Adoption Application

Please be aware that we take the placement of each dog very seriously.  We won't be as thorough as if you were adopting a child, but we will do what ever it takes to satisfy all our concerns.  You will most likely have a home visit by one of your representatives.  We are not looking to see if you are a good housekeeper or if you drive a fancy vehicle.  We want to make sure you don't have any hazards that could harm the dog (like an old vehicle leaking out antifreeze or nails sticking up on your porch.) 

The online application keeps failing to work and we can't seem to fix it.  Please provide the following information in an email:

Highlight all the questions and "ctrl & C" keys to copy.  Then click HERE if you are using outlook express.  Email correctly addressed will come up.  Then in the email message area, click the "ctrl & V" to paste.  Then you can answer the questions and send.
 

Your Full Name:
Address:
City, state  & zip:
How long have you lived here?
Do you plan to move in the next few years?

Home phone with area code:
Cell phone:

Email address:

Number of adults in family:                Number of children and their ages:

Veterinarian name:
Address:
Phone:

Personal reference of person who has a dog that you have interacted with:
Name:
Phone:
Relationship:

Do you live in ? : house -  apartment/condo -  other (explain) ____
Do you own the property?               If NO, please give landlords name and phone number: 
Is it in an urbin, suburbin or rural area:
Distance to highway:

Property size:
Yard size:
Fencing.  Please describe:
Outside shelter / shade:
Doggie door access?:

How many hours a day are you away at work/ shopping, etc?:
Where will dog stay when you are not home?:
How flexible is your work schedule if the dog should need veterinary care, etc.?
How long have you worked for your current employer?

Where will dog stay when you go on vacation?

What type of vehicle will be used to transport dog to Vet, etc?
Where and how (crated, seat belted, loose) will the dog ride?
Do you understand the dangers of a dog in a parked vehicle, in bed of pickup and head out a window?

Do you currently have pets?  Please list type, name, breed and age:

If dogs and cats, are they all spayed/neutered?        Current on preventatives?       Current on immunizations?

Have you lost dogs to accident, old age, disease?  Please describe last 2:

How familiar are you with the breed you are wishing to adopt?

Are you open to taking positive reinforcement dog training classes?
Will you immediately seek experienced assistance if behavior problems arise that you are unsure how to correct?

Do you understand that if approved, when you sign the adoption contract you are agreeing (1) never to abuse nor neglect the dog and (2) to never relinquish the dog to anyone without first contacting OzarkDogs for permission?

Additional comments: