Adoption Application | ARF Humane Society of Jackson County

First name

Last name

Email

Multi-line address

Country/Region

Address

City

Zip / Postal code

Phone

Name & description of the dog you are interested in adopting

Why are you considering adopting a dog?

Are you a student living away from home?

Yes

No

How long have you lived there?

Have you had dogs before

Yes

No

Have you ever had to give up a dog?

Yes

No

If you've had to give up a pet, please explain the circumstances

Do you have permission from your landlord and/or everyone in your household?

Yes

No

Is anyone in your household allergic to dogs?

Yes

No

Will this dog be a service animal?

Yes

No

If you answered yes to the service animal question, please explain the type of service the pet will perform?

Do you have a secure fenced area or lot?

Yes

No

Who will train, feed, and exercise the dog?

Will the dog be tied up or chained at any time?

Yes

No

Where will the dog stay at night?

Who is your current or most recent vet? (please give name and phone number as we will contact them for a reference)

If you have to move or are unable to care for the dog, what would happen?

May we visit your home before and after adoption?

Yes

No

If you answered no to a home visit, please explain.

Has anyone in the household ever been convicted of animal cruelty or abuse / neglect?

Yes

No

I / we agree that if we adopt a dog, we will provide professional vet care, a nutritious diet, and a loving home. We also agree that we will return the dog if we can no longer keep it. Please initial your acceptance.

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A note about our process: Our goal is always to find the very best fit for each dog. That means we look at every application carefully, and sometimes we receive more than one for the same pup. While we’d love to place every dog with every wonderful applicant, we have to choose the home that best matches the dog’s needs. We may also give priority to adopters in Western North Carolina, since staying local helps us provide support if needed.

ARF Adoption Application