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Dog You Are Interested In:
First and Last Name:
Address Line 2
District of Columbia
Armed Forces Americas
Armed Forces Europe
Armed Forces Pacific
Type of dwelling (Apartment, single family residence, duplex, townhome, condo, loft, etc?)
Live at Home
If you rent: Are pets allowed?
Does your landlord require a security deposit?
(proof of payment required before the adoption can be completed)
Length of time at current residence?
If less than one year at current residence, please provide previous address:
Length of time at previous residence?
1 to 3 years
3 to 5 years
5 or more years
Do both adults work outside the home?
Number of adults in the home:
Number of children in the home and ages:
Do you currently have other dogs or cats?
If yes, please give names, breeds and ages, as well as any other relevant information about the pet: (Type N/A if not applicable.)
If you have current pets, are they spayed/neutered?
If no, please explain as it is a requirement for approved adoption applications: (Type N/A if not applicable.)
If you don’t currently own a pet, have you owned one in the past?
If yes, please explain why the pet is no longer with you: (Type N/A if not applicable.)
Name/address/phone # for current veterinarian (To check current pet records.) or veterinarian that you plan to use (if you don’t have a current pet.)
Where will your pet stay during the day?
Where will your pet stay at night?
If you are adopting a cat/kitten are you planning to have it declawed?
Why do you wish to adopt this type of animal?
As a gift for someone
If you selected other above, please specify:
I certify that the information given on this application is true and correct. If I am approved to adopt an animal, I agree to all the above requirements. I understand that failure to comply with any of the requirements will result in confiscation of adopted animal.
This field is for validation purposes and should be left unchanged.
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