Adoption Application Los Angeles area applicants only (this includes OC, IE, Ventura, etc but not NorCal or out of state!) Are you ready to bring home a dog in the next 7 days?*YesNoStop! Please return and fill out an application when you are ready to adopt. We get about 20 applications a day and cannot hold dogs. If you're not ready now your app will just get lost in the shuffle. thank you.Dog's name and/or type of dog you are interested in adopting*If the specific dog you have applied for is not available, can we match you with other, available, dogs?*YesNoI haven't applied for a specific dog by nameCost of a dog* I understand that the average cost of owning a healthy dog is a minimum $1000 per year which include vetting, feeding, grooming, flea/tick treatments, dental care, and other miscellaneous costs (not counting vet emergencies). As the dog ages, I understand that these costs can significantly increase. I am prepared to make the financial and time commitment to my future dog for the duration of its life. About youWhat are your preferred pronouns?*She/HerThey/ThemHe/HimFull Name*(first and last)Address* Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Email* Main Phone #*What type of phone is this?*CellHome (landline)Office/WorkSecondary PhoneOptionalOccupation*Your Age Range*UNDER 1818-2525-5050-65OVER 65About your homeHow 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?*YesNoDo you live in a house or apartment?*HouseApartmentCondoTownhouseDuplexMobile homeDo you own or rent?*OwnRentIF 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?*YesNoAre there any breed or weight restrictions?*YesNoPlease explain the breed or weight restrictions at your rental property*Your yardDo you have a yard?*Yes, I have a yardNo, I do not have a yardWhat is the lowest height of your fence?*Is the yard totally enclosed?*YesNoIs the fence/gate kept locked?*YesNoDo you have a pool?*YesNoIs the pool fenced separately?*YesNoDo you have a doggie door?*YesNoHave you recently checked the entire perimeter of the fence to ensure that a dog cannot escape?*YesNoLOOK FOR SOFT DIRT TO DIG UNDER, BARS SPACED TOO FAR APART, etcCan you ensure that your gardener, housekeeper, etc will not let the dog out of the yard?*YesNoYour current petsDo you have any other pets?*YesNoPlease 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?*YesNoAre your pets neutered/spayed?*YesNoOther (please explain)Are your pets neutered/spayed- explain other.*Your pet historyHave you ever owned a pet before that you no longer have?*YesNoPlease 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 dogHow many hours will the dog be left alone on a typical weekDAY?*Please enter a number from 0 to 24.Where will the dog be when you’re gone?*Check all that apply Indoors (loose) Indoors (in one room) Laundry room Crated Balcony/patio Tied up Yard Dog-run Garage 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)*Answer: In a dog bed in our bedroom Not an answer: "dog bed"How will you train this dog?* Praise Treats Verbal commands Clicker training Hit with newspaper Spanking Shock collar Prong collar Hire a trainer Group classes YouTube videos Check all that applyWhat will the dog's diet consist of? (please include brand names, etc)*Under what circumstances would you consider giving up this dog?* Destructive chewing Barking Not housebroken Biting Too shy Shedding Separation anxiety Medical problems Not obedient enough Grows too big Too hyper Pets don’t get along Working too many hours Moving New baby Divorce Allergies Financial problems personal health problems None of the above (I would not give up this dog) Check all that applyWhy 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 applyPlease 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?*YesNoWhat date are you ready to bring a new dog home?*Please check your calendar for conflicts with traveling, moving, work constraints, etc. Date Format: MM slash DD slash YYYY May we conduct a home check prior to finalizing the adoption?*YesNoThis may be done over FaceTimeI understand that adoption fee is $325 for adult dogs over 1 year, $375 for 6-12 months old puppies, and $425 for puppies under 6 months. The adoption fee is non-refundable.*YesNoJoin 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 adoptCAPTCHANameThis field is for validation purposes and should be left unchanged.
