Have you read our ADOPT INFO page? If NO.. Please read before you continue. * Yes No
Name: *
Email Address *
Address: * Yes No
City: *
State: *
How long at current address: *
Telephone number: *
Number and ages of children living in household: *
Do you plan on having children in the next 2 years? * Yes No
What type of area do you live in? City- Suburb- Rural- *
What type of housing? Apartment- Condo/Duplex- Trailer/House- Other (please describe)
Do you RENT or OWN your home? *
If you rent or lease, do you have permission from your landlord to own the species of pet you are inquiring about?: Yes No
What other pets have you previously owned? What happened to them? *
What other animals live at your home? Please describe where they spend the majority of their time. *
Are your current pets on flea/tick prevention? * Yes No
Are your current pets on heartworm prevention? * Yes No
Are your current pets spayed/neutered? * Yes No
What do you know about the pet and particular breed of the pet you wish to adopt? *
Do you have a DOG SECURE fenced yard? (dog inquiries only) Yes No
Describe TYPE and DEMENSIONS of fence: (dog inquiries only)
If you don’t have a fence, where and how will the pet be exercised and be allowed to eliminate? Please be as descriptive as possible. (dog inquiries only)
Do you have a cable or kennel run? (dog inquiries only) Yes No
What member of the family will be taking the MAJOR responsibility of caring for this pet? *
What are your plans and goals for this pet? *
Have you ever trained a pet in obedience class? (dog inquiries only) Yes No
Will you contact a pet trainer if needed? * Yes No
Where EXACTLY will the pet sleep at NIGHT and be kept when there is no one at home? Please be very descriptive: *
Where will the pet spend most of each DAY? INDOORS or OUTDOORS? *
If INDOORS, please choose one of the following and provide extra specifics: crate-- basement/garage-- free run of house-- limited area of the house-- OTHER-- *
If OUTDOORS, please choose one of the following and provide extra specifics: fenced yard -- cable run -- tethered -- kennel -- outside shelter-- OTHER
How long will the pet be left alone each day? *
Do you believe in pet crates? (dog inquiries only) Yes No
If you do not believe in crates, how and where will the pet be kept when no one is home, or while being house trained? Please be very descriptive. (dog inquiries only)
What will you do if your pet is destructive if left home alone? *
How will the pet be exercised daily? *
What is your definition of disciplining a pet? *
Describe in GREAT DETAIL what you would do if your pet potty's on your carpet? *
List types of behaviors you consider unacceptable? *
What circumstances justify getting rid of your pet? *
If you move, what will you do with your pet? *
When you go on vacation, where will your pet go and who will care for it? *
Who is the veterinarian that you have or would use? *
How much will you spend on heartworm treatment EVERY MONTH for the life of the pet (usually no more than $12)? What would will you use? *
How much can you afford to spend monthly on flea/tick prevention (usually no more than $12)? What type will you use? *
How much can you afford to spend on food monthly? What type of food do you plan on feeding the pet? *
How often do you plan to feed? All day access -- 1x a day -- 2x a day *
How much can you afford to spend monthly on toys and stimulation? *
How much do you expect to have to spend on a pet the first MONTH? *
How much do you expect to have to spend on a pet the first YEAR? *
Are you willing to allow a representative from Theothersideofthefence.org to periodically contact you by phone. * Yes No
How long have you worked for your current employer? *
Have you ever had to take an animal to a humane society or animal rescue? * Yes No
Do you plan to declaw? * Yes No
Do you plan to dock the tail? * Yes No
Do you plan to crop the ears? * Yes No
Have you ever bred animals for profit? * Yes No
List any Humane Societies, Organizations, Breed or Training Clubs you are associated with:
What are the requirements of dog ownership in your community (i.e., licensing, rabies, leash laws, and number of pets you may legally have)? *
List your life activities in which you and your dog will enjoy together? (dog inquiries only)
Did you see a specific pet of ours you are interested? If YES, which one? *
How much can you afford to donate for such a wonderful companion? *
By checking YES, you are stating that you are financially and physically able to care for this pet. You understand that proper food and veterinary care can be costly, and you are  able to meet these requirements. * Yes No
By checking YES, you understand that if the information contained herein is found to be false, your application can be refused or said dog adopted shall be relinquished to THEOTHERSIDEOFTHEFENCE.ORG without a refund of monies paid. * Yes No
By checking YES, you have indicated that this is a valid and legal substitution for your written signature on this legal document titled * Yes No

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