Adoption ApplicationInterested in one of our pets? Fill out some info and we will be in touch shortly! Name of pet you are interested in * Name * First Name Last Name Date * MM DD YYYY Email * Address * Address 1 Address 2 City State/Province Zip/Postal Code Country Phone * (###) ### #### Alternate Phone (###) ### #### Employer and Occupation? * How did you hear about us? Instagram Facebook Website Petfinder Other Name and phone number of your Veterinarian? * Do we have permission to contact your veterinarian regarding the care of your current pets? (are they up to date on vaccines, heart-worm preventative) * Yes No Do you reside in a home or an apartment? * How long have you lived there? * Do you own or rent? * If you rent, has your landlord given you explicit permission to get a new dog? * If you rent, please provide your landlord's name and phone number * Do you have a yard? * If you have a yard, is it fully enclosed and the fence in good condition? * Have you walked the perimeter of your yard to check for loose boards and weak spots? * Who will be responsible for the care of your new pet? * How many adults reside in the home and what are their ages? * If there are children in the home, how comfortable are they with dogs/cats? * Very Somewhat No experience with dogs/cats No children in household Are all members of the household in agreement about getting a new dog? * Yes No What training methods do you know and will use for your new dog? (correction, treat based, clicker, for example) * If your dog develops behavioral problems, what will you do? * Are you familiar with the use of a crate to train and/or contain your dog when you are not there? * Yes No Are you willing to crate train your new dog? * Yes No During the 1st few weeks after adopting your new dog, do you plan on leaving the new dog alone with existing dogs in the home? * Yes No N/A How will you exercise your dog and what other activities do you plan on enjoying with your new dog? * If you move, what will happen to the dog? * If you decide to move to a place that doesn't allow your dog, what will you do? * How many hours/day will the dog be left alone (without people around) * Seeing as a dog can live up to 20 yrs are you committed to caring for this dog for the duration of it's life? * If your dog is diagnosed with a serious and/or costly illness, what are your plans for dealing with this? * Who will care for your dog(s) in your absence? (Vacation, Emergency) * What arrangements have been made in the event your dog outlives you? * Are you willing to take your dog to the veterinarian for wellness checks, vaccinations, Heart worm testing as well as illnesses? * Yes No Are you aware that routine cost of maintaining a dog can reach hundreds of dollars? ($600-$1000) * Yes No Where will your dog spend the majority of the daytime hours? * Where will your dog spend the nighttime hours? * If the pet will be outdoors for any length of time please describe the shelter available for the dog. * In the past, have you ever re-homed a pet which you owned? * Yes No N/A If you have re-homed a pet please describe the specific circumstances * Are you willing to have a volunteer come to your home in order to do a home safety check and to ensure the adoption is a good match for both the dog being placed and the potential adopter(s)? * Yes No Are you willing to participate in a virtual home check and provide photos or video of the house (inside and outside) where the pet will reside in order to ensure the the home is safe for the pet? * Yes No Please list all pets (breed) which you CURRENTLY own and are they spayed or neutered? * I understand and agree to pay the adoption fee, listed at https://www.junebugfoundation.com/adoptablepets for this animal. * Agree Do not agree I CERTIFY UNDER PENALTY OF PERJURY THAT ALL OF THE INFORMATION PROVIDED IN THIS APPLICATION IS TRUE AND CORRECT: * Thank you!
