Our adoption process is:

 home check, 5 days trial period,
contract and adoption fee(donation) average is $250~$500 . 
Our dogs are spayed/neutered, current on shots, 
microchipped , dental (if need), 
fecal test , health certificate and placed for compatibility
 in adoptive homes for a life time commitment 
and as house pets only.

Adoption Application

                    WE DO NOT SHIP DOGS OUT OF STATE.

          Filling out an application does not guarantee an adoption.

1 Date
2 Name of dog you are interested in
PERSONAL INFORMATION
3 Your Name:
4 Age(should be over 23)
5 Address
6 City
7 State
8 Zip
9 Email Address:
10 Home Phone
11 Cell Phone
12 Occupation,Company/Bussiness Name, How long?
FAMILY INFORMATION
13 Are you married
single
divorced
engaged
14 Reference,name,relation and phone#
15 Please list names,ages,relation and occupation of all the adults(over 19) in your household.
16 Please list names and ages of your children(under 18).
17 If no children, do children(under 18) visit? ages? how often?
18 Your household activity/noise level is
19 Is anyone allergic to pets in your household? Yes
No
20 If yes, what animal? Dog
Cat
Others
Not sure
21 Are ALL members of your household aware of and in agreement with this adoption? Yes
No
HOME INFORMATION
22 What type of home do you have?
23 Do you own
rent
24 If you rent, does your lease allow pets? Yes
No
25 Landlord's Name / Phone#
26 How long have you lived at this address?
27 Do you have front yard only
back yard only
front and back yards
patio,deck
other
28 Type of your front yard/patio fence
29 FULLY enclosed? Yes
No
30 How high is the fence (in feet)?
31 Type of your back yard fence
32 FULLY enclosed? Yes
No
33 How high is the fence(in feet)?
34 Is there any way for a dog to dig out or escape? Yes
No
35 If yes, are you ready to take care of the issue ASAP? Yes
No
36 Do you have a pool? Yes
No
37 If yes, is there a fence around it? Yes
No
38 How high is the fence (in feet)?
ADOPTION INFORMATION
39 What characteristics are you looking for in a dog?
40 Where will your pet be kept during the day? Indoors
Outdoors
Other
41 Where will the dog sleep at night?
42 How long will you walk with your dog each day?
43 Are you going to take your dog to Dog Park? Yes
No
44 How long will your dog be left alone?
45 When your dog is alone, how will it be kept?
46 Who will take care of your dog/s when you go on vacation?
ABOUT YOUR CURRENT PETS
47 Do you currently own any dogs? No
1
2
3
more
48 Name,Breed,Sex,Age,Weight,Fixed?
49 Do you own any other pets? Yes
No
50 What kind and how many?(required)
51 Who is your current Veterinarian?
PET HISTORY
52 As an adult, have you ever had a dog before? Yes
No
53 Breed/ How long?/ Deceased?/ If alive, where now and why?
TRAINING AND BEHAVIOR
54 Which of the following behaviors or characteristics present a problem for you?
55 How do you plan to handle these issues?
56 Do you leash your dog when you walk? Always
Sometimes
No,I don't like it.
RESPONSIBILITY
57 Who will take your dog if it outlives you? Name/Phone
58 If you are no longer able to keep the dog you adopt, do you agree that you must return the dog to Doggies 911 Rescue? Yes
No
59 Are you prepared to make a commintment of 10-18 years to this dog? Yes
No
60 Tell us any additional information about you and your family.

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