About

Adopters Full Name
Address
- Street Address
- Address Line 2
- City
- State / Province / Region
- Postal / Zip Code
- Country
Phone Number
Name of the CARE dog you are wanting to adopt
Email Address
Date
Your Age?
Co-Applicantt's Name
Co Applicant's Age
Your Housing (please choose one)
*

Own my Home
Renting my Home
Apartment/Condo
How many years have you lived in yoru current home?
*
1- 5 year
6 -10 years
Over 10 years
How many people in the household
Just me
Two
Three or More
Do you have children under the age of 10? If so how many

No children under 10
1 -2 under 10
3 or more under 10
Do you have a fenced yard?
*
Yes
No
Explain why you want a pet at this time?
Is everyone in the household in agreement to add a new pet into the home?
*
Yes
No
Maybe
Where will the pet spend most of their day?
When is someone usually home?
What are your plans for the care of your pet if you are gone for extended amounts of time or vacation?
What is the name of your current vet and their phone number?
NAME two References and their phone numbers. MUST NOT be family> members. Mandatory for adoption
Are you willing to provide training for your pet (obedience, house training ) if needed?
Yes
No
Under what circumstances would you ever give up your pet?