About You and Your Household

Some basic information and how we can get in touch with you. Adopters must be 25yrs old, or have a parent co-sign for adoption.

Applicant Name:
Person #1
First Name: _{( Required )}

Last Name: _{( Required )}

Age: _{( Required )}

Person #2
First Name: _{( Required, if Co-Adopting. )}

Last Name: _{( Required, if Co-Adopting. )}

Age: _{( Required, if Co-Adopting. )}

Street Address: _{( Required. )}

City: _{( Required. )}

State: _{( Required. )}

Zip: _{( Required. )}

Phone# _{555-555-1234 ( Required )}

Secondary Phone# _555-555-1234

Email Address: _{( Required )}

Is there a specific dog you are interested in adopting from us? If yes, please indicate the dog's name. If no, please tell us if there is anything specific you are looking for (e.g. age, size, male/female, etc.)

Employment Info

Person #1
Place of Employment: _{( Required )}

Occupation: _{( Required )}

Work Days & Hours: _{( Required )}
-

Person #2
Place of Employment: _{( Required )}

Occupation: _{( Required )}

Work Days & Hours: _{( Required, if applicable. )}
-

Home Environment

We want to make sure that the dog you're interested in is a good fit for your home environment. Some dogs thrive in a high-energy home, while others need something a bit quieter. Some dogs need a large, fenced yard, while others would do great with just a few short walks.

Do you understand the state and local ordinances concerning licensing and leashing? —Please choose an option—YesNo_{( Required )}

Have you applied to any other rescue group? If so, please list the group name and date of application (this will enable us to coordinate placement efforts): —Please choose an option—YesNo_{( Required )}

Is there a dog or pet limit in your city or county? If so, what is the limit? —Please choose an option—YesNoUnknown_{( Required )}

May we visit your home? —Please choose an option—YesNo_{( Required )}

Please list the names and ages of all persons who live in your household (or who visit regularly):

Name:
Age:   
Pet Allergies? YesNoN/A

Name:
Age:   
Pet Allergies? YesNoN/A

Name:
Age:   
Pet Allergies? YesNoN/A

Name:
Age:   
Pet Allergies? YesNoN/A

Yard Fencing and size

Do you have a fence? —Please choose an option—YesNo_{( Required )}

Type of fencing? —Please choose an option—WoodChainInvisibleNone

How high is the fence if not invisible?

How large is the yard that the dog will have access to?

What pets do your currently have in your household?

Type: —Please choose an option—SpayedNeutered
Age:  —Please choose an option—IndoorOutdoorBoth

Type: —Please choose an option—SpayedNeutered
Age:  —Please choose an option—IndoorOutdoorBoth

Type: —Please choose an option—SpayedNeutered
Age:  —Please choose an option—IndoorOutdoorBoth

Type: —Please choose an option—SpayedNeutered
Age:  —Please choose an option—IndoorOutdoorBoth

If you Rent, complete the following:

Landlord’s Name:
Landlord's Telephone Number: _555-555-1234
Does your Landlord allow large dogs, if applying for a large dog? —Please choose an option—Not ApplicableYesNoUnknown

A Few Additional Details

About The Adoptive Dog.

Reason for adopting a dog: —Please choose an option—House petCompanionPet companionOther

Are you willing to spend the time and money necessary to provide training, medical treatment and proper care for your dog for its entire life? —Please choose an option—YesNo

What will you do if your new dog chews your belongings or shows other destructive behavior?

How will your dog be confined to your property (please include all that apply)?
In the houseIn a crate or kennelIn a fenced yardOn a chainIn a garageOn a patioOther...

Will the dog be outside unsupervised? If yes, for how long (on avg)? —Please choose an option—YesNo_{( Required )}

How much exercise do you plan to give your dog?

Activity Level you would prefer in your dog? —Please choose an option—highmediumlow

Will the dog be walked daily? —Please choose an option—YesNo_{( Required )}

Will the dog be exercised in a fenced area? —Please choose an option—YesNo_{( Required )}

Would you consider a Special Needs Dog, such as one who requires medication for a permanent but controlled condition? —Please choose an option—YesNo_{( Required )}

Where will your pet be kept during the day? _{( Required )}

And at night? _{( Required )}

How many hours will the dog spend alone each day? _{( Required )}

Rescued Dogs have sometimes been in neglectful and/or abusive situations and therefore, may experience difficulty making the transition to a new home. Are you willing to be patient while your dog adjusts to its new home? —Please choose an option—YesNo_{( Required )}

How long do you feel an animal should be given for an adjustment period?

Are you willing to work with a new pet on any issues he or she may have? —Please choose an option—YesNo_{( Required )}

What behaviors would be unacceptable to you?

What actions would you take to correct these behaviors?

Will your dog receive formal obedience training? —Please choose an option—YesNo_{( Required )}

For local adopters, if your application is approved, will you sign up for our free Project Reward puppy/obedience classes offered with an SGDR adoption? —Please choose an option—YesNo_{( Required )}

If you move, what will you do with your dog?

Will you groom the dog or use a groomer? —Please choose an option—SelfProfessional

Are you aware that routine costs of maintaining a dog average approximately $800-1200 per year? —Please choose an option—YesNo_{( Required )}

Your Experience with Dogs

Please list all pets you have owned in the past three years:

Pets Name: —Please choose an option—MaleFemale
  Species: —Please choose an option—SpayedNeutered
  What happened to the pet?

Pets Name: —Please choose an option—MaleFemale
  Species: —Please choose an option—SpayedNeutered
  What happened to the pet?

Pets Name: —Please choose an option—MaleFemale
  Species: —Please choose an option—SpayedNeutered
  What happened to the pet?

Pets Name: —Please choose an option—MaleFemale
  Species: —Please choose an option—SpayedNeutered
  What happened to the pet?

**If your current dogs are not using Prescription written HWP from your Vet year-round, your application will be rejected. We will verify with your vet that such prevention is being used. Thank you for your understanding**.

Vet Reference

Personal References

Have you sold, given away or surrendered a pet to a shelter? —Please choose an option—YesNo

Have you or any member of your family/household been cited for leash law violation or animal neglect/cruelty in the past? —Please choose an option—YesNo

( Required )
In submitting this application, I/we hereby certify that all the information provided on this application is true, complete and accurate to the best of my/our knowledge. I/we attest that I/we have read the Terms and Conditions of Adoption and also understand that completion and submission of this application does not guarantee adoption of a dog and Snooty Giggles Dog Rescue reserves the right to refuse any adoption.