Dog Adoption Form

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Dog Adoption Form

DOG Adoption Application Online Submission Form

If you are interested in adopting one of our foster dogs, please complete this Adoption Application Submission Form & we will contact you within 24-48 hours.

Dog Adoption Form

Name of dog you are interested in adopting:

Free Text

Applicant Info:

Last Name:

First Name:

Street Address:

City:

State:

Zip:

Phone Number:

Email:

Are you:

Working

Retired

Attending School

Other

Free Text

Household Info:

Do you own your own home?

Yes

No (see below for renter details)

Type of Home:

House

Condo

Apartment

Mobile Home

Free Text

If you rent:

Landlord's Name:

Landlord's Phone Number:

How many other Adults live in your household?

How many Children live in your household?

Household Activity Level

Low

Medium

High

Do you have a fenced yard:

Yes

No

Do you have other household pets?

Yes

No

Other Pet Name:

Type of Animal:

Dog

Cat

Spayed/Neutered:

Yes

No

Age

Other Pet Name:

Type of Animal:

Dog

Cat

Spayed/Neutered:

Yes

No

Age

Do you have any more Pets?

Yes

No

Name of your Veterinarian or Veterinary Clinic:

City:

Who will be responsible for your dog(s) if you are on vacation or unable to care for them in the event of an emergency (If this application is approved, we will also use this person as the alternate contact when transferring the pet's microchip over to you):

Phone Number:

Dog Experience:

First Time Owner

Have had Dogs in the Past

Knowledgeable and Experienced

Time you or another adult is usually at home:

Home all-day

Out Part-Time

Away 7-10 Hours daily

Are any family members allergic to pets?

Yes

No

Is anyone in your home nervous or unsure of dogs?

Yes

No

Is yes, please explain:

Are you prepared to assume financial responsibility for your new dog?

Yes

No

Have you had an opportunity to interact with this dog?

Yes

No

Opt-In

I agree to comply with the requirments stated on the profile of the dog I wish to adopt

Opt-In

I hereby certify that to the best of my knowledge, the above information is true and correct

Thank you for contacting us.
We will get back to you as soon as possible

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Call us: +1 805 619 0588

The Animals In Need Fund is now a program under C.A.R.E.4Paws

C4P Tax ID# 27-0207473

C.A.R.E.4Paws

P.O. Box 60524

Santa Barbara, CA 93160

AINF Program direct address

110 S. Mary Avenue Suite 2, PMB 136

Nipomo, CA 93444

ainfund2@gmail.com 805-619-0588

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