Adoption Application

Adoption Application

First Name:

Last Name:

Address:

City/State/Zip Code

Home Number

Cell Number:

Work Number:

Employer:

Email:

Do you have children/grandchildren?

Marital Status:

How many Family members/roomates/people
living in your home?

Please list all names and ages of all family
members or people living in your home:

Are all members of the household agreeable to
this adoption?

Have you previously owned a dog?

What happened to them?

What traits are you looking for in a dog?

Would you consider attending training classes?

Do you want an inside or outside dog or both?

Where will the dog sleep at night?

Do you own or rent your home?

If you rent Landlords Name/Address/Phone:
(REQUIRED INFORMATION FOR RENTERS)

Do you have a secure fenced yard or kennel?
Electric fencing is not reccomended

Please describe your fence:

If you do not have a yard how do you plan on
keeping him/her exercised?

Under what circumstances would you consider
getting rid of your dog?

Do you currently own any pets?

Are your current pets spayed/neutered?

Please list all your current pets:

Please list the Veterinarian you use and
include phone number and address:

Will someone be home during the day? If not
where will you keep the dog when you are not
home:

If you have children/greandchildren in the
future, what will you do with the dog?

Why do you want a dog?

What dog are you interested in?

Questions, comments, or other information
you would like to add:

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If you are interested in any of the dogs that are available for adoption and would like to adopt, please complete the
form below and submit for review. We require a home check and vet check before an adoption can be
complete. If you have any questions regarding the dog you are interested in please email us at
office@cooperanimalclinic.com.

Once you have submitted your application we will be in touch about meeting with the dog you are interested in.
Thank you for considering adoption.