I'm interested in the following dog(s):
Co-Applicant Information:
Who will be living with the dog(s)?
How did you hear about this dog?
What qualities are you looking for in a new dog? *
If renting, please provide the Landlord/Property Owner's name and phone number for verification:
How many people live in the home?
List 5 words which describe your household: *
Who will be responsible for the medical care, food, and supplies for this dog? *
Do you have a completely fenced yard?*
What type and what height is the fencing?*
Does your area have breed specific legislation that would prohibit you from legally housing this breed of dog?
Is anyone in the household allergic to animals?
Are there children in your home?
Will there be children regularly visiting your home?
Where will the dog sleep? *
How many hours per day will the dog be left alone?*
When left home alone, where will the dog be kept?*
How will you exercise the dog?*
Will you take this dog to a dog park?*
Will you have them off leash at any time?*
Do you have other dogs currently?*
If yes, please provide age, if spayed/neutered, and temperament/personality:
Do you have other types of animals?*
Have you owned pets in the past?*
If yes, what types and where are they now?
Have you ever given up a pet to a rescue organization or animal shelter?*
If yes, describe the circumstances:
What provisions would be made for your dog if you had to move?*
Under what circumstances would you NOT keep your dog?*
If your dog became destructive or developed behavioral issues, how would you correct it or what would you do to resolve the issue?*
Why do you feel you are the right home for this dog?*
If you are adopting a pit bull, why did you choose this type of dog and do you have experience with
pitties?
Who is your current Veterinarian?
Have you ever been arrested for cruelty to animals?*
By submitting this application, you agree that I understand that dogs placed by Camano Animal Shelter Association or C.A.S.A., have been acquired, fed, boarded, spayed or neutered, microchipped, and received necessary medical care and vaccinations at the expense of C.A.S.A. I understand that I will be asked to pay an adoption fee to C.A.S.A. as part of the adoption process.
I have answered all the above questions truthfully and to the best of my knowledge. I understand that if, for any reason, I can no longer care for or keep this dog, I must bring it back to C.A.S.A. during business hours and I
will sign all necessary paperwork in order to do so.
I do understand that C.A.S.A. and its staff members reserve the right to deny my application for any reason whatsoever, including but not limited to, false or untrue adoption application information.
