Adoption application

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Adoption Application

Application to adopt an animal from
A Dog's Journey Animal Rescue

ABOUT YOU and YOUR FAMILY

* Indicates required field

Name *

First

Last

Email *

Phone Number *

I live in Utah *

Yes No

Address *

Line 1

Line 2

City

State

Zip Code

Country

Spouse/Partner *

First

Last

Everyone wants this animal *

Yes No Maybe

Ages of people in the same household *

0-5 6-12 13-18 19-25 26-40 41-68

Is anyone in the household allergic to animals? *

Yes No Not Sure

What animal are you interested in adopting? *

Why would you like to adopt this animal? *

Companion for self and family Hiking/Camping Partner Watch Dog Dog Sport Prospect Service Dog Therapy Dog

Choose Any *

Rent Own House Townhome/Condo Apartment/Condo Mobile Home Motor Home

Your Yard *

Fully Fenced Partially Fenced Chain Link Wood/PVC?/Solid 6 feet 4 feet Invisible Fence No Yard Other

Animal Will be Alone for *

0-4 hrs 5-8 hrs 9-12hrs Never/Seldom Doggy Daycare Dog Walker/Hiker

Animal will be outdoors ... *

Seldom Supervised Unsupervised We have a dog door Potty Breaks

This Animal will be ..... *

Indoor Pet Outdoor Pet Indoor/Outdoor Garage

How will you transport this animal *

Back of open truck, tied or crate Dog area in back of my vehicle Front Seat/Back seat Persons Lap In crate inside my vehicle I let dog chose

List any Past and Current Aninmals you have own(ed). Explain if/why they are no longer with you. *

Please List your current Veterinarians Info *

List any Rescues or Breeders you have aquired your current/passed animals from *

How would you discipline the dog? *

What behavioral problems are you willing to help your new dog with? *

Barking Jumping Play biting Digging Shyness Crate Training Potty Training Pulling on Leash Basic Manners Lunging and Barking Chewing Resource Guarding Escaping Yard/Home Mouthing

What energy level are you looking for in a Dog? *

Low Medium High High+

If adopted, describe an average day in your new dogs life?* *

I understand about the adoption fee for the animaI I am interested in *

Yes No (we will contact you)

Submit

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