Name of Applicant (Occupation):
Name of Dog You'd Like to Adopt:
Name of Spouse/Significant other: (Occupation):
Is he/she aware of and agreeable to this pet adoption?
Names and ages of children (if any):
Have the child(ren) been told of the responsibilities owning a pet entails?
Work Phone Number
For Emergencies (name & #)
Type of Dwelling:House Apartment Condo
Do You Have A Fenced Yard?Yes No
Do You Own or Rent?
If Renting, If renting, do you have permission from your landlord to have this pet??
Landlord’s name and phone number:
What are your primary reasons for wanting a dog/cat?(check all that apply)
Companion For your children Gift Watchdog For another pet OTHER
If you have children, please describe their previous experience with dogs/cats:
Other pets (name, breed, sex and age of each):
Are Your Pets Spayed and/or Neutered?
Is There Anybody Home During the Day? If Yes, Who?
Will the animal be crated? If “yes”, please explain
How many hours per day will the dog/cat be left alone? Where will it be kept when left alone?
Where will the dog/cat sleep at night? (Kitchen, bedroom, etc)
Do you have a doggie door?
Do you have secure fencing?
Have you recently inspected your fence and is it secure, without holes, gaps, or low points?
Do you have a pool? If yes, is there a secure fence around it?
Who has access to your yard? (gardener, neighbors, housekeeper, etc)
Preferred level of exercise with dog?
Couch potato Short walks Vigorous walks Hike/jog
How do you normally walk your dog on leash or off leash?
When on leash, I normally use:
Collar only Choke chain Harness Gentle leader Other
When you go on vacation or are gone for an extended period of time, who will care for the pet(s)?
Do you have a regular Vet? If yes, please write vet’s name and phone number
Have you ever given a pet away? If so, please explain
How would you rate your level of dog/cat owning experience?
1st time owner Beginner Intermediate Advanced
How will you train this dog/cat?
Obedience class Hit with newspaper Firm verbal command Clicker/hand signals Other
Are you willing to live with hair on the furniture and your clothes, stains on your rugs, a warm body on your bed, and an animal that might be destructive at times?
Pets are an investment of your time and money. Can you afford to provide the required and proper medical care, grooming, proper diet, shelter and exercise for your new pet? To provide proper medical/veterinary care, including yearly checkups, vaccinations and heart-worm prevention medicine, as well as veterinary care for unusual symptoms such as loss of appetite, coughing, vomiting, diarrhea, blood in urine/stool, allergies, skin conditions, lethargy?
Are you able to make a long-term commitment to care for your pet for its entire life span, which could be as much as 10-20+ years?
Which of the following reasons might prompt you to give up your dog/cat? Mark all that might apply:
Excessive barking Biting Digging Moving Shedding Divorce Illness Allergies Poor watchdog Destructive chewing Excessive vet bills Financial problems Accidents indoors New spouse or partner doesn’t like pet Aggressive on leash New family addition Growling at guests/family members Other None of the above
Will you agree to consult and pay for a trainer or behaviorist if problems develop?
Will you agree to register the dog with, and obtain a dog license from the municipality where you live or as required by law?
Will you agree to NOT give or sell the dog to another person, relative, rescue group, humane association, shelter or pound, or any medical or experimental laboratory or similar organization? If you feel the need arises to re-home your pet, you will notify GREENDOG FOUNDATION immediately?
Will you agree to notify GREENDOG FOUNDATION (951) 609-0765 immediately if your pet is lost and to make every reasonable effort to recover the dog/cat?
Please list pets that you have owned since you have been an adult? (Age/Length of Ownership/What Happened)
Why are you interested in adopting from a rescue?
How did you hear about Green Dog Foundation?
I understand that a home visit is required prior to final placement
I understand that a home visit does not guarantee placement
I agree to provide my own collar, leash, choke chain or harness, and personal ID at the time of completing the adoption contract
I can make a donation of at least $300 / $350 to help cover costs of the pet we are adopting. Anything over that amount will help with medical care, spay and neuter, board and placing other abandoned dogs. (The inability to make a donation does not disqualify an applicant from consideration).
I understand that any donation or contribution is a gift freely given, not a purchase price for a dog/cat
By typing your name and date below, you agree that all of the above is true.
Your Full Name