Adoption Application (Previous)

About You and Your Household

* Indicates required field

Name *

First

Last

Address *

Line 1

Line 2

City

State

Zip Code

Country

Cell Phone Number *

Alternate Phone Number (cell or landline) *

Email *

Name of the Dog(s) You Are Interested In: *

Your Age (applicants must be at least 23 years old) *

How would you describe your household activity level? *

Your Occupation/Place of Employment *

How many adults live in your home? *

Name of other adults in home (1) *

First

Last

Name of additional adults in the home (2) *

First

Last

Occupation/place of employment of others in the home *

Are you/your spouse in the military? *

How many children (under age 18) live in the home? What are their ages? *

How many children (under age 18) visit your home on a regular basis? Age? (This may include grandchildren, relatives, neighbors, etc.. *

Does anyone in your family have an allergy to dogs? *

Does anyone in the home have medical conditions or physical limitations that might cause difficulty in living with or caring for a pet? If yes, please explain. *

Dwelling Type *

Who's name(s) is on the lease or listed as property owner(s)? *

How long have you lived at this address? *

Do you *

If you rent or lease or have HMO restrictions, what is the pet policy? Put NA if this not applicable. *

Do you have a fenced-in yard? Please select the most appropriate response. *

How did you hear about The Maggie Society? *

Do you know anyone associated with The Maggie Society? If so, who? *

About Your Current and Previous Pets

What kinds of pets do you have currently? Include NAME, age, sex, and breed. *

Tell about the living arrangements for your current or previous pets. How much time do they spend outside during the day? Where do they sleep at night? *

How will your other pets adjust to a new dog entering the household? *

What kind of pets have you had in the past? If dog is deceased, please provide dog(s) name for vet records. If this is your first dog as an adult, please indicate here. *

If this is your FIRST DOG, tell us about YOU! *

CURRENT or PREVIOUS Vet Clinic; Include Address. IF FIRST DOG, what vet clinic do you plan to you use? *

Phone number of CURRENT, PREVIOUS, OR FUTURE veterinary clinic. NA if not applicable. *

We do contact the vet's office to confirm spay/neuter, consistent heartworm prevention, and up to date vaccines. Please contact your vet's office to release this information to The Maggie Society's application processor.

Have your current pets been spayed/neutered? *

Are your current pets up-to-date on core vaccines (including: DHPP and Rabies)? *

Are your dogs kept up-to-date on monthly heartworm prevention or Proheart Injections? *

Where do you purchase heartworm prevention? *

What brand of heartworm prevention is used? *

Have you ever trained a dog? *

What methods of correcting mistakes were used? *

What happened to the pets you no longer have? *

Have you ever had a pet euthanized? If yes, please explain. *

Have you ever turned a pet in to a shelter? If yes, please explain. *

About Your New Dog

Why do you want a new dog? *

What size dog (as an adult dog) do you prefer? (under 20 lbs, 21-40 lbs, 41-65 lbs, 66 or larger) *

What breed of dog do you prefer? (Please keep in mind that most rescued dogs are not purebred.) *

Would you be willing to accept another breed? *

Which sex do you prefer? *

What age dog or puppy are you willing to accept? *

Describe in detail the personality/energy level of the dog that you are looking for. *

What methods of exercise will the dog get on a regular basis? *

Would you consider adopting a dog that will need regular grooming? *

Would you consider a dog with special needs or physical restrictions? *

When you go away for a few days or on vacation, what arrangements will be made for your dog's care? *

Will you consider signing up for obedience classes? (Usually best to start 3 to 4 weeks after your dog has come home with you and has had time to bond with the person and/or family.) *

Do you intend to keep the dog primarily indoors, living as part of your family, or as an outside dog? *

Other - Please explain *

Where will the dog spend the day? *

Where will the dog spend the night? *

Who will have the primary responsibility for the daily care and well-being of your dog? (Feeding, Grooming, Medicals, Etc.)? *

Are you familiar with crate training? *

If your new dog/puppy is not house-broken, what methods will you use? *

How many hours per day will the dog go between potty breaks? *

Will there be times when the dog will be unattended in the yard? If yes, please explain. *

Will the dog spend any time in the garage? If yes, please explain. *

Would you allow the dog to ride in the back of a pickup truck? If yes, please explain. *

Are there ever times when the dog would be tied up? If yes, please explain. *

If you move, will you take the dog with you? *

Are you planning to move in the near future? *

We often use Facebook Messenger group threads to communicate with our new adopters and provide ongoing support. If you are on Facebook, how are you listed? *

If you become unable to care for your dog, what provision will you make for them? Please explain. *

Please provide any additional information you feel will help us find the right dog for you. *

Would you be willing to have a rescue representative visit you in your home? *

Agreement

I understand that I am committing to ownership for the lifetime of the dog, in sickness and in health. However, if circumstances prevent me from keeping the dog, I will return to the care of The Maggie Society. (Other arrangements may be an option, pending approval by the Maggie Society Board of Directors.) *

I agree

I understand that when adopting a dog from the Maggie Society, I am committing to regular vet care for my pet. I will be responsible for annual check-ups to include heartworm testing, distemper/parvo and rabies booster, and other reasonable recommendations from my vet. I also understand that I am required to keep my dog on a vet-prescribed heartworm prevention as well as flea/tick prevention. *

I understand that the adoption fee of $375 paid to The Maggie Society is non-refundable. *

I understand

Submit My Application

About You and Your Household

About Your Current and Previous Pets

We do contact the vet's office to confirm spay/neuter, consistent heartworm prevention, and up to date vaccines. Please contact your vet's office to release this information to The Maggie Society's application processor.

About Your New Dog

Agreement

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