AUSTIN DOG RESCUE

First Name *

Last Name *

Co-Applicant's Name

Email Address: *

Which dog are you interested in meeting/adopting. *

Interested in another dog?

Do you have a preference on gender?

Home Address *

City *

State *

Zip Code *

Mobile Number *

Employer *

Home Phone

Own or lease your home *

Are you prepared to provide us with proof you are allowed to have a dog. *

Length of time at this address: *

Any breed restrictions. If so list them. *

What type of fence do you have *

Number of Adults in the home: *

Do you have children in the home. *

If so, what ages

Is everyone in the home ready to adopt. *

Are you an experienced dog owner *

What training have you done with previous dogs? (select all that apply)

What weight/size dog are you interested in adopting *

What veterinarian do you currently use for your dogs/cats. *

What is the PHONE NUMBER of the veterinarian you currently use. *

If you have cats, what are their names

List dogs you currently own by NAME, AGE and SEX.

What breed or breed mixes are your current dogs and what is their approximate size?

List other dogs you have had within the past 5 years other than those listed above:

Where are these dogs now

Are all of your dogs AND cats current on vaccinations

All of your animals spayed or neutered? *

Dogs are up-to-date on monthly heartworm preventative. *

Where will your dog sleep. *

Where will your dog be when you are away from home. *

How many hours per day are you way from home (including travel time) *

How much time will your dog be outdoors unsupervised. *

Do you have the time and financial resources to attend obedience training classes with your new dog. *

You agree to purchase and use a crate. *

Briefly tell us the type of personality and activity level of dog you are wanting to adopt: *

List any reasons you would consider returning the dog. *

If approved how soon will you be ready bring your dog home: *

How did you hear about us *

Please provide us with any additional information you would like to include in your application.

Adoption Application