Adoption Application "*" indicates required fields PhoneThis field is for validation purposes and should be left unchanged.First Name*Last Name*What dog are you applying for?*Please tell us why you want to adopt this dog.*Address 1*Address 2State*City*Zip Code*Cell Phone*Email Address* Applicant’s Date of Birth MM/DD/YYYY* MM slash DD slash YYYY Applicants Preferred PronounsPlease share your Instagram username/handle.*Please share your Facebook profile link.*Employer & Occupation*What is your spouse/partner's employer & occupation?*How soon are you looking to adopt?*References. Please list two personal references that do not live with you and are not related to you, and list one work or professional reference.Personal Reference 1 Name*Relationship*Phone*Email* Personal Reference 2 Name*Relationship*Phone*Email* If you rent, please include your landlord’s name and/or condo complex name.If you own, what agency carries your home owners insurance policy?Does your town or homeowner’s association have any breed restrictions?* Yes No If yes, please explain.Are you planning to move in the next 6 months?* Yes No If you move, what will happen to this dog?How many hours per day (average) will your dog be left alone?*Where will this dog be kept when you are not at home or when unsupervised?*Do you plan to crate train your new dog?* Yes No Do you have a backyard?* Yes No If you have a yard with a fence, what material is your fencing made of? Chain-link Wood Vinyl/PVC Invisible/Electric Other If other, please explain.How many hours per day will your dog be outside/walked/exercised?*Please list the names, ages AND relationships of everyone living in your household.*In case of an emergency, who will care for this pet?*Will this be your first dog?* Yes No Is anyone in the household allergic to dog/cat/pet dander?* Yes No What pet(s), if any, have you had in the past?*Please list all of the pets currently living with you, including breed, age and sex.*Are all of the pets currently living with you spayed/neutered and vaccinated?* Yes No If no, please explain.Do you have a regular veterinarian?* Yes No Please list your veterinary practice and contact number.What do you know about heartworm medication for dogs?*What do you know about flea/tick prevention for dogs?*Do you plan to purchase pet insurance and if so, would you like resources?*What qualities are you most looking for in your new dog?*What behaviors do you find unacceptable?*If your new dog behaves this way, how will you address the unwanted behavior?*What type of collar/leash will you use with this dog? Please select all that apply.* Flat collar Martingale Collar Prong Collar Choke Chain Harness Gentle Leader Please explain why you have chosen this method or have had success with it in the past.*In what ways will you socialize this dog with other dogs? Please select all that apply.* Dog Park Doggie Daycare Doggie Playdates Group Training/Socialization Classes Other None of the Above How often do you plan to your socialize this dog with other dogs?*What do you think is a reasonable amount of time to allow a new dog to adjust to your home?*What would you consider doing if the dog was still having trouble adjusting after this amount of time had passed?*Have you ever re-homed or surrendered a pet to a shelter? Yes No If yes, please explain the circumstances.Under what circumstances would you, or have you, euthanized a pet?*Have you or anyone in your family ever been charged or convicted of animal abuse or neglect? Yes No How did you hear about Mr. Bones & Co.? Petfinder Facebook Instagram Other If other, please explain.Any additional comments about this dog or our adoption process?Please check this box* I agreeBy checking this box, I certify that I am at least 21 years of age of older and that ALL of the above information is true to the best of my knowledge and that false information will nullify this adoption. I have not been convicted of any charges of cruelty, abuse or neglect to animals and am not engaged in any commercial breeding or sale of dogs. I give permission to Mr. Bones & Co. to verify all information and check references. I also understand that if I am approved to adopt, I must agree to the terms outlined in the Mr. Bones & Co. Adoption Contract.Email Email
