoption fee of $350 *
- Yes
- No
Why did you choose to adopt vs. buying from a pet store or breeder? *
- {name}
Are you planning on moving within the next 6 months? *
- Yes
- No
If yes, what are you plans for your pets if you move?
- {name}
If your landlord or HOA has breed, weight or fence restrictions please provide details
- {name}
Do you plan to use a crate? *
- Yes
- No
Please list the name and age of ALL occupants of the house *
Including yourself
- {name}
If no children, do you plan on having children or will children be visiting the household frequently?
- Yes
- No
Are any members of your household allergic to animals? *
- Yes
- No
List each individually, including breed, age, still living with you? (If not, why not?) *
- {name}
Have you or any other household members ever owned a dog? *
- Yes
- No
If you currently own a dog, how does he/she react to new dogs? Any behavioral issues? *
- {name}
Are your present pets up-to-date on their annual vaccinations? *
Including Heartworm and flea preventative?
- Yes
- No
Are your present pets spayed or neutered? *
- Yes
- No
Were your previous pets spayed or neutered? *
- Yes
- No
What plans do you have for your new pet when you are on vacation or traveling for work? *
- {name}
How do you plan on exercising your dog? *
- {name}
Age of dog you would consider adopting *
- Puppy
- Adult
- Senior
Energy level of dog you would consider adopting *
- Couch Dog
- Playful
- High Energy
Size of dog you would consider adopting *
- Small
- Medium
- Large
If considering a puppy, are you prepared to deal with and have you thought about the following issues: Housetraining, Chewing, Barking, Crying at night, High energy level, Nipping, Socializing, Training *
We strongly suggest basic puppy classes for all puppies we adopt out
- Yes
- No
Are you prepared to commit to a pet for 10-15 years (average life span)? *
- Yes
- No
Please list their name and phone number
Can and will you provide your dog with monthly heartworm and flea/tick prevention? *
- Yes
- No
Have you considered and/or budgeted for routine/emergency medical care, licensing, training, supplies, etc. (approximately $500 per year)? *
- Yes
- No
Have you considered the cost of quality dog food? *
- Yes
- No
How would you deal with any behavioral issues that may arise with your new pet? *
- {name}
Would you be committed to addressing those issues through training and/or lifestyle changes? *
- Yes
- No
Is your entire household in agreement with the decision to bring a new pet into your home? *
- Yes
- No
If anyone is NOT, please explain
- {name}
Are you willing to allow Save 1 at a Time to do a home check prior to adoption? *
- Yes
- No
Have you or any member of your household ever been charged with cruelty to animals or negligence in animal care? *
- Yes
- No
If anyone in your home has been charged with animal cruelty or negligence to animals please explain
- {name}
If you have ever tried to adopt before please state the name of the rescue, contact name, rescue's phone number, and web address *
- {name}
If your dog will spend time outside unsupervised, describe any shelter available
- {name}
Describe your fence *
including height and if there are any escape points
- {name}
If you do not currently have a fence, would you be willing to install some type of fence for the security of the dog?
- Yes
- No
Please provide both an email address and cell phone number for three personal references, (only one can be a relative, and none can live with you) who can testify to your responsibility and ability to care for a dog. This is required to proceed with an adoption. *
Please include their name, relationship to you, email address and phone number as well as anything else you would like us to know.
- {name}
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