Adoption Application – Unchained Melodies Dog Rescue

Contact Information

First Name *

Last Name *

Email Address *

Phone Number *

Address *

City *

State *

Zip code *

Dog Information

Is there a certain dog you're interested in? *

Please describe any specific characteristics you're looking for in a dog. (Include age, sex, activity level and personality.) *

Will the dog be left alone for extended periods of time? If so, where will he/she stay? *

Please describe an average day for your new dog. (Examples should include when you're not home, and also when you are.) *

What situations do you think would cause you to need to return the dog to us? *

What kind of activities are you planning with your dog? *

Please include any additional information that may help our volunteers find the perfect dog for you.

Do you understand that dogs are not perfect, and that you will have to work with this dog? *

yes

Household Information

Do you own or rent? *

own

rent

live with parents

List landlord name and phone number. *

List parent's name and phone number. *

If you rent, have you contacted your landlord or management company regarding adding another pet to your lease? *

Yes

Are you aware of any pet restrictions, pet deposits and/or pet fees and able and willing to pay them? *

Yes

How do your other occupants in the house feel about adding a dog to your household? *

How would you describe the energy/activity level in your home? *

Do you have children who live with you? If so, what are their ages? *

Does anyone in your home have pet allergies or asthma? If yes, please describe. *

Is your yard fenced in? *

Yes

What type of fencing do you have and how high is it? *

If not, how do you plan to keep your dog safe when outside? *

Other Pets & History

Please describe all other pets (both inside and outside) you have. (Include the type, age, size, activity level, personality, etc.) *

Are all of your pets spayed/neutered? If not, why not? *

Have you ever given up a pet? If so, why? *

Do you have a veterinarian? *

What is your veterinarian's name and contact information? *

Show us pictures of your home, pets and yard

Maximum upload size: 104.86MB

.jpg, .png, & .pdf files accepted

Upload 2

Maximum upload size: 104.86MB

.jpg, .png, & .pdf files accepted

Upload 3

Maximum upload size: 104.86MB

.jpg, .png, & .pdf files accepted

Do you agree that all of the answers you have given in this application are true and correct? *

Yes

Do you understand that the submission of this application does NOT guarantee application approval or completion of an adoption contract? *

Yes

reCAPTCHA