Rehoming Application

Your name: *

Email *

Secondary Email

Phone *

Your dog's name:

Where did you hear about us?

Why are you looking for a new home for your dog?

Your Spouse's/Partner's Full Name (first and last):

Street Address:

City:

State:

Zip Code:

Alternate Phone

Are you 21 years of age or older?

Yes

Your dog's breed:

Your dog's size:

Large,medium,small; weight

Your dog's age:

Your dog's sex:

male/female neutered/spayed

Who is your current veterinarian?

Current veterinarian's phone number?

When you are in the house, where is the dog allowed to be?

When no one is in the house, where do you leave the dog?

Does your dog have any current medical problems?

(Please describe and note if treatment has been attempted.)

Has your dog had any previous medical problems?

(Please describe and note what treatment was used.)

Does your dog have any current behavioral/emotional problems?

(Please note what has been tried in an attempt to address the problem.)

Has your dog had any past behavioral or emotional problems?

(Was the issue resolved and how?)

Has your dog ever bitten another dog?

(If YES, please describe the situation and / or circumstances in detail.)

Has your dog ever bitten a human (adult or child)?

(If YES, please describe the situation and circumstances in detail.)

Is your dog an "Escape Artist"?

Yes

(Meaning will your dog run out the door or run off if given the chance?)

Does your dog have any obedience training?

(If YES, please describe)

Where does your dog sleep?

By submitting the Rehoming Application,

I am certifying that:

I am at least 21 years of age.
I am the legal owner and the responsible person for the care and well-being of this dog.

The above application MUST be fully completed to be accepted.

IF you DO NOT receive a response within FIVE days, please contact us again!

If you are human, leave this field blank.

Please notice

When you submit your application you will receive a success page. If you are redirected to the top of this page you need to check for an overlooked error and correct it before the application will be sent.

After completing this form, please also work on the biography for your dog. Here is the accepted format for a dog biography

Rehoming Application

By submitting the Rehoming Application,

The above application MUST be fully completed to be accepted.

Adoptable Dogs Gallery