SDSR - Adoption Form

E-mail Address: *
Your Full Name *
Age *
Occupation *
Complete Physical Address *
Complete Mailing Address (if different)
Type of Dwelling (house/condo/apartment) *
Do you rent or own? *	Own Rent
If you rent, what is your landlord’s name?
Landlord’s phone number and email address?
Home Phone *
Work Phone
Cell Phone *
Spouse/Partner’s Full Name *
Age *
Spouse/Partner’s Occupation *
Do any other adults live in your household? Relationship to you? *
Have all adults in household agreed to adopt at this time? *
How many children under 18? What are their ages? *
Do you plan children within 10 years? *
Is anyone in the household allergic to dogs or any other pets? *
Please list any pet CURRENTLY in your home AND any you have had IN THE PAST: (Name/Age/Type or Breed/How and Why Obtained/Where is animal now?) *
Is there an adult home during the day? If so, who? *
How many hours a day would the dog be left alone? (Please be specific) *
Do you have a doggie door? (Outdoor access during the day?) *
Do you have a yard? How big? (approximate area) *
Do you have a fence? What type? How high? *
Will the dog EVER be chained? Under what circumstances? *
Where will the dog sleep? (dog bed, crate, family bed, etc.) *
Which dog are you interested in adopting? *
Do you prefer males or females? *
Do you have a preference for age range? What is it? *
What are you willing to do to help a dog adjust to your home/lifestyle? *
Under what circumstances would you not keep this dog? *
What would you do if the dog was destructive (chewing, barking, soiling) *
What do you feel is “aggressive behavior?” *
What would you do if this occurred? *
Have you ever taken a basic dog obedience class? What? When? *
Would you be willing to care for a special needs dog (blind, deaf, limp) *
Do you plan to complete a course with this dog? Why or why not? *
How soon are you prepared to adopt? *
References: Name/Address/Phone/Email/Relationship *

* Required