Dog Name*Provide us with the dog(s) you are interested in adopting.Name* First Last Email* Enter Email Confirm Email Address* Street Address City ZIP Code Contact Phone*Where do you live?*HouseApartmentCondoDuplexDo you rent or own?*RentOwnLandlord Contact DetailsDo you smoke inside your home?*DailyWeeklyRarelyNeverIs your yard fenced?*YesNoOutside Containment PlanWill your animal be left outside unattended?*YesNo, except to go to the bathroomAre there children in your family? If so, please list ages.Do you have any other pets? If so, please list breed, age, and if they are UTD on shots and neutered/spayed.Have you owned any pets in the past 5 years that are no longer in your possession? If so, please explain why they are no longer with your family.Where will the animal sleep at night?*How many hours on average will the animal be left alone each day?*Will this animal live...*Indoors Only (except when outside to play/potty)Predominantly outdoorsCombinationIf you selected "Combination" above, please explain.How often do you plan on walking this animal?*Multiple times per dayOnce per day3-5 times/weekRarelyWhat are you looking for in an animal? Check all that apply.* Independence Dependence Lap Dog Exercise Partner Watch Dog Kid Friendly Energetic Lazy Playful Serious Sidekick Which characteristics would you not tolerate in an animal? Check all that apply* Not housebroken right away Dog aggressive Cat aggressive Too hyper Digger Fence jumper Barker Drooler Protective over foot/toys Not housebroken after training If your animal displayed one of these traits, what would you do?*Consult a behavioristConsult a vetWork through itSurrender back to rescueWhat is the best way to correct your animal's mistakes? *Swat on the buttYell 'No'!Redirect the behaviorIgnore, but praise when he/she does something goodKennel him/her when he/she is badPlease list 2 references with email addresses or phone numbers if no email access (not family members). * Email preferred.*If you currently have animals or recently had an animal, please list your vet's name and number and email address if possible. If you do not have a vet, please list the vet you plan to use.*Under what circumstances would you return an animal to the rescue?* Moving across state/into an apartment, etc. Lost job/can no longer afford Behavioral issues (i.e. dog aggression, etc.) Health issues (i.e. hip dysplesia) Having kids Gets too big, etc. Under no circumstance This iframe contains the logic required to handle Ajax powered Gravity Forms.