Adoption Application

Name of the dog you want to adopt

Adopter's Name

Co-Adopter's Name

Street Name

City

State

Adopter's Email

Co-Adopter's E-mail

Phone Number

Phone Type

Cell

Home

Work

Names and ages of all permanent residents of your home (adults/children)

Do you currently have any pets?

Yes

If you currently have pets, please list them below.

Are your current pets altered?

Yes

Will be within the next 30 days, appointment has been scheduled. (We will call your vet to verify this.)

If your current pets are not altered, please explain why below.

Vet reference (please call your vet and give permission to release information to us)

Two Personal References

Are you planning to move in the near future?

Yes

If moving soon, to what city/state?

Are you in contact with any other rescues or shelters about a specific dog?

Yes, the application is pending

Yes, just an email inquiry, no app yet

No, but I am looking at several dogs online

No, I am only interested in this particular dog

Are you going to meet another dog?

Yes

If so, when?

Is anyone in your home allergic to dogs?

Yes

Does anyone in your home fear dogs?

Yes

Does anyone in your home smoke?

Yes

Are you familiar with dog regulations in your area?

Yes

If you answered no to the question above, please contact your town/county/condo assoc and ask them what the regulations are.

If yes, please describe local dog regulations and restrictions:

Do you rent or own this property?

Rent

Own

Renters, have you contacted your landlord to find out if there's any restrictions on the kind or size of dog you can have?

Yes

Not yet, but I will

It's written in our lease

If you rent, you must show us a written letter from your landlord or a copy of the section of your lease
stating that you are allowed to have dogs and showing any limitations.

If you live in a condo or townhome, you must show us written proof that you are allowed to have a dog
there and show any restrictions.

Approximate square footage of your home

Less than 800 square feet

800-1,000 square feet

1,000-1,500 square feet

1,500-2,000 square feet

Over 2,000 square feet

Do you have a yard?

Yard, fenced with a vertical fence

Yard, fenced with invisible fencing

Yard, no fence

No yard (apartment/condo/townhome)

Do you work outside the home?

Yes

One applicant is home/works from home

We work different shifts

If you both work outside the home, how many hours per day are you away?

How many hours per day will this dog be alone? Please explain.

Have you discussed this adoption with all members of your household?

Yes

Yes, adults have discussed. Kids don't know yet.

We will be speaking to all adult residents to confirm everyone is aware of this application process and
wants to have a dog added to the family. Please do not submit this application if you are "trying to talk
someone into" adopting this dog or think "once they meet the dog, they will want one" or "I'm getting this dog as a surprise birthday present for them." In those scenarios, you are welcome to email us to discuss
the dog, but we would like all adults in the home to be involved in that email discussion.

Based on the description in the dog's bio, do you feel pretty confident that you will be likely to adopt this dog upon meeting it?

Yes

Not sure

Upon meeting the dog, what would give you cause to not want to adopt it? Please explain.

Fantasy question: What would your dream dog be like? (If this dog is not a fit, we may be able to recommend another based on what you say here.)

How much do you feel you can reasonably afford and would be willing to spend on your dog per year (for things like veterinary care, licensing, ID tag, food, toys, crate, other supplies, training, pet sitting, etc)?

What activity/energy level do you prefer?

Wild and crazy is cool

Leash trained daily jogging partner would be excellent

Medium energy, plays a bit then hangs out with you

Low energy, walks slowly on leash, a total couch potato

What would cause you to return a dog?

What do you feel is a reasonable amount of time for a dog to adjust to life with you/your family?

How do you plan to integrate this dog into your family?

What would you do if you discovered after adoption (at any time during the life of the dog) if your vet diagnosed an expensive health condition?

Do you plan to get pet health insurance?

Yes

I wasn't aware this was available. I will look into it.

What brand of dog food do you plan to feed?

How long have you been looking for a dog?

Do you plan to take formal obedience classes?

Yes

Additional reference (if desired)

Do you have any additional comments, questions or concerns? Anything else you would like us to know to help match you up to a dog?

I understand that completing this application does not guarantee I will be allowed to adopt a dog, and that the application is a tool to
help Stand Up Pups Rescue determine if this dog and my family are a good fit for each other. I acknowledge that all information
provided on this form is true and correct. I understand that any misrepresentations may result in my not being approved and/or
removal of the adopted dog from my possession. I also certify that I have never been convicted of animal cruelty or neglect.
I agree to allow a representative from Stand Up Pups Rescue to contact my vet for a reference and also agree to allowing a home visit
prior to adopting this dog. If I am approved to adopt a dog, I agree to pay a non-refundable adoption fee and hand sign an adoption
contract at the time of adoption.
I understand that all dogs adopted from TLC Rescue will be spayed/neutered, heartworm tested, fecal tested, and vaccinated prior
to adoption.

Please read the above, check this box, sign, and click Submit.

I/We have read and understand all of the above.

Applicant's Signature

Co-Applicant's Signature

Signature date

After you submit this form, it will take you back to the Stand Up Pups Rescue home page. Feel free to email us with any questions:

Contact-standuppups@gmail.com

Adoption Application

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