Another Chance Animal Welfare League
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Wine & Whiskers – July 14th 2018 – 6PM to 9PM
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Dog Adoption Form
Thank you for your interest in adopting a dog from Another Chance Animal Welfare League (ACAWL). ACAWL wants to make sure that every adopted animal goes to a loving home that will meet its specific needs for the rest of its life. Because of this, we ask you to submit an adoption application and agree to a home visit by one of our representatives. The application asks a number of detailed questions which are necessary for our screening process. The home visit is conducted by an ACAWL representative to ensure the future safety and well-being of the dog as well as to evaluate the health and well-being of any other animals currently living in your home. The information we gather during this process is presented to our adoption committee who in turn will choose the home they feel is the best fit for the animal to be adopted. This process is used to ensure a positive adoption experience for both you and the dog. Fields marked with a * are REQUIRED.
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Name
*
This field is required
First
Last
Spouse's name
*
This field is required
First
Last
Home number
*
This field is required
Cell number
*
This field is required
Your Address
*
This field is required
Address Line 1
Address Line 2
City
ZIP / Postal Code
Email
*
This field is required
Employer's phone number
*
This field is required
Spouse's employer's phone number
*
This field is required
What is the name of the dog or puppy at ACAWL you would like to adopt?
*
This field is required
How active a dog do you want?
*
This field is required
Do you want...
*
This field is required
A tiny dog under 10 lbs
A small dog under 20 lbs
A medium dog between 20 and 50 lbs
A large dog over 50 lbs
A puppy
A young dog
A Senior dog
What kind of home do you live in?
*
This field is required
Do you rent?
*
This field is required
Yes
No
Landlord's Name
*
This field is required
First
Last
Landlord's phone number
*
This field is required
For whom are you adopting this pet?
*
This field is required
Who will be primarily responsible for this pet?
*
This field is required
Will there be children living in the home?
*
This field is required
Yes
No
How many?
*
This field is required
What are their ages?
*
This field is required
Does anyone in the home have allergies to dogs?
*
This field is required
Yes
No
As an adult, have you ever owned a dog?
*
This field is required
Yes
No
What breed(s)?
*
This field is required
Are there any dogs in the home now?
*
This field is required
Yes
No
How many?
*
This field is required
What breed(s)?
*
This field is required
Ages?
*
This field is required
Are there any cats/kittens in the home?
*
This field is required
Yes
No
Are they familiar with dogs?
*
This field is required
How will you introduce them?
*
This field is required
Will there be someone home with the dog most of the day?
*
This field is required
What is the greatest number of hours your pet will be alone during the day or night?
*
This field is required
Where will the pet spend most of its time?
*
This field is required
Is your yard fenced?
*
This field is required
Do you have other pets in the House?
*
This field is required
Yes
No
Please list by type, breed, age, and whether they are neutered.
*
This field is required