Dog's name you are interested in?
Urban or rural location?
Do you own or rent your home?
If renting, do you have permission to have a pet?
YesNoI don't know
If renting, please provide your landlord's information.
How long have you lived at your current address?
Are you moving soon?
Do you have a fenced yard?
YesNoPlan to get one
List all household members with ages. (including self)
Any household members allergic to animals?
Who would be the primary caretaker?
Explain why you want a dog.
Do all family members want a new dog?
YesNoI don't know
If no, please explain.
Is this your first dog?
What do you know about dogs?
How do you feel about muddy footprints on carpet or bedspreads?
Will you obedience train?
Your new dog needs to get along with what kinds of animals?
Where will your dog stay during the day?
Where will your dog stay during the night?
How long will your dog be alone during the ave. day?
Where will your dog stay when no one is home?
What activities will you share with your dog?
Are you familiar with crate training?
Do you own a crate? If so, what size and type? When would you use the crate?
What kinds of arrangements will be made during extended absences?
List all animals in your house and if sterilized.
Are their inoculations current?
Do any of your current animals have medical conditions? (Describe)
If you have a dog, does your dog receive heartworm prevention?
Are your current dogs on flea/tick preventatives?
Describe previous pets you have owned, how long they lived, and what ultimately happened to them.
Have you ever given up a pet? If yes, please explain.
You would consider giving up your pet if:
If you were unable to care for your pets, what arrangements have you made?
Are you prepared for the expenses of having a dog for the next 10-15 years?
Please provide your veterinary contact information.
Please provide two references (name, address, phone).
Do you understand that if an adopter cannot keep their dog, it must be returned to either MFOA or the Maumelle Animal Shelter?
Individuals who adopt from MFOA or the Maumelle Animal Shelter are contacted periodically for an update to help ensure that the animal successfully adjusts to their new life. If you adopt an animal from either Maumelle Animal Shelter or MFOA, do you consent to home visits after the adoption?
Any other information about you to consider?