949-388-0034
[email protected]
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Dog Adoption Application Form

Required Minimum Adoption Donation: $200

Pet Name

First & Last Name Required

Street Address Required

City, State Zip Required

Home Phone

Cell Phone

Work Phone

Email Address

Preferred Contact Method

Phone

How many are in your household?

If there are children, what are their ages?

Type of living accommodation? Required

House

Condo

Apartment

Mobile Home

Other

Do you own or rent? Required

Own

Rent

If you rent, do you have your Landlord's permission to have a pet?

Yes

If you rent, may we contact your Landlord?

Yes

Name and phone number for Landlord:

If a volunteer from Ark requested a home visit prior to adoption, would that be acceptable to you? If not, please explain Required

Do you have a fenced yard? Required

Yes

If yes, how high is the fence?

When the dog is outdoors, is there sufficient shade in the yard for his or her comfort?

Yes

What outdoor shelter will be provided for cold/wet weather?

Do you currently have other pets? Required

Yes

If yes, how many, what species, breed, sex and age?

Are you aware of how to introduce a new animal to other pets in your household?

Yes

Have you previously had pets?

Yes

If yes, what is their current situation or history?

Are you or any of your family members in the household allergic to any animals? Required

Yes

How many hours a day with the pet typically be left alone? Required

Where will the pet by kept while he or she is alone? Required

When you travel, who will be responsible for the pet's care in your absence Required

Where will the pet sleep at night? Required

Will he or she wear an identification collar? Required

Yes

Do you plan to license this pet?

Yes

Are you prepared to provide necessary veterinary care for this pet? Required

Yes

Do you currently have a veterinarian? Required

Yes

If yes, who will be the veterinarian for the pet you wish to adopt?

If you know, what brand of food do you plan to feed this pet?

How often will you exercise this dog and what type of exercise? Required

Are you aware that dogs must almost always be leashed in public? Required

Yes

Do you intend to keep this dog on a leash whenever he or she is beyond the confines of your property, unless you are at a dog park where off-leash dogs are acceptable?

Yes

What type of control (collar, harness, leash) will you provide? Required

Are you prepared to provide appropriate obedience and behavioral training for this dog? Required

Yes

If you should move, what would happen to the pet? Required

If you should predecease this pet, what provisions do you have for its care?

I am aware that if the pet does not work out in my home, I may relinquish the pet back to The Ark and that if the pet is returned later than 2 weeks from the adoption date my adoption fees will be considered a donation to The Ark of San Juan? Required

Yes

Why do you want a pet? Required

Why did you choose this particular pet?

Comments

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The Ark of San Juan Animal Rescue

P.O. Box 117
San Juan Capistrano, CA 92693
Tel: 949-388-0034
[email protected]

By submitting this form, I state that:

I have read and completed this form, and all of the information given in this application is true and complete.

I agree to follow all rules, regulations and procedures of The Ark of San Juan and to comply with all instructions given. I fully understand the responsibility of adopting this dog.

"The greatness of a nation can be judged by the way its animals are treated." Mahatma Gandhi

The Ark of San Juan
P.O. Box 117
San Juan Capistrano, CA 92693

Tel: 949-388-0034
Email: [email protected]