Name of Dog you are interested in:
Name
*
First Name
Last Name
Address
Address 1
Address 2
City
State/Province
Zip/Postal Code
Country
Phone
*
(###)
###
####
Age of adopter:
*
Social Media Usernames:
Email
*
Do you (check one)
*
How long have you lived here?
Type of home:
*
House
Apartment
Condo
Townhouse
Other
If renting, are pets allowed and do you have the landlord’s express consent to have a pet?
Adopters occupation:
*
If you are unemployed, what is your source of income?
I am looking to adopt a rescue animal because
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How did you hear about Underdog Heroes and our adoption program?
*
Would anything make you give up your new adopted pet? If so, what?
*
If any, please list the names of any other adult occupants in your household and their relationship to you:
If any, please list the names and ages of any children in your household:
How would you describe your household (check any that apply)?
*
If any, please list the type (and breed), age and sex of any current animals living in your household:
*
Tell us more about your current dog(s) (if applicable):
What is your dog(s) energy level?
Are they playful, laid back, both?
How are they when meeting other dogs (excited, take a while to warm up, don't really care)?
Have they ever lived with another dog?
Are they around other dogs aside from the ones they live with or have lived with?
(Please answer all questions in detail below)
How long have you owned them and how did you obtain them?
List dog breeds you have experience with:
Are these pets up to date on vaccines?
If not, why?
Are these pets spayed/neutered?
If not, why?
Are there more than 2 flights of stairs that the animal would have to use on a daily basis?
How would you prepare and safeguard your home for your new pet including doors and gates to prevent escape?
*
Do you have backyard yard?
If yes, is it completely fenced in?
Do you have a swimming pool?
If yes, is it fenced/gated?
Where will your new adopted pet spend the day? Will they have access to outside facilities? (describe)
*
Where will your new adopted pet spend the night? Where will they sleep? (describe)
*
Number of hours (average) your new adopted pet will spend alone?
*
Where will your dog spend their time when no one is home?
Other (Please explain)
How will you help your new dog decompress upon arrival?
*
Have you ever had a pet that had behavioral issues and/or got into a fight?
*
Would you invest in a trainer that deals with aggression/behavioral problems if necessary?
*
How often did/do you walk your dog?
Have you ever surrendered a pet?
*
If yes, why?
Do you have a regular veterinarian?
*
Veterinarian information--- Please provide the Clinic's Name, Address and Phone Number:
(By providing us with this information you are allowing us to call your vet. Please inform them
and ask them to authorize the release of information to Underdog Heroes)
Who will have primary responsibility for daily care?
*
Who will have financial responsibility for this new pet?
*
How often do you travel and who will take care of your new adopted pet when you are away?
*
Are you planning to move within the next 12 months?
*
What would happen to your new adopted pet if you moved locally, out of state or out of the country?
*
What would you do if your new adopted pet escaped from your home?
*
Are you willing to let a UHR representative visit your home by appointment and or willing to participate in a facetime home check?
*
Signature of applicant
*
Typing your name on signature line will be considered a legally binding electronic signature.
First Name
Last Name
Date
*
MM
DD
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