Thank you for your interest in adopting a dog from Every Dog Counts Rescue.
Please do your best to answer all questions, as it helps us match you with a dog for your needs, family, and lifestyle.
Some fields may be required. If you do not know the answer at this time, please feel free to say so in the provided boxes.
If you would prefer to download an application to email us later, please click on the appropriate link on this page.
First Name*
Last Name*
Address*
City*
State/Province*
Zip/Postal Code* -
Email*
Home Phone
Work Phone x
Cell Phone
Alt Email
Applicant's age*
Co-Applicant Name
Co-Applicant Age
How long have you been at your current address?*
In what type of home do you live* Choose one: Single Family Duplex Apartment Townhouse Condominium Mobile Home Military Housing
Do you own or rent your home* Choose one: Rent Own
If you rent, have you received the approval of your landlord to have an animal Choose one: Yes No
If you rent, please enter your landlord's name and phone number. Upon submission of this application, renters MUST include a letter from their landlord stating it is acceptable to have a dog and there are no size/weight/breed restrictions for your adopted dog in your rental contract.
Please list all residents, including any part time members (i.e. shared custody of children, regular visitors), and the age of the residents.*
Who in the household will care for the pet*
Would the arrival of a child affect your commitment to love & care for your dog?* Choose one: Yes No
Some dogs can live for 15 or more years. Are you willing to take responsibility for a dog for the next 15+ years?* Choose one: Yes No
Please estimate the cost to care for a dog for 1 year (food, vet bills, license, etc.)*
Does anyone in your home have allergies to animals?* Choose one: Yes No
If yes, please explain:
Is your yard fenced* Choose one: No Yard Unfenced Yard Yard Partially Fenced Yard Completely Fenced
If yes, what type of fence? Choose one: Privacy Chain Link Invisible
What is the height of the fence
If no, or your yard is not completely fenced, how will you contain your property/invisible fence?
Do you have a pool?* Choose one: Yes No
Do you have a dog run?* Choose one: Yes No
Do you have an outside kennel?* Choose one: Yes No
Have you checked your yard for dangerous objects or plants?* Choose one: Yes No
Are there any distractions outside of your yard, such as a neighboring dog, loose dogs, busy street, or children?
If yes, please check all that apply:
Do strangers or neighborhood children have access to your yard?* Choose one: Yes No
Describe any pet ownership laws in your area:
How many hours per day will the dog be left alone?*
Where will the dog be kept when you are not home?*
Where will the animal be kept when you are home*
Where will the dog sleep?*
How many hours will the dog be outside alone?*
What will you do with the dog if you need to travel for business or personal reasons?*
Are you willing to obtain a crate and crate train your dog, if necessary?* Choose one: Yes No
Are you willing to take your dog for obedience training?* Choose one: Yes No
If so, please list the name and phone number of the place you would take the dog for training, if available:
How do you plan to exercise your dog?*
What amount of time per day do you plan to exercise your dog?*
What kind of restraining devices will you use on you dog (buckle collar, harness, gentle leader, prong collar, choke collar, etc)?*
What is your definition/strategy for disciplining your dog?
How do you plan to prevent problem behaviors, such as barking, chewing, digging, etc.?
Please explain how you will handle other behavioral issues that are considered 'dominant or alpha', such as a pushy or overanxious dog?
Describe your experiences in preventing behavior problems, such as: alpha role, chewing, barking, digging, etc:
How will you correct your new dog when it makes a mistake (or what methods will you use)?
What training (formal or informal) have you done with your dog(s) in the past?
What type of ID do you plan to place on your dog?
Under what circumstances would you return/surrender a dog?*
Have you ever had any complaints about your pets from others? Choose one: Yes No
If so, please explain:
Have you ever received a ticket or citation regarding your dogs' behavior? Choose one: Yes No
Have you applied to adopt a dog from another rescue or shelter group? Choose one: Yes No
Do you currently have any other pets?* Choose one: Yes No
If you do have other pets, please list each. For each pet, please list the breed, age, sex, where you keep them during the day, whether they are dominant, submissive and get along with other animals, and describe any behavior issues they have.
Are all of your current pets spayed/neutered? If no, please explain.
Please list all animals (dogs, cats, birds, etc.) that you once owned, but no longer own, since you turned 18 years old. For each pet, please include information about their breed, whether they were altered, how long you had the animal, where they were kept during the day, and the reason you no longer have the pet. If deceased, please include the age of your pet at the time of their death, and the cause.
Rescued dogs need time to adjust to a new home. How long are you willing to wait while a dog adjusts?
What type of food are you planning to feed your dog (Dry, canned, etc)?
How many times per day will you feed your dog?
Do you agree to take your dog to your veterinarian annually/semi-annually for full vaccinations and exams?* Choose one: Yes No
If no, please explain:
Do you agree to have your dog tested annually for heartworm disease and provide monthly heartworm preventative, as recommended by your veterinarian?* Choose one: Yes No
In your opinion, what would constitute an acceptable reason for an owner to give up/euthanize a dog?*
What sex of dog do you prefer?
What age?
What size?
Are there any breeds you will NOT adopt? If yes, please list them
Please be aware that requests for a particular breed or age may require a wait that is a matter of days, weeks, or months. How long are you willing to wait for the best match?
Is there a specific dog you're applying to adopt? Choose an animal: Elf Eva Monty Nikita
List at least one reference (who is not a family member)*
Please list one additional reference. This can be a family member:*
Please provide your Veterinarian's Name and Phone Number. Also, please let your vet know we may be contacting them to check your pets' records and that you authorize the release of this information.*
Please add any additional information you would like us to know:
To complete the application process, a home visit will be scheduled at your convenience by someone from the rescue organization. All members of the household must be present at the time of the home visit. The purpose of the home visit is to determine a good fit for the dog and your family in the home environment. By entering your name below, you certify that the information provided in this application is true and accurate. You are also authorizing Every Dog Counts Rescue to contact all references to verify the information provided. You also are acknowledging that any misrepresentation/falsehood will disqualify the application, and/or may result in an adopted dog being removed from the home by Every Dog Counts Rescue. You also acknowledge that Every Dog Counts Rescue reserves the right to refuse or deny any application. If you agree with the above, please enter your name below:*