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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:
Street:
City:
State:
Zip:
Primary Phone: (required)
Alternate phone:
Employer:
Email Address:
Confirm Email Address

Family Information
Number of Adults living in the home:
Number of children:
Child 1 Age:
Child 2 Age:
Child 3 Age:

Home and Pet's Information
Home Type:
Do all adults work outside the home full time? Yes
No
Who will be the primary caretaker of your dog? Myself
Other
If not you, please specify:
Does anyone in your household have allergies? Yes
No
Do you have a fenced yard? Yes
No
If "no" how will you contain your dog?
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 you are not at home?
Have you ever given up a dog? Yes
No
Will the dog be a surprise for anyone? Yes
No
How many hours a day will your dog be left alone?
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 you previously been approved to adopt a dog? Yes
No
Name of organization that approved you:

Please list any pets living with you.
Pet 1 Name:
Pet 1 Breed:
Pet 1 Age:
Pet 1 Gender: Male
Female
Pet 1 Behavior w/Dogs: Good
Needs Work
Don't Know
Pet 1 Altered Status: Unaltered
Spayed/Neutered
Pet 2 Name:
Pet 2 Breed:
Pet 2 Age:
Pet 2 Gender: Male
Female
Pet 2 Behavior w/Dogs: Good
Needs Work
Don't Know
Pet 2 Altered Status: Unaltered
Spayed/Neutered

Reference (not a family member)
Reference Name:
Reference Street:
Reference City:
Reference State:
Reference Zip:
Reference Phone:
Alternate Reference Phone (cell):

Veterinary Information
Vet's Name:
Vet Street Address:
Vet City:
Vet State:
Vet Zip:
Vet's Phone:

Source Information
How did you hear about us? Atlanta Dog Squad Website
Pet Adoption Based Website (i.e. Petfinder.com)
Referral
Event
Adopted from ADS Previously
Other
If Other, please describe:
 

form creator
 

 
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