Dog Adopt App

Dog

ADOPTION Application

Name: Enter Name

Email: Enter Email

Home Address: Enter Address

City: Enter City

State: Enter State

Zip code: Enter Zip

Submitting Form...

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Form received.

Cell Phone: Enter Phone Number

Dog(s) you are interested in adopting (Name/Description): Enter Text

Which best describes your type of residence?

Apartment

House

Do you own or rent?

Own

Rent

Have you made arrangements for your dog in the event of your illness or death? Enter Text

Have you experienced any difficulties with your current companion animals in terms of health or behavior?If yes, please describe: Enter Text

References: Please provide us with three references, their phone numbers, emails addresses, and their relationship to you. One of the references must not be related to you. All applicants are required to list references and we cannot process applications without them: Enter Text

Enter Text

Date of birth: Enter Text

Are pets permitted in your building? Enter Text

Do you have plans to move in the near future?If yes, please explain: Enter Text

When no one is home, where will the dog be kept? Enter Text

How many hours per day will the dog/puppy be left alone? Enter Text

How long with this employer? Enter Text

If you are moving and the place you were considering didn’t allow pets, what would you do? Enter Text

Did you know that dogs can live 10 to 15 years? Enter Text

Are you willing to make such a long-term commitment? Enter Text

For couples: If you are separated or divorced what would you have planned for your pets? Enter Text

For singles: If you enter a relationship with someone who is allergic or does not like dogs, what will you do? Enter Text

Who will be responsible for the new dog? Enter Text

Do you have a spouse, partner, roommate, or children living at your home?Please list their names and ages: Enter Text

If everyone in the household in agreement with adopting a dog? Enter Text

Is anyone allergic to dogs or other animals in the household? Enter Text

If yes, for how long: Enter Text

Have you had pets before?If yes, specify: Enter Text

Where are they now? Enter Text

Have you ever given a companion animal away to a shelter or a rescue group, returned the animal to a shelter or a breeder? Enter Text

Are current pets spayed or neutered?If not, why not? Enter Text

Are there pets in the home now?If yes, what kind? Enter Text

Was your last dog obedience trained? Enter Text

Are your current pets up to date on vaccinations? Enter Text

Do you currently have a veterinarian?If yes, please provide the name of the vet practice and phone number: Enter Text

Are you willing to bring your companion animal to a veterinarian for yearly exams, and for vaccinations as per your veterinarian's recommendations? Enter Text

Are you willing to give the dog reasonable amount of time to adjust to your home (1-2 months)? Enter Text

What precautions will you take to properly introduce a new dog into your home if you have other animals? Enter Text

What will you do if the new dog does not get along with your present animals? Enter Text

Why do you want to adopt a dog? Enter Text

If a disciplinary or behavior problem arises, what steps will you take to work on it? Enter Text

Please share any bad doggy habits that you can NOT tolerate: Enter Text

In the event of an emergency, who would care for the dog and what arrangements would you make? Enter Text

When will you be ready to adopt? Enter Text

Employer: Enter Text

Employer Phone Number: Enter Text

Occupation: Enter Text

Can Empty Cages Collective contact you in the future for reports on the dog that you adopted from us? Enter Text

If this adoption does not work out, do you agree to return the dog/puppy to Empty Cages Collective only? Enter Text

What will the dog’s living situation be like?

Dog will live inside with family as a pet and family member

Dog will live mainly inside, but will have access to outdoors

Dog will live outdoors nearly all the time

Does your job require extensive travel? Enter Text

If yes, who will take care of your pets while you’re gone? Enter Text

Are you able and willing to exercise the dog on a regular basis? Enter Text

If yes, method of exercise? Enter Text

Where will the dog be during the day? Enter Text

Where will the dog be at night? Enter Text

How much are you willing to spend on medical bills for your dog?

Up to 100 dollars

Up to 500 dollars

Up to 1,0000 dollars

Up to 5,000 dollars

Whatever it takes

What would you do if the vet bills went over this amount? Enter Text

How long have you lived at this address? Enter Text

Do you have time for a dog?

Dogs need you to take care of them even when you are busy, tired, sick, and otherwise inconvenienced. Many of our dogs have ended up in a rescue home because their previous guardians did not take the time commitment seriously.

Are you prepared to deal with special problems that dogs can bring?

Flea infestations, scratched-up furniture and doors, bathroom accidents from animals who are not yet housetrained, holes in the yard and gardens, and unexpected medical emergencies are unfortunate but common aspects of lives with dogs.

Is it a good time for you to adopt a dog?

If you have small children less than six years old, or have any of these things occurring or might occur within the next six months, you may want to wait to adopt: marriage, divorce, move, death in the family, new job, lost job, etc. If you travel frequently or serve in the military, a dog might not be the best match. These are all common reasons why people bring in and surrender their dogs to shelters. Having a stable, settled lifestyle is best for dogs.

Will you be responsible?

Dogs depend on their people for everything. You need to be able to provide the things they require every day of every year for the rest for their lives. This is a big responsibility.

Are you prepared to keep and care for the pet for the rest of his or her life?

These dogs have already been given up once. It is our commitment to place them in safe, loving, forever-homes.

HISTORY WITH PETS

DOG INFORMATION

EMPLOYMENT INFORMATION

READ THIS BEFORE HITTING SUBMIT

Before you click submit, please note that ALL the questions on the adoption application must be answered, in order for it to submit. We recommend scrolling trough your application after you finish the questionnaire, so you can make sure that here are no red highlighted question boxes.

Once you have submitted the application, an ECC representative will contact you as soon as possible to confirm the receipt. If we do not do so within a day, your application may have not submitted.

If we have not yet communicated via email (adopt@emptycagescollective.org and info@emptycagescollective.org), in regards to your present adoption application, please send us an email, letting us know of your adoption interest, so we may follow up with detailed information regarding said adoption.

Thank you for your interest in adopting a dog or puppy from Empty Cage Collective. The dogs available for adoption have been rescued from abandonment, abuse, neglect and other forms of cruelty. We want to ensure that the dog(s) you are adopting receive life-long care, as well as compassionate and respectful treatment. We want to ensure that the best possible home is found for the animals that have been entrusted into our care.

Things to Consider:

The fact that you are looking at rescue dogs is a wonderful thing! It is definitely the responsible, caring thing to do. But one should consider a few important things before filling out the adoption application: