DOG ADOPTION APPLICATION – Mad Love Animal Rescue

Dog you are interested in? *

Date *

Adopters Name *

Co-adopters Name

Home Address *

Cell Phone *

Home Phone

Email Address *

Occupation

How many years have you been employed at your job?

How many occupants living in the home? *

Please list name and ages and relationships…child, spouse, roommate *

Do you anticipate bringing a newborn or young child into your household in the near future? *YesNo

Who will be the primary caregiver for your new pet? *

Does anyone in your household have allergies to animals? If yes - please describe) *

Are all occupants in agreement of this adoption? *YesNo

If you live in a house do you have a secure fence or wall ?YesNo

If so, height of highest point *

Height of lowest point *

How many gates in your yard? *

Do your gates have locks? *

If your gates do not have locks are you willing to install them prior to placement should this application be accepted?

Are you willing to keep your pet in a secure area when people outside of household are entering home or yard. *YesNo

Do you have a pool? *YesNo

If you have a pool, is there a gate around your pool? *YesNo

Is there a cover on your pool? *YesNoN/A

If you are a renter. Does your landlord allow pets ?YesNoNot a Renter

If you have a pool are you willing to teach your pet how to swim, where the steps are, and practice with them till they are expert on getting out of the pool *YesNoN/A

If there is any unsecured area in your yard/fencing/wall, patio, or balcony are you willing to fix it before the MLAR home check? *YesNo

What is your landlords contact info

What is your landlord’s name

Landlord Phone

Landlord Email

Does your landlord have any breed restrictions, if so, what are the restrictions?

Does your landlord have weight restrictions? If so, what's the weight limit?

How many pets does your landlord allow?

Do you grant MLAR permission to contact your landlord for verification?YesNo

Do you have plans to move in the near future? *YesNo

What will happen to your dog if you move locally, out of state, or out of the country?

How many pets have you had in the past 10 years?

Please list type of animal, age, and what happened them?

Please list all living pets in your home:

Pet 1:

Name:

Type:

Breed:

Age:

Gender:MaleFemale

Is pet spayed or neutered?YesNo

Is pet up to date on vaccinations?YesNo

Temperament...ie...how well do they get along with other dogs?

Pet 2:

Name:

Type:

Breed:

Age:

Gender:MaleFemale

Is pet spayed or neutered?YesNo

Is pet up to date on vaccinations?YesNo

Temperament...ie...how well do they get along with other dogs?

Pet 3:

Name:

Type:

Breed:

Age:

Gender:MaleFemale

Is pet spayed or neutered?YesNo

Is pet up to date on vaccinations?YesNo

Temperament...ie...how well do they get along with other dogs?

Pet 4:

Name:

Type:

Breed:

Age:

Gender:MaleFemale

Is pet spayed or neutered?YesNo

Temperament...ie...how well do they get along with other dogs?

Pets are an investment of time and money

Would you ever euthanize your pet due to high vet bills? *YesNo

Are you aware a dog should wear an ID tag at all times? *YesNo

All MLAR adopters are chipped. Do you agree to update your pet’s chip if you have a phone number, email, or address change? *YesNo

Are you aware that a dog must be licensed yearly? *YesNo

Is pet up to date on vaccinations?YesNo

How much time are you willing to give your pet to settle into their new home?

Are you aware that your pet could have issues that arise such as chewing, barking, peeing/defacating on floor or carpet, socialization issues, separation anxiety, resource guarding, etc and are you and everyone in your household willing to work with your new pet’s issues which might include getting a behaviorist or training? *YesNo

Are you willing to crate train your dog if needed? *YesNo

What reason if any would cause you to surrender your pet back to MLAR *

How many hours will your dog be left alone each day?

Where will your dog stay when you are not home? *IndoorsOutdoorsBoth

Who will care for your dog when you leave town/travel?

Where will your dog sleep at night? *IndoorsOutdoorsOther

Will you be taking your dog to off leash dog parks or off leash dog beaches? *YesNo

Do you smoke or vape? *YesNo

Are you prepared to make the commitment for the animal’s lifetime which can be up to 17+ years? *YesNo

Are you prepared for the basic cost of pet ownership, which can be $1000+ or more a year? *YesNo

Do you plan on getting pet insurance? *YesNo

What is the name and contact info of your veterinarian if you have one?

Are you willing to take care of all expenses should your pet become sick or injured? *YesNo

If your pet falls ill or is injured-what is your limit you will spend on vet bills *

How would you rate your experience with dogs? *First Time OwnerSome Experience/BeginnerAdvancedOther

What is your method of disciplining your new pet?

How do you plan to walk your dog? *On LeashOff LeashBoth

MLAR requires a home check - do you grant permission for a home check? *YesNo

Please give two references other than a family member

Reference 1:

Name

Phone

Relation

Reference 2:

Name

Phone

Relation

How did you hear about Mad Love Animal Rescue?

Comments/Questions

I understand that MLAR reserves the right to accept or deny adoption applications at our discretion