Name of dog you are interest in:
Your Name:
Address:
City:
State:
Zip:
Phone
Numbers:
Home: Work:
Cell:
E-mail Address:
How did you hear about the Friend of
Linden Animal Shelter?:
If from a newspaper, which one?:
Please complete all
information. By signing below, you certify that you understand the
following:
The Friends of Linden Animal Shelter, Inc. reserves the right to
refuse adoption to anyone. The information contained within this application is accurate and
not misleading to anyone. The Friends of Linden Animal Shelter, Inc. reserves the right to
contact any individual on this form.
Date: Electronic Signature:
Please complete the following information:
Please give careful
consideration to adopting a pet. Animals are not toys or short-term
commitments. make sure that your lifestyle allows the time, patience and
expense this pet will need over the years. Animals for adoption are
placed with the adopters with full consideration given to the specific needs
of each animal.
1
Is
this your first experience with a dog?: Yes
No
2 Do you have any
other pets at home?:
Yes
No
If yes:
3
If you don't
have a pet(s), have you had pets in the past?
Yes
No
How long did you have your last pet?:
What happened to your last pet?:
4 Who is/was your
veterinarian:
Name:
City: State:
Phone #:
5
How long have you resided at your present address?:
6 Do you currently
live in a:
7
Do you:
If you rent, does
your lease allow pets?: Yes
No
Landlord's Name:
Phone #:
8 How many people live
in your household?:
Do all adults know
you plan to adopt?:
Yes
No
If there are
children in your household, list ages:
9
Does anyone in your
household have any known allergies to animals?:
Yes
No
10 Where will the pet
be kept during the day?:
Where will the pet
be kept during the night?:
11
Is anyone home all
day?:
Yes
No
If no, how many
hours will the pet be left alone in a 24- hour period?:
12 Where will the pet
be kept when alone?:
13
Where will the pet
be during vacations?:
14
Are you
financially prepared to give your new pet routine medical care such as
rabies vaccinations, inoculations, exams for parasites, ear mites, etc?:
Yes
No
15
Are you
financially prepared to give your new pet emergency care if that should
be necessary?: Yes
No
16 Would you object
to a visit or call from a Friends of Linden Animal Shelter
representative to see how you and your new pet are doing?: Yes
No
17
Do you want a
dog
for (check all that apply ):
18 Do you realize you will probably have to house train
a dog/puppy?:
19
Are you familiar with leash and licensing laws in your community?:
20 Do you have a fenced in yard?:
Yes No
21
If not, how will your dog be
confined to your property?: (Check all that apply)
Explain:
22 What will you do if your dog chews furniture or shows
other destructive behavior?:
23
Do you need an
explanation of how to introduce a new dog to your current pet?: Yes
No
24 Are you familiar with the feeding
recommendations for a dog/puppy?: Yes
No
25 Comments:
DOG ADOPTION APPLICATION