Adoption Application

Thank you for your interest in adopting a dog from Code Red K9 Crew. Please complete the form below and be sure you click the submit button when have finished filling out the application. After you submit the application, you will get a confirmation email letting you know that we have received the form. If you have any problems with the form, please send us an email to info@coderedk9crew.org.

Code Red K9 Crew - Online Adoption Application

Fields marked with an * are required

First Name *

Last Name *

Address *

City *

US States *

Zip *

Phone *

Email *

Drivers License Number *

What is your occupation? *

How long have you held your current position? *

Reasons for wanting to adopt this pet *

Which dog are you interested in adopting? *

Type of home you live in *

House
Apartment
Condo
Mobile Home

Do you Own or Rent? *

Own
Rent

How long have you lived here? *

Does your lease permit pets? *

Are there any restrictions for pets on your lease? *

Name and Phone of Landlord/Leasing Office *

Did you get permission from your landlord?

Does your HOA have breed restrictions?

Does your homeowners or renters insurance have breed restrictions?

Do you have a fenced yard? *

If fenced, please describe the type and height

Do you have a gate? *

Do you have a pool? *

Does it have a fence or are you willing to get one?

Please provide the following information about your household:

Number of adults *

Ages *

Number of children *

Ages of children

Please describe your dog experience (for example, challenging pet, pet with medical problems, first-‐time dog owner, basically just describe your dog experience in your own words *

If you have children what is your dog experience and how to you plan on handling dogs/kids/introductions?

Is anyone in your family allergic to animals? *

Where will your pet be during the day? *

Indoors
Outdoors
Crate
Garage
Other

What type of dog will yours be? *

Indoor Only
Indoor/Outdoor
Outdoor Only

What percentage of time will your dog be inside the home? *

What percentage of time will your dog be outside the home? *

Is anyone home during the day? *

On average, how many hours per day will your pet be left alone? *

Where will your pet sleep at night? *

Which rooms are off limits to your dog? *

Preferred level of exercise w/the dog (couch potato, short walks, vigorous walks, hike or jog regularly) *

Are all family members aware that you are considering adopting a pet? *

Do they approve? *

Who will be responsible for daily care & feeding? *

How much money do you expect to spend on this pet's care (including any medical care) in a year? *

What arrangements do you plan to make for the dog when you travel? *

Please tell us the breed/size/sex and age of any pets currently in your home *

Are they spayed/neutered? *

Yes
No
Not Sure

If you answered no, please explain why

Have you owned any pets in the past? *

If yes, what happened to them? (Died of old age, hit by a car, gave away..)

In the past, have you ever been forced to give up your dog? *

If you had to give up your pet, what did you do?

Have you ever lost a dog? *

If you lost a dog, please explain how?

If your present living conditions were to change (move, change jobs, divorce, etc), what would you do with this dog? *

What will you do if you can no longer keep your pet? *

Under what circumstances would you feel it necessary to give this dog up? *

What will you do if your dog or puppy chews up your favorite pair of shoes? *

Name and Phone of current Veterinarian? *

Are you willing to commit to a training class/program with this dog if required by CRK9C? *

Do you understand that we rarely know whether a dog is housebroken or not, and are you willing/able to potty-‐ train this dog if necessary? *

How do you plan to train/discipline this dog? *

How long are you willing to give this dog to bond with you and settle in to his/her new home? *

One Day
One Week
One Month
Other

PLEASE PUT A CHECKMARK NEXT TO EACH STATEMENT BELOW TO CONFIRM YOU AGREE: *

I understand I am committing to care for this animal and have it as part of my family for its natural life, which can be up to 17 years for a dog.
I am financially able to provide for the animal’s needs. This includes food, supplies, shelter, veterinary care and heartworm prevention, which can cost up to $800 per year.
I have adequate time to spend with my new pet, including time for training, exercise and grooming.
I understand that if I move, my pet will make the move with me.
I understand I must comply with all state and local ordinances concerning pet licensing and vaccinations.

Summary:

All of the above information I have given is true & complete. I agree to follow the Rules and Policies of Code Red K9 Crew, Inc. I understand that it is my decision whether or not to adopt any particular dog. I will not hold Code Red K9 Crew, Inc. responsible for any damage, injury, or harm caused directly or indirectly to any person or property by any dog I may decide to adopt.

Code Red K9 Crew, Inc., AT ITS SOLE DISCRETION, RESERVES THE RIGHT TO REFUSE ANY APPLICANT FOR ANY REASON OR NO REASON.

I have read the disclaimer and agree to these terms and conditions. *

Signature (By typing your name you are digitally signing this form) *

Today's Date *

If you are a human seeing this field, please leave it empty.