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  Atlanta Dog Squad – Adoption Application  
  Preliminary questions  
     
 
 

Why do you want to adopt a dog from the Atlanta DogSquad?

 
   
   
     

Are you interested in a particular dog? (please name)

 

How would you view the
retriever you rescue or adopt?

  It’s simply a dog
It will be my family pet
It will be considered a family member

How much money would you be willing or able to spend if your retriever becomes ill or injured?

  Up to $500
$500 to $1000
Whatever it takes to provide appropriate care

How would you handle temperament or obedience
problems that might arise?

 

Punish the dog
Seek professional advice from a trainer or veterinarian
Return the dog to ADS

 
 
     

For which of the following
reasons would you consider giving
up your dog? (check all that apply)

  Moving
Divorce
Excessive Barking
Kids no longer want it
Fights with other pets
Gets too large
Medical Issues
Jumps Fence
New Baby
Financial Problems
Not Housebroken
Behavior Issues
Allergies
Messes up furniture
     

General Information

   
     
First Name:  
Last Name:  
Email Address:  
Confirm Email Address:  
Street Address:  
City:  
State:  
Zip:  
Employer:  
Work Phone:  
Home Phone:  
Cell Phone:  
How did you hear about us?  
     
Family Information    
     
Number of Adults:  
Number of Children:  
Child 1 age:  
Child 2 age:  
Child 3 age:  
     
Home Information    
     

Home Type

 
Do all adults work outside the home full-time?   Yes No
Who will be the primary caretaker for your dog?   Myself Other
Does anyone in your household have allergies?   Yes No
Do you have a fenced yard?   Yes No
If yes to fence how high is it?   
What is the fence made of?  
Do any of your pets live mostly outdoors?   Yes No
If yes, which pets?  
Where will the dog be when not at home?  
 Have you ever given up a dog?   Yes No
Will the dog be a surprise for anyone?   Yes No
If no how will you contain your dog?  
How many hours a day will your dog be left alone?  
Where will the dog be when you are home?  
Where will the dog sleep?  
If you move what will you do with your dog?  
Have you ever owned a dog?   Yes No
If the dog is no longer with you, why not?  
Have previously been approved to adopt a dog?    Yes No
Name of organization:  
     

Please list any pets living with you

   
Pet 1 Name  
Type or Breed  
Age  
Behavior w/dogs   Good Needs work Don't know
    MaleFemale
    Neutered/SpayedIntact
     
Pet 2 Name  
Type or Breed  
Age  
Behavior w/dogs   Good Needs work Don't know
    MaleFemale
    Neutered/SpayedIntact
     

Reference (Not family member)

   
     
Name:  
Phone:  
Address:  
City:  
State:  

Zip:

 
     
Veterinary Information    
     
Vet Name:  
Phone:  
Address:  
City:  
State:  

Zip:

 
     
 

 


 

 

 

 
 

 
 
 

 
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