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Adoption Application

We are located in Bradenton, Florida and DO NOT ADOPT OUT-OF-STATE. We strive to keep our rescues in the Central Florida area.

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Adoption Application

Which UnderDog are you interested in adopting?*

Contact Info

Name*

First Last

Email*

Address*

Street Address City State ZIP Code

Phone*

Age*

Please list other people in your household: names, age and relationship.*

Who is the primary caretaker of the dog?*

What types of personalities do you find desirable in a dog?*

Is everyone in the household agreeable to a new dog?*

Yes

No

Does anyone in our household have allergies or Asthma?*

Yes

No

If you have visitors, do you have a way to separate your dog from them if it is uncomfortable?*

Your Home

Do you have a pool?*

Yes

No

How do you secure your dogs from the pool?

Do you live on a canal?*

Yes

No

Do you have a securely fenced yard?*

Yes

No

If yes, what type? Wood or chain link? What height?

Does your home have a doggie door?*

Yes

No

If you do not have a yard, how do you plan to exercise the dog?

Type of Residence*

House-own

House-rent

Apartment/Condo-own

Apartment/Condo-rent

Mobile Home

Other

If you rent, please give your landlord's name and phone number:

Do you live in a deed restricted area?*

Yes

No

Your Lifestyle

Occupation(s)*

How many hours a day would the dog be alone?*

0-2 hours

2-4 hours

4-6 hours

over 6 hours

While you are away, will the dog be kept in a crate?*

Yes

No

Where will the dog be kept while you are at home?*

Where specifically will the new dog be kept during the day?*

Where will the new dog sleep at night?*

Do you feel it is acceptable to let your dog off-leash in an open area?*

Yes

No

Have you ever house-trained a dog before?*

Yes

No

If yes, what method did you use?

Are you willing to:

Crate-train

Adopt a bonded pair

Adopt a dog needing house-training

Adopt a dog requiring ongoing meds

Adopt a dog NOT reliable with children

Adopt a dog that is handicapped or blind

Adopt a dog that may have been abused

Adopt a dog that may/will need professional training

Current/Previous Pets

Current pets name, breed, age:

Previous pets name, breed, age:

What happened to your previous pets?

Do you keep your pets indoors our outdoors?*

Indoors

Outdoors

Do you keep your pets on heartworm preventative?*

Yes

No

Are your pets up-to-date on their vaccines?*

Yes

No

Will your pets accept a new dog into the household?

Yes

No

Please provide your veterinarian's name, specialty vet(s), or shot clinic(s) that you attended.*

If applicable, please provide the above mentioned veterinarian(s) phone number(s).*

If applicable, please provide your FORMER veterinarian's name.

If applicable, please provide your FORMER veterinarian's phone number.

Is the pet listed under your name? If not who's name?*

Additional Comments

200

Is there anything else you would like to add or that we should know about you to find you an appropriate match?

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