Home Phone number:
Cell Phone number:
Number of residents in home:
Ages of residents:
Number and type of other pets in the home:
Do you live in a:
Do you have a fence?
What kind of fence and height?:
Have you owned or cared for a dog before?
Have you ever given up a dog before?
If yes, What were the circumstances?
Have you ever potty trained a dog?
If yes, how did you potty trained the dog?
Have you ever crate trained a dog?
Do you use monthly preventative care (heartworm and flea and tick control)?
How often and how will the dog get exercise?
Where will the dog sleep?
Will the dog be allowed on the furniture?
What dog food do you use to feed your dogs?
What training will you provide for your dog?
How will you deal with any behavioral issues that the dog may exhibit?
Where will the dog stay when you are not home during the day?
May we contact your vet?
Vet name and phone number:
If you are interested in a certain dog, please identify:
It is our mission to carefully match up the right dog with the right home and provide continued care if needed.
This enrollment information will be emailed to us.