Adoption Application

Please check your appropriate age category: *

Names and Ages of ANY other people living in your home or sharing your fenced yard: *

Veterinarian (Name, Address, Phone, Email) *

Personal Reference: Please list the nature of the relationship, phone number and email of two references

Tell us about your household and why you chose to adopt a Size Small Dog: *

Do you have a yard that is fenced securely enough to contain a Size Small Dog? *

Yes No

If not, how do you plan to exercise your dog and allow them to eliminate outdoors? *

Do you have children? If so, what are their ages? How do they relate to dogs? *

What type of dwelling do you live in? (condo, apartment, house, etc) *

Do you share your dwelling with other tenants or do you share the use of the yard or other outdoor space? *

If you rent, does your landlord allow you to have pets? (Please attach a letter of consent from your landlord with your application which can be found at the bottom of this application) *

Will you consider any Size Small Dog (different from age, size or gender preference indicated above) that comes into rescue? *

Yes No

Are you willing to allow a volunteer of Size Small Dog Rescue to come to your house for a home check? *

Yes No

Adoption fees are $280. When adopted, a Size Small dog has been examined by a Vet, spayed or neutered (puppies under 9 months are adopted on a spay/neuter contract with an additional $100 refundable deposit), fully vaccinated on age appropriate vaccines at the time of adoption, and microchipped. Many times our expenses can exceed the adoption fees.

I, the undersigned, hereby certify that all statements made herein make full disclosure and are true. Should there be any change in t seehe circumstances as stated above, I undertake to notify Size Small Dog Rescue as soon as possible

Adoption Appplication

Adoption Application