Adoption Application
Sign in to Google to save your progress. Learn more
Email *
First Name *
Last Name *
Phone Number *
Email Address *
Street Address *
City
State
Zip Code
If you are applying for a specific dog, please list their name here:
Please list your current veterinarian’s name and phone number: 
*
Please list all other adults living in the home: 
*
Are there children living in the home? If yes, how old?
*
Does anyone in the home have pet allergies? If so, please describe.
*
Please list all pets residing in your household, including their species, sex (and whether they are spayed/neutered), age, and a description of their temperament:
*
Do you rent or own your home?
*
If renting, do you have permission from your landlord or property manager to keep a pet in your home, and are there any restrictions on the type of dog you may have (breed, size, etc.)?
Which best describes your home?
*
Square footage of home: *
Do you have a backyard? If yes, is your backyard fully fenced? What type of fencing? How tall is the fence at its shortest length?
*
Do you have a pool? If yes, is it fully fenced?
Where will the dog be kept during the day?
*
Required
Where will the dog sleep at night? 
*
Required
On average, how long will the dog be home alone each day (without human supervision)? 
How would you describe the typical atmosphere (i.e. noise/activity level) of your home? 
*
Required
Based on your/your family’s activity level, what is the energy level of your ideal dog? 
*
Required
How much exercise will the dog get per day and what type of exercise would it consist of?
*
Please describe your past experience with dogs: 
*
What is your desired size dog? 
*
Required
Are you looking for a male or female dog? 
*
What age range would you prefer?
*
Required
Does everyone living in the household agree with adopting a dog? If not, please explain: 
*
What behavioral issues, if any, are unacceptable to you? In other words, what behaviors would lead you to consider surrendering the dog back to SacRDR? Select all that apply:
*
Required
If the dog shows destructive behavior (e.g. chewing, digging, etc.), what will you do to correct this behavior?
*
If the dog develops or displays unwanted behaviors, are you willing and able to provide proper training? 
*
Questions, comments, or anything else you would like us to know when considering your application?

To expedite the adoption process, you may submit the following to resilientdogrescue@gmail.com:

·       Homeowners’ Insurance Declaration Page

·       Landlord/Property Management Approval (including details of any applicable breed or weight restrictions)

·       Photos of your home, backyard, fence line, etc.

Submit
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. - Terms of Service - Privacy Policy

Does this form look suspicious? Report