Animal Rescue & Foster Program
Adoption Request Form

The questions on this form will help us know what type of dog you are looking for, and what type of dogs will fit into your lifestyle. Please answer the questions as completely as possible.

I found a dog on your list that I am interested in learning more about, and possibly adopting. If this dog is no longer available, please contact me when a dog that matches this form-request becomes available. The name(s) of the dog(s) are:

I checked your list, but did not find the right dog for me. Please contact me when a dog that matches this form-request becomes available.

Keep this form-request on file for (specify # of weeks/months)

Who Are You?

*Name:
*Town, State:
*Phone:
*Evening Phone:
E-Mail:
When is the best time to reach you?

*Required information

Home Life (check all that apply)
I have young children, ages 0-6.
I have children, ages 7-12.
I have other dog(s).
I have cat(s).

Do you live in a house, apartment or condo?

Do you own or rent your home?

Do you have a fenced yard?

What Type of Dog Are You Looking For?

Age:
Under 1 year
1 to 5 years
Over 5 years
No Preference

Size:
Mini - Less than 10 pounds
Small - 10 to 25 pounds
Medium - 25 to 50 pounds
Large - 50 to 90 pounds
Very Large - over 90 pounds

Sex:
Female
Male
No Preference

Breed Types/Mixes:

Colors:

Hair:
Long Hair
Short Hair
Hypo-Allergenic
No Preference

Activity Level:
Energetic -a dog who will play non-stop with my kids - an exercise or hiking partner.
Moderate - a dog who will enjoy play and exercise sometimes, but also will rest at my side.
Mellow - a dog who will snuggle and keep me company.

Tell Us More:

Please Note: This section is very important to us. Please take a moment to tell us about yourself.

Tell us why you want a pet, what you are looking for from a pet, what types of pets you've previously owned, or anything else you think is important for us to know.


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