Adoption Application Form

Adopter’s Name

Co-Adopter’s Name

Phone/Mobile

Address

Address Line 1

Address Line 2

City

State

Zip Code

Country

Pet Name

Which puppy gender are you interested in?

Male

Female

Number of all permanent residents of your household (adults/children)*

Do you currently have any pets?*

Yes

If you currently have pets, please list them below.

Are your current pets altered?

Yes

Will be within the next 30 days, appointment has been scheduled. (We will call your vet to verify this.)

If your current pets are not altered, please explain why below.

Vet reference (please call your vet and give permission to release information to us)

Two Personal References

Are you planning to move in the near future?

Yes

If moving soon, to what city/state?

When will you be ready to pick up your puppy if you get approved?

This weekend

Within a week

Within a month

Not ready yet, just researching

Other

Are you in contact with any other adoption center about a specific dog?

Yes, application is pending

Yes, just an email inquiry, no app yet

No, but I am looking at several dogs online

No, I am only interested in this particular dog

Are you going to meet another dog?

Yes

If so, when?

Is anyone in your home allergic to dogs?

Yes

Does anyone in your home fear dogs?

Yes

Does anyone in your home smoke?

Yes

Are you familiar with dog regulations in your area?

Yes

If you answered no to the question above, please contact your town/county/condo assoc and ask them what the regulations are.

If yes, please describe local dog regulations and restrictions:

I/We live in a

Single Family Home

Duplex/Twin

Condo/Townhome

Trailer

Apartment

Do you rent or own this property?

Rent

Own

Renters, have you contacted your landlord to find out if there’s any restrictions on the kind or size of dog you can have?

Yes

Not yet, but I will

It’s written in our lease

Approximate square footage of your home

Less than 800 square feet

800-1,000 square feet

1,000-1,500 square feet

1,500-2,000 square feet

Over 2,000 square feet

Do you have a yard?

Yard, fenced with a vertical fence

Yard, fenced with invisible fencing

Yard, no fence

No yard (apartment/condo/townhome)

If vertical fence, what is your fence height?

2′ high

3′ high

4′ high

5′ high

6′ high

Approximate dimensions of your lot:

Annual Household Income

Under $20,000

$20,000-$30,000

$30,001-$50,000

$50,001-$70,000

$70,001 or higher

Do you work outside the home?

Yes

One applicant is home/works from home

We work different shifts

If you both work outside the home, how many hours per day are you away?

How many hours per day will this dog be alone? Please explain.

Have you discussed this adoption with all members of your household?

Yes

Yes, adults have discussed it. Kids don’t know yet.

Based on the description and the information you have gotten about the puppy from our website, do you feel pretty confident that you will be likely to adopt this puppy upon meeting it?

Yes

Not sure

Upon meeting the puppy, what would give you cause to not want to adopt it? Please explain.

How much do you feel you can reasonably afford and would be willing to spend on your dog per year (for things like veterinary care, licensing, ID tag, food, toys, crate, other supplies, training, pet sitting, etc)?

What activity/energy level do you prefer?

Wild and crazy is cool

Leash trained daily jogging partner would be excellent

Medium energy, plays a bit then hangs out with you

Low energy, walks slowly on leash, a total couch potato

Other

Please check all that apply. I want to adopt this dog…

Please check all that apply. My adopted dog will…

Please take time to think, be honest with yourself and us when answering this question. What are you absolutely NOT willing to deal with at the time of adoption or at any time during the life of the dog?

What would cause you to return a dog?

What do you feel is a reasonable amount of time for a dog to adjust to life with you/your family?

How do you plan to integrate this dog into your family?

What would you do if you discovered after adoption (at any time during the life of the dog) if your vet diagnosed an expensive health condition?

Do you plan to get pet health insurance?

Yes

I wasn’t aware this was available. I will look into it

What brand of dog food do you plan to feed?

Grooming (please check all that apply)

How long have you been looking for a dog?

Do you plan to take formal obedience classes?

Yes

Additional reference (if desired)

Do you have any additional comments, questions or concerns? Anything else you would like us to know to help match you up to a Dog?

Please read the above, check this box, sign, and click Submit.

I/We have read and understand all of the above.

Applicant’s Signature

Sign Here

I understand that completing this application does not actually guarantee I will be allowed to adopt a dog, and that the application is a tool to help us determine if this puppy and my family are a good fit for each other. I acknowledge that all information provided on this form is true and correct. I understand that any misrepresentations may result in my not being approved and/or the removal of the adopted dog from my possession. I also certify that I have never been convicted of animal cruelty or neglect.

I agree to allow a representative of Ashley’s Great Dane puppies to contact my vet for a reference and also agree to allow a home visit prior to adopting this dog. If I am approved to adopt a dog, I agree to pay a partially refundable reservation fee for paperwork completion and hand-sign an adoption contract at the time of adoption/visit. The rest of the adoption fee is paid in cash prior to pick up.

I understand that all puppies adopted from Ashley’s Great Dane puppies will be spayed/neutered, heartworm tested, fecal tested, and vaccinated prior to adoption.

Date / Time

Note: After you submit this form, you will be redirected to Ashley’s Great Dane Puppies home page. Feel free to write us with any questions:

Renters: Please send a copy of the pet section of your lease or a landlord pet permission letter to the email address above.

Ashley’s Great Dane puppies have the right to reject any application based on information obtained during this screening process. Please understand that our primary goal is the health, happiness, and safety of our puppies.