Dog's name and/or type of dog you are interested in adopting*

About you

** It is best to fill out an application the week that you are ready to bring a dog home. Our site changes every few days with dogs availability. Please fill out the application when you are actually ready to adopt and check our site to give us a list of names of your potential interests at that time. **

Name*

First Last

Address*

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code

Email*

Main Phone #*

What type of phone is this?*

Secondary Phone

Optional

Occupation

Your Age Range*

About your home

How many adults live in your home?*

Who will be the primary caregiver?*

How many children live in your home?*

What are their ages?

Do you or anyone else in your household have pet allergies?*

Yes
No

Do you live in a house or apartment?*

Do you own or rent?*

Own
Rent

IF RENT, PLEASE HAVE YOUR LANDLORD’S PERMISSION TO ADOPT A DOG.

If you rent, do you have your landlord's permission to own a dog?

Yes
No

Are there any breed or weight restrictions?

Yes
No

Please explain the breed or weight restrictions at your rental property

Your yard

Do you have a yard?*

Yes, I have a yard
No, I do not have a yard

What is the lowest height of your fence?

Is the yard totally enclosed?

Yes
No

Is the fence/gate kept locked?

Yes
No

Do you have a pool?

Yes
No

Is the pool fenced separately?

Yes
No

Do you have a doggie door?*

Yes
No

Have you recently checked the entire perimeter of the fence to ensure that a dog cannot escape?*

Yes
No

LOOK FOR SOFT DIRT TO DIG UNDER, BARS SPACED TOO FAR APART, etc

Can you ensure that your gardener, housekeeper, etc will not let the dog out of the yard?*

Yes
No

Your current pets

Do you have any other pets?*

Yes
No

Please list their breed and age and if they live indoors or outdoors

When & how did you acquire each pet? (please be specific)

Are your pets up to date on their vaccinations?

Yes
No

Are your pets neutered/spayed?

Yes
No
Other (please explain)

Are your pets neutered/spayed- explain other.

Your pet history

Have you ever owned a pet before that you no longer have?*

Yes
No

Please list their breed and if they lived indoors or outdoors

Please explain what happened to them.

Eg. Passed away, were given away to family, taken to a shelter, ran away, etc.

Your future dog

How many hours will the dog be left alone on a typical weekday?*

Please enter a value between 0 and 24.

Where will the dog be when you’re gone?*

Indoors (loose)
Indoors (in one room)
Laundry room
Crated
Balcony/patio
Tied up
Yard
Dog-run
Garage

Check all that apply

Will any place be off-limits for the dog when you are home? (i.e.- furniture, bedrooms, etc)*

Where will the dog sleep at night? (please be specific - eg. garage, kitchen, etc)*

How will you train this dog?*

Check all that apply

What will the dog's diet consist of? (please include brand names, etc)*

Under what circumstances would you consider giving up this dog?*

Check all that apply

Why are you adopting a dog?

Companion for you
Companion for children
Playmate for other pets
Guard dog/protection
Therapy dog
Gift
Other (please explain)

Check all that apply

Please explain why you are adopting this dog...

What will you do if you move somewhere where dogs are not welcome?

For what reason would you euthanize a dog?*

Are you ABSOLUTELY SURE that you are ready to make this LONG TERM COMMITMENT?*

Yes
No

What date are you ready to bring a new dog home?

Please check your calendar for conflicts with traveling, moving, work constraints, etc.

May we conduct a home check prior to finalizing the adoption?*

Yes
No

I understand that adoption fee is $300 for adult dogs over 6 months, $350 for 3-6 month old puppies, and $400 for puppies under 3 months. The adoption fee is non-refundable.*

Yes
No

Join our mailing lists!

Would you like to join our "Dogs in need of Fosters" update list?
Join DWB "Doggy News"

How did you hear about us?

Please be specific if you found us on social media, it helps us know which methods work best!

Please confirm name of dog you are interested in*

Sometimes auto fill on addresses overwrites the top field and we want to make sure we know who you would like you adopt

Email

This field is for validation purposes and should be left unchanged.

Adoption Application

About you

About your home

Your yard

Your current pets

Your pet history

Your future dog

Share this page

Upcoming Events

Adoption Fair – Petsmart

Adoption Fair – Petsmart

Strut Your Mutt 2018

Find your next foster

We are a charity

Menu