Adoption Application

Each application is reviewed to ensure that adoption will be a good match for your home environment and lifestyle. A great deal of effort was put into rescuing the dogs in our care, and we want to make sure it is a good fit for your family as well as the individual needs of the dog.

We recommend completing this application using the Chrome web browser.

Contact Information

First Name*

Last Name*

Address*

City*

State/Province*

Zip/Postal Code*
-

Email*

Home Phone

Cell Phone*

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How did you hear about Dog Gone Seattle?*

Active Volunteer	Friend
Social Media	Google
Other

Which dog are you interested in adopting?

Please briefly describe why this dog caught your attention (e.g. look, temperament, breed, potential for specific activity, personality). If you are interested in multiple dogs you can write their names here.*

What are your primary reason(s) for wanting to adopt a dog. Check all that apply.

Companionship	Guard dog
Company for my current pet(s)	Save a dog in need
Emotional support animal	A gift for friend/family
Jogging/hiking buddy	Other

After a meet and greet, if approved for adoption we expect adopters to be able to finalize the adoption and welcome the dog home within 72 hours. Do you have any upcoming obligations (travel, financial, etc.) that will affect your timeline for being able to adopt a dog?*

Yes

If yes, please explain

Would you be willing to allow us to visit your home prior to adoption?*

Yes

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Do you have children in the household?*

Yes

Please list all household members, including age and gender*

Are you expecting a child in the near future?*

Yes

Is anyone in your household allergic to dogs?*

Yes

If yes, please explain

Please select your dwelling type:*

House	Apartment
Condo	RV
Other

Do you own or rent your home*

If you rent, does your building allow dogs?

Yes - No Restrictions	Yes - With Restrictions
No

If applicable, what are your pet restrictions (breed/weight)? Please be specific

If you rent, please provide name and phone number of your landlord / rental manager.

Does your dwelling have a private yard?*

Yes

If yes, is it securely fenced?

Yes

If yes, what kind and how tall?

Do you have other dogs in the home?*

Yes

Please list all dogs currently in the home. Include age, breed, sex, and special notes if applicable *

Do you have cats in the home?*

Yes

Please list all cats currently in the home. Include age, sex, and special notes if applicable*

Are all dogs and cats in your home currently altered (spayed/neutered)?*

Yes

If not, why?

Are all dogs/cats in your home currently up-to-date on core vaccinations including (for dogs) Rabies, DAPPv and Bordetella?*

Yes

If not, why?

Aside from the dog(s) and cat(s) referenced above are there any other animals in your household?*

Yes

Please list all other animals currently in the home. Include age, sex, and special notes if applicable

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Have you previously owned a dog (as an adult)?*

Yes

Please list past dogs you have previously owned, including breed, cause of death, and any special notes about that dog (i.e. childhood pet, separation anxiety, etc).*

Have you previously worked with a dog trainer or attended obedience training classes?*

Yes

If yes, which trainers or programs? If no, why?*

Which if any of the following have you used in the past? Please check all that apply

Martingale collar	Slip lead
Harness	Head halter/gentle leader
Long lead	Prong collar
Electronic collar	Bark collar

Have you ever had to give up a pet?*

Yes

If yes, why?

For what reason(s) would you return a dog to us?

Moving homes	Not getting along with other pet(s)
Getting out of fence	Kids lost interest
Divorce	Too time consuming
Allergies	Dog medical problems
Personal medical problems	New baby
Behavioral problems	Dog reactivity
Shedding	Leash reactivity
Other

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What activities do you plan on participating in with your dog?*

How do you plan to ensure that your dog receives safe and adequate exercise?*

How many consecutive hours are you or someone in your family typically away from home during the day?*

Do you plan to use a crate while you are gone?*

Yes

What is your plan for the dog during the day? Please explain.*

Where will the dog sleep?*

Where do you plan to keep the dog primarily?*

Indoors	Outdoors
Both

When you are traveling, where will the dog stay?*

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What kind of behaviors do you expect from this dog?*

Please indicate issues you are confident in handling:

Potty training	Basic obedience (sit/down)
Leash walking	Leash reactivity
Jumping up	Excessive barking
Separation anxiety	Mouthiness
Food aggression	Resource guarding
Cat introductions	Cat reactivity
Dog introductions	Dog reactivity
Dog aggression	Fearfulness
People aggression

For any issues left unchecked, please indicate what you would do should you encounter those behaviors.

What amount of time can you dedicate a week to training the dog?*

None	3-5 hours
5-7 hours	7-10 hours
10+ hours

Are you planning to enroll your dog in obedience training?*

Yes

If yes, do you have a trainer in mind?*

Yes

If no, would you like a recommendation for a trainer?*

Yes

Please describe your training plans -- Which family members will assist in training? What are your training objectives? What is your definition of discipline? How would you stop unwanted behaviors?*

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Please let us know anything else that would make you an ideal candidate to adopt a rescue dog?*

Please include the name, phone number, email address and relationship of at least two people who can attest to your suitability as a pet owner. *

Please provide the name and phone number of your current veterinarian. If you do not have a current vet, please indicate the vet you plan to use.*

Would you like to receive email notifications and updates from Dog Gone Seattle?

Yes

I certify by my digital signature below that the information entered on this application is true.*

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