ONLINE ADOPTION APPLICATION
DogsOnly.org^©

DogsOnly Dog Rescue charges an adoption fee for our dogs which helps to cover the cost of our canine companion's spay/neuter, shots and medical care.  Your kind gift helps rescue another companion and is tax deductible.  Once you submit the form below, the canine companion's case manager will call you within the next two days to go over the application and arrange for you to meet the dog.  You can also use this form if you are interested in fostering for us.  Simply put "foster" in the "Why do you want to adopt a dog" line.  Thanks for considering adoption through DogsOnly.

If you prefer you can print and mail an adoption application. Click here to print an application.

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1. Please provide your contact information:

   Name
   Street
   City
   State	Zip
   Work Phone
   Home Phone
   Cell Phone
   E-mail
   URL

2. Select the companion's name you are considering for adoption.

   Other companion not shown CheyenneEmmaGabrielGertrudeGimpyHoneyLadyMaggieMapleMarleyMayaMollyOakRemusSadieSaltyScooterSigmundSmileyTinkyZorak

   
   

3. Why do you want to adopt this companion dog?

   
   

4. Who will be this companion's primary caretaker?

   
   

5. Is there anyone at home who would be adversely affected by care of dogs (i.e. allergies)?

   Yes No
   

6. Do you live in a:

   House Apartment Condominium Mobile Home
   

7. Do you:

   Own Rent Other
   

8. Landlord's name and phone?

   
   

9. Do you have permission to have a companion dog?

   Yes No n/a
   

10. Do you have a fenced yard?

    Yes No
    

11. Type and height of fence?

    
    

12. Size of yard?

    
    

13. Where would your companion be kept during the day?

    
    

14. Where would this companion be kept at night?

    
    

15. Will this be your first companion dog?

    Yes No
    

16. List all other pets you have, if they have been altered, and if they are on heartworm prevention?

    
    

17. Do your pets get along with other animals?

    Yes No
    

18. If you have had pets in the last 5 years what became of them?

    
    

19. Are ALL your pets up to date on vaccinations?

    Yes No
    

20. May we contact your veterinarian?

    Yes No
    

21. Please provide the name and phone number of your most recent veterinarian?

    
    

22. Number of adults in home:

    1 2 3 4 5 6 7 8
    

23. Number of children in home:

    0 1 2 3 4 5 6 7 8
    

24. Do all members of the household want to adopt this dog?

    Yes No
    

25. How long have you lived at your present location?

    Less than 1 year 1 to 3 years 3 to 5 years More than 5 years
    

26. Do you anticipate moving in the near future?

    Yes No
    

27. Are you willing to make a permanent commitment to this companion dog?

    Yes No
    

28. Comments, questions, or additional information:

    
    

    Thank you