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Adoption Application
Adoption Application
What is the name of the dog you are interested in?
*
Why are you interested in this dog?
*
First Name
*
Last Name
*
Age
*
Street Address (No PO Boxes)
*
City
*
State
*
Zip code
*
Country
*
Phone Number
*
E-Mail Address
*
Employment Status (Select all that apply)
*
Unemployed
In School
Other
Employed
Retired
Occupation
Employer's Name
Employer's Street Address
Employer's City, State and Zip Code
Employer's Phone Number
What kind of home do you have?
*
House
Apartment
Condo
Townhouse
Mobile Home
Other
Do you rent or own your home?
*
Rent
Own
Do you have a fenced yard or patio? If so, how tall is the fencing?
*
Do you have a pool or hot tub?
*
Pool
HotTub
None
If yes, is it covered or fenced?
Fenced
Covered
Are there any other occupants, besides the applicant, living in the home?
*
No
Yes
If yes, please tell us name, age and relationship to applicant
Are you or anyone living in the household allergic to dogs?
*
No
Yes
What are your primary reasons for wanting a dog? (Select all that apply)
*
Companion
Companion For Kids
Watchdog
Gift
Other
Are there currently any other pets living in your home?
*
No
Yes
If yes, how many pets are in the home?
If yes, please provide species, breed, gender, age and if the pet is spayed or neutered for each pet currently living in the home.
If asked, would you be able to provide spay / neuter certificates for pets you indicated above that have been fixed?
No
Yes
Have you ever bred any of your animals?
*
No
Yes
Is there anybody home during the day?
*
No
Yes
What is the longest amount of time your dog will be left alone without being taken out for a walk / potty break?
*
Where will your dog stay when home alone?
*
Do you allow your dog unsupervised access outside when you are not home?
*
No
Yes
If yes, where will they have access?
Where will your dog sleep at night?
*
What kind of food will you feed your dog? (Specify brand or brands)
*
How often will you walk your dog?
*
Other than walks, what other exercise/physical activities would you like to do with your dog?
*
How will you train your dog?
*
How will you discipline your dog if they misbehave?
*
How would you rate your level of dog owning experience?
*
First Time
Beginner
Intermediate
Advance
Please explain.
*
Which of the following reasons might prompt you to give up your dog? (Select all that apply)
*
Excessive barking
Biting
Digging
Movig
Divorce
Poor Watch Dog
Destructive Chewing
Financial Problems
Not being Housebroken
Growling at Guests
Excessive Vet Bills
Shedding
Allergies
New Spouse / Parnter doesn't like Dog or is Allergic
Leash Aggression
None of the Above
When you go on vacation, who will care for your dog?
*
What would happen to your pets if you moved?
*
List all pets you have owned in the last ten years and if they are no longer with you, please provide explanation
*
What medical conditions / special needs have you had experience dealing with in your past with your pets?
*
Do you have stairs in your home? If so, how many steps are there?
*
Do you have a regular vet?
*
No
Yes
List a vet for reference. Vet name and name of practice is required.
Phone number for the above vet reference.
List Name, relationship & phone number of a personal reference (non-family).
*
List Name, relationship & phone number of a second personal reference (non-family).
*
If you have social media, please provide your handles (Instagram, Facebook, Tiktok, etc)
*
Is there anything else you would like for us to know?
*
I understand that it takes an average of 2 weeks, sometimes longer depending on the dog, to hear back from Road Dogs about my application
*
Checkbox
Many times our communications end up in your SPAM folder. I will check my SPAM folder prior to reaching out and asking for an update on an application that I think has not been answered
*
Checkbox 2
I understand that filling out an application does not guarantee adoption.
*
Checkbox 3
I understand that if I have the opportunity to do a meet and greet with a dog it does not guarantee adoption.
*
Checkbox
I understand that in the event of approval, I am responsible for the transportation of the dog, including return transportation if necessary, and must be present for the duration of the transport. Road Dogs & Rescue does not allow for dogs to be flown as cargo or to be transported by a third party.
*
Checkbox
If I were to adopt, my ownership of this dog would not place me over the legal limit for owning dogs in my city/county.
Checkbox
How did you find out about Roadogs/find the dog your interested in? Please reply with one of the following: (Social Media Platforms, Website, Friends, Etc)
Thank you! Your submission has been received!
Oops! Something went wrong while submitting the form.
info@roadogsandrescue.org
TEXT ONLY, (310) 986-5573 to surrender a bulldog puppy with a medical condition
Southern California
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