Name
*
First Name
Last Name
Email
*
Address
*
Address 1
Address 2
City
State/Province
Zip/Postal Code
Country
Phone number
*
(###)
###
####
About you
*
Please tell us a little about you. Lifestyle, hobbies, interests, etc.
Members of your household. If children, please include ages.
*
Please describe occupations of members of your household. Include which family members (if any) work from home.
*
Is anyone in the household allergic to dogs?
*
Yes
No
I Am/Have:
First Time Dog Owner
Had 1 or 2 Dogs As An adult
Had 3 Or More Dogs As An Adult
Experienced In Resolving behavior Issues
Frequently Care For Friends’ Dog(s)
What Kind Of Characteristics Are You Looking For In A Dog?
Why Do You Want A Dog (check all that apply) :
House Pet
Guard Dog
Breeding
Companionship
Travel Companion
Gift For A Friend/ Relative
Other
If You Picked "Other" Please Fill In:
What Activities Do You Want To Do With Your Dog?
Who will care for this dog primarily (feeding, playtime, walks, vet visits)?
Previous & Current Pet Information:
Please provide the following: Type or Breed of pet/ age/sex/ licensed?/ spayed or neutered/ If no longer owned, what happened to the pet?
Type of Residence
*
House
Condo
Apartment
Boat
Do you rent or own?
*
Rent
Own
Landlord/ HOA
If your residence has a landlord or home owners association we will need to verify that pets are allowed. Please leave the appropriate contact information below.
Do you have a fenced-in yard?
*
Yes
No
Do you have a pool?
Yes
No
Are You In The Process Of Moving Or Anticipate Moving In The Next Few Months?
If You Ever Move To A Place That Does Not Allow Pets, What Will You Do?
Where will you keep this dog? (check all the apply):
Free run of the house
Crate in house
Inside dog
Outside dog
Inside/outside dog
In garage
Yard with fence
Basement
Other
If You Picked "Other" Please Fill In:
Where will this dog be kept during the day, and at night?
How many hours will it spend alone?
Where will it be kept if it is alone?
Would you consider using a crate to confine your new dog?
Yes
No
How long will the dog possibly be crated daily?
Agreements
*
Please check all boxes to proceed.
I understand that a home visit may be required prior to placement.
I understand that a home visit does not guarantee placement.
I understand this questionnaire becomes part of the adoption contract.
Payton’s Promise Sanctuary reserves the right to refuse an animal to any applicant for any reason.
References
*
Please list 3 references along with their phone number.
Do you have a current veterinarian?
*
Please list their name, phone number, and address.
Under what circumstances would you chain up a dog?
*
Under what circumstances would you give up a dog?
*
What is your hurricane evacuation plan?
*
Our goal is to find a loving life-long home for each adoptable dog in our care. We strive to find the most suitable dog for each person and the most suitable home for each dog. Considering the lifestyle and expectations of potential adopters and the needs of each dog, please keep in mind the following guidelines: 1. All potential adopters are asked to complete an adoption profile and provide a valid form of identification with a current address 2. We adopt companion animals to be placed into a home setting. All animals must be provided with adequate food, water, shelter, exercise, veterinary care, and companionship. 3. Adopters must be 21 years or older. 4. Adopters must provide proof that current housing allows for pet ownership, either in the form of property ownership or a lease agreement that allows pets. 5. To ensure that all members of the adopting household are in agreement with regards to the adoption of a particular dog, we ask that all members of the household, including dogs, meet and interact with the prospective new dog prior to adoption. 6. No adoptions will be made to an applicant who is suspected of being under the influence of alcohol or drugs during the time of application. 7. No adoptions will be made to any individual with a history of animal neglect , abandonment, or abuse. Failure to adhere to policy agreement will cause ownership of adopted animal to revert back to Payton’s Promise Sanctuary.
I understand that a home visit may be required prior to placement.
I understand that a home visit does not guarantee placement.
I understand this questionnaire becomes part of the adoption contract.
Payton’s Promise Sanctuary reserves the right to refuse an animal to any applicant for any reason.
Checking these boxes signifies that our policies and agreements have been read, understood, and agreed upon.
Yes