AGD Adoption Application
Questions marked by * are required.
1.
Name: *
2.
Pet Applying For *
3.
Address; City; State *
4.
Home Phone *
5.
Work Phone
6.
Email *
7.
Employer
8.
Do you rent
-
Yes
No
9.
Is there a pet policy
-
Yes
No
10.
Name and Contact for Landlord
11.
Children in the home? Please list ages
12.
Is anyone home during the day?
13.
How many hours daily will the pet be left alone?
14.
Where will pet be when no one is at home?
-
crated
inside loose
outside
other
15.
Is shelter provided for outside?
16.
Do you have a fenced yard?
17.
Type and height of fence
18.
Are you aware of the need for heart worm prevention?
19.
Please list breed and ages of current pets
20.
Are current pets spayed/neutered?
-
Yes
No
21.
Are pets current on vaccinations?
-
Yes
No
22.
Are pets current on heart worm prevention?
-
Yes
No
23.
Name and contact for veterinarian
24.
Are you aware that adjustment periods can take up to two months?
-
Yes
No
25.
Are you aware that pets can have behavior problems?
-
Yes
No
26.
Do you have the time, responsibility and resources to give proper care and guidance to ensure a happy and healthy pet for its lifetime?
-
Yes
No
27.
Are you willing to submit to a representative from ADG doing a home visit prior to finalization of adoption?
-
Yes
No
28.
Personal reference #1 Name,phone contact and relationship to you
29.
Personal reference #2 Name, phone contact and relationship to you
30.
Signature of Applicant