Adoption Application

You may download our application as a PDF and print it, fill it out, and mail it back or scan and email it to us, OR you can fill out the application below.

adoption_application.pdf
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Please be sure to complete every section of this application.
If you do not get a confirmation message that your application was submitted after clicking the "submit" button, then something was not completed correctly and your application was not sent to Canine Candor.
You may want to send us an email at caninecandor@gmail.com to confirm that we received your application.

ADOPTION APPLICATION

Name *

First

Last

Spouse/ Partner Name (If Applicable) *

First

Last

Please select your age: *

Cell Phone Number *

Home/ Additional Phone Number *

Address *

Line 1

Line 2

City

State

Zip Code

Country

Email *

Driver's License Number and State Issued *

What is the best time to contact you? *

Occupation: *

Employer: *

Employer's Phone Number *

Employer's Address *

Line 1

Line 2

City

State

Zip Code

Country

What type of home do you live in? *

Do you rent or own your home? *

Rent Own

If you rent, please provide your landlord's name and phone number. *

Does the place where you live have any restrictions on pets, such as weight, type or number of pets? *

Yes No Unsure

If yes, there are restrictions, please explain. *

How long have you been at your current address? *

Do you plan on moving in the next 6 months? *

Yes No Unsure/ Possibly

Do you have a yard, if so is it securely fenced? *

If you answered "other" regarding your yard, please explain here. *

If you have a fence, please describe type and height of fence. *

Including yourself, how many people live in your home? *

Please provide the ages of anyone under the age of 18 living in your home. *

Interest

Have you adopted a dog before? *

Yes No

Is everyone in the household in favor of adopting a dog? *

Yes No (please explain)

If not, who and why not? (Example: Husband, thinks we don't need another dog.) *

How long have you been looking for a dog? *

List the reasons why you want a dog. *

Which of our dogs are you interested in? *

What is it about this dog(s) that appeals to you? *

Are you aware of the financial obligations of owning a dog? *

Yes No

A dog requires routine veterinary care. This includes but is not limited to a yearly vet exam and vaccinations. Will you provide this? *

Yes No

Do you agree to obtain rabies vaccinations and records as required by law for this dog? *

Yes No

If applicable, do you agree to have this dog spayed/neutered before s/he is 4 months old? *

Yes No Not Applicable

What conditions or circumstances would cause you to give up a pet? *

Environment

Where will your new dog spend its days and where will it spend its nights? *

How much time will your new dog be left alone daily? *

Where will the dog be kept when no one is home? *

How will the dog be exercised and how often? *

What behaviors of animals do you consider intolerable? (House soiling, jumping, barking, scratching, etc.) *

Are you willing to work with your dogs on any issues that it may have as it adjusts to your home and your current pets? *

Yes No N/A

Current Pet Ownership

How many dogs do you have living in your home/ on your property? *

List the age, sex, and breed of your other dog(s). *

How many cats do you have living in your home/ on your property? *

What other animals do you have? *

Are all of your pets spayed/ neutered? *

Yes No (please explain)

Are all of your pets current on vaccinations and deworming? *

Yes No

Do any of your pets have any behavioral problems? *

Yes (please explain) No

If all your pets are not spayed/neutered, why not? *

If all your pets are not current on vaccines/ deworming, why not? *

If one or more of your pets does have a behavioral issue, please explain. *

List your prior pets and where they are now (deceased, gave away, shelter, etc.) If deceased, please list age and cause of death. If given away or surrendered to shelter, list reason. *

Please provide the name and phone number of your veterinarian. *

Because it is very stressful for a dog to go from home to home, we hope to place each one in a caring home for the rest of its life, which could be up to 20 years. Are you prepared to make such a commitment? *

Yes No

To ensure the best interest of the dog and to make sure s/he will adapt well, Canine Candor, Inc. would like to schedule a quick home visit. This is a time for us to see the environment the dog will be in and let the dog check it out as well. Are you willing to allow this? *

Yes No

What else would you like us to know about you, your experience, your pets, or anything else? *

Please list two personal references.

First and Last Name *

How does this person know you? *

Phone Number *

First and Last Name *

How does this person know you? *

Phone Number *

Have you ever been charged with animal abuse or neglect? *

Yes No

If you were ever charged with animal abuse or neglect, please explain. *

I HAVE ANSWERED ALL QUESTIONS AND PROVIDED ALL NEEDED REFERENCES TRUTHFULLY AND HONESTLY TO THE BEST OF MY KNOWLEDGE. I WILL DO MY BEST TO COMPLY WITH THE CANINE CANDOR, INC. ADOPTION POLICIES, WHICH INCLUDE PROVIDING A LOVING AND SAFE ENVIRONMENT FOR THE LIFETIME OF MY NEW DOG. *

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