Please Be Thorough and Specific. Incomplete Applications Will Not Be Accepted!
(510) 333-4420
PLEASE BE THOROUGH AND SPECIFIC.
INCOMPLETE APPLICATIONS WILL NOT BE ACCEPTED!
Name:
Spouse/Partner/Roommate/Family Name(s):
Occupation(s):
Phones:
Home -
Cell -
Work -
Home Address:
City, State, Zip:
E-mail Address:
DATE:
Name of dog(s) you are interested in adopting:
Housing SituationOwn : Rent**: How Long?
Single family house: Townhouse:
Condominium: Apartment: / Apartment / Condo Complex:
**Landlord Name / Number:
Any rules/restrictions regarding pets in your residence?
** If you are renting, we will need to see a copy of your lease with a pet clause!
Please complete this questionnaire completely. Incomplete questionnaires will not be considered. The Perfect Dog is dedicated to finding forever homes for the pets we place. This means a loving commitment for the pet’s entire lifetime (companion animals can live 15-20 years).
Although The Perfect Dog does its best to pick out the healthiest of dogs rescued, we cannot guarantee the health of the animals offered for adoption. Any time you adopt an animal, you should take it to a licensed veterinarian as soon as possible, in order to start it immediately on a program of preventative veterinary care. Be aware that the animals available for adoption are rescues and may have been exposed to a variety of diseases. These disorders can have an incubation period of up to several weeks. If the animal you adopt shows signs of illness at any point, you must take it promptly to your veterinarian for treatment at your expense. I have read and understand this disclaimer. ______(initial)Are you aware there is a $400.00 non-refundable (Chis and Pits $250, senior dogs $150) adoption fee for the dog/puppy you are considering?
Are you willing to adopt an elderly dog?
Are you willing to adopt a special needs dog?
Are all the adults in your household aware that you are considering adopting a dog?
Does anyone in your household have allergies to dander/hair/saliva?
Is there anyone in the household under 18 yrs? How many and what ages?
Who will be the primary caretaker of this dog? (responsible for feeding, training, playing with, walking, etc)
Name: / Phone:
City: / State:
Do we have permission to contact your vet for a reference? ______
CURRENT PETS
Name:
Species:
Breed:
Gender:
Age:
Spayed/Neutered:
Where kept (be specific):
How long have you had this pet? / Name:
Species:
Breed:
Gender:
Age:
Spayed/Neutered:
Where kept (be specific):
How long have you had this pet? / Name:
Species:
Breed:
Gender:
Age:
Spayed/Neutered:
Where kept (be specific):
How long have you had this pet?
PAST PETS
Name:
Species:
Breed:
Gender:
Age:
Spayed/Neutered:
Where kept (be specific):
How long was the pet with you:
Reason no longer with you?
/ Name:
Species:
Breed:
Gender:
Age:
Spayed/Neutered:
Where kept (be specific):
How long was the pet with you:
Reason no longer with you? / Name:
Species:
Breed:
Gender:
Age:
Spayed/Neutered:
Where kept (be specific):
How long was the pet with you:
Reason no longer with you?
Do you prefer a male or female?
What size do you prefer? Toy__ Small__ Medium__ Large__ X-Large__
What activity level are you looking for? High__ Moderate__ Low__
What will you do to provide mental stimulation and exercise for your dog? What kind of activities will you do with the dog?
The dog I’m interested in adopting must get along with: dogs__ cats__ children__ everyone__ other______
Where will the dog be kept, indoors or outdoors?
How many hours will your dog be alone during the day?
Where will you keep the dog when you are away during those hours (for work, errands, etc)? Be specific.
Do you have a yard? Is it securely fenced? Type and height of fence:
Please explain why you want a dog/puppy:
Do you plan to attend obedience (or puppy) classes with your new dog?
Do you plan to attend any other type of classes with the dog?
What training methodsor techniques will you use?
Which of these tools do you find acceptable:
shock/bark collar __pinch/prong collar __choke collar __ newspaper__
flat buckle collar __harness __head halter __clicker __treats __
Other (Be specific): _____
What kind of grooming responsibilities are you willing to do?
What Brand and kind of food do you plan to feed the dog?
What will you do if your dog is not housebroken? What housebreaking techniques will you use to train your dog?
Will you give your new dog any heartworm tablets or flea and tick preventative?
What type of behavioral problems would you be willing to deal with?
What type of behavioral problems would you NOT be willing to deal with?
What will you do with your pet if you have to move or you are expecting/have a child?
Are you willing to be financially responsible for updating vaccinations and emergency care for your dog?
How did you hear about The Perfect Dog?
To the best of your knowledge, has any member of your household ever been convicted of an animal welfare law violation such as neglect, cruelty, abandonment, etc?
By electronically signing this application, I acknowledge that I answered all questions truthfully. Failure to provide truthful answers can result in the forfeiture of your adopted dog to The Perfect Dog. By signing this form, TPD is not guaranteeing that you have been approved for adoption.
Electronic Signature (type your name): ______
Date: ______
SAVE AND EMAIL THIS FORM TO: