Adoption Application Form

The purpose of this application is to place a dog in a compatible home with a person or family that is ready for a lifetime commitment. This process is designed to help us determine if the adoption is in the best interest of both the dog and the adopter. Please be aware that while completing this application does not obligate you to adopt one of our dogs, neither does it guarantee that we will place one of our dogs in your home. Beau’s Wish reserves the right to refuse any adoption.

Date:*
Name of dog you wish to adopt:
Your Name:*
Spouse/Partner/Roommate:
Address:*
Primary Phone:*
Secondary Phone:
Occupation:
Work Hours:

Please list a personal reference:

Name:*
Relationship:*
Phone:*

Your Home:

Do you have children:*
If Yes, what are their ages:
Do you:*
If rent, does your landlord give permission to have dogs:
Landlord's Name:
Landlord's Phone:
Type of home (apartment, house, etc.):*
Any breed restrictions:
Do you have a fenced yard:*
If no, how will the dog be exercised?
Is anyone in the home allergic to dogs?*
Is anyone in the home afraid of dogs?*
How many hours per day will the dog be left alone?*
How many days per week will the dog be left alone?*
Where/how will the dog spend its days? (indoors, outdoors, both, etc.)*
Where/how will the dog spend its nights?*
If you move, what will you do with the dog?*
If you have a baby, what will you do with the dog?*

Your Pets:

Have you ever adopted from a shelter or rescue before?*
If so, where?
How many dogs do you have right now?*
Do they get along with other dogs?
Do your dogs have any behavioral or dominance issues?
If yes, please explain:
Do you have any cats?*
If yes, have they lived with a dog before?
Please list any pets you currently have, or have had in the past 5 years:
Your Veterinarian:
Vet Name:
Clinic or Hospital:
Vet Phone:
Vet Address:
Have you ever surrendered a dog to a shelter or rescue, or given a dog away?*
If yes, please explain the circumstances:
Have you ever been charged with animal abuse or neglect?*
It may take your new dog 2-3 weeks or longer to adjust to its new home. Are you prepared to allow this much time?*
How will you handle any behavioral issues that may arise?*
If necessary, are you willing/able to spend the time and money to train your new dog?*
What arrangements will you make for your dog when you are away/on vacation, etc?*

You agree to allow us to visit your home by appointment if deemed necessary. All of the information I/we provided in this application is true and correct. If any of the information changes, I/we will advise you promptly. I/we understand that there is an adoption fee involved for each dog that I/we wish to adopt from Beau's Wish:

Your Signature:*
Your Email:*
Today's Date:*