Name *

First Name

Last Name

Address *

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Phone *

(###)

###

####

Spouse or Partner's Name

First Name

Last Name

Have you owned pets in the past? *

Yes

No

Have you ever completed a dog training class? *

Yes

No

Is anyone in the family allergic to animals? *

Yes

No

Do you currently have pets in your home? *

Yes

No

Are your pets spayed or neutered?

Yes

No

What is your vet's address? *

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

What is your vet's phone number *

(###)

###

####

Human name for records? *

First Name

Last Name

Do you have a fenced yard? *

Yes

No

Are you prepared to work with any of the training/behavioral issues below? *

Housebreaking

Food Aggression

Resource Guarding

Leash Reactivity

Barking

Chewing

Mouthing

Jumping On People

Marking

The final step in our adoption process is a home visit. Will you allow a home visit (set by appointment)? *

Yes

No

Although we strive to ensure our dogs are well adjusted and non aggressive, we cannot guarantee the behavior or personality of any dog. We do our best to provide you with an accurate account of what we have observed while the dog has been in our care. The Dog House K9 Rescue releases all legal responsibility of any of our dogs to the new owners. By accepting and upon submission of this application, the applicant(s) release and hold harmless The Dog House K9 Rescue and its individual members, officers and volunteers from all claims arising from the conduct of this dog on or after the effective date of this agreement including but not limited to personal injury and/or property damage to myself and others associated with this adoption. *

Agree

I Do Not Agree