Diana's Grove - Dog Rescue

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To read the PDF files above:

Adoption Application Form

I would like to adopt

Contact Information

Name:

Best Phone To Reach You:

Best Time To Reach You:

Email:

Street Address:

City:

State:

Zip:

About you and your dog

“I don’t know” is a fine answer to any of the questions below. If you don’t know, we’ll give you the answer.

How many hours a day is your pup going to be alone?

Is this your first dog as an adult?

What kind of dog food do you or will you use?

What is your strategy for housetraining and when you pup has an accident, and she will, what will you do?

If you use a crate, how many hours a day will your pup be crated?

Where will your pup sleep at night?

How do you tell your pup no to chewing, biting and other things that pups do?

Do you have a fenced yard for your dog? Yes No What kind of fence?

If you are in the country and your dog will not be fenced, how close are you to roads and highways?

How will your dog be housed and cared for when you are gone during the day? Choose from options below.

Run of the house? Yes No

Tied outside? Yes No

In yard with dog house? Yes No

In crate? Yes No

If yes, how many hours?

Do you have a dog door? Yes No

How do you plan on exercising your new dog?

How will your dog be cared for when you are out of town?

Tell us about yourself

You	Your Spouse
Occupation: Employer: Work Hours: Work Phone:	Name: Occupation: Employer: Work Hours: Work Phone:

Are there children in your home or who will be a part of your dog’s life? Yes No If so, what are their ages?

Is acquiring a new dog a family decision? Yes No

If your current family/home situation changes, will the dog be a part of that change? Yes No

Do you own or rent your home? Own Rent

What will this dog’s life be like in your home?

References

Current Vet	Other Reference
Vet Name: Clinic name: City: State: Phone number:	Reference Name: City: State: Phone number:

Tell Us About Your Other Pets

Sex	Spayed/ Neutered	Still Have?
M F	Y N	Y N
M F	Y N	Y N
M F	Y N	Y N
M F	Y N	Y N
M F	Y N	Y N

Have you ever adopted a pet from a Shelter or Rescue Group in the past? Yes No

If yes, please name the organization:

Have you ever released an animal to any shelter? Yes No

If yes, please explain:

Conditions of Adoption

The following are conditions of adoption. Your signature constitutes your agreement to the requests below. If you can’t agree to any of the below conditions of adoption, please explain.

If I adopt this pup, I agree to:

Return the dog to Diana’s Grove within a month if this placement doesn’t work for me or my adopted dog. (our adoption fee is refundable for the first 30 days)

Allow a dog rescue staff person to visit my home to see how my dog is doing.

Not put this pup on a line, chain or tether.

Provide quality dog food for my pup.

Provide preventative care and veterinary care for my dog.

Explanation:

Signed: Please type in your signature