Thank you for taking the time to complete this application. Completion of this application does not guarantee the adoption of an animal. We do not do long distance adoptions. Please do not complete this application if you are not located in Southern California. Please be sure to answer each question, giving as much detail as possible, providing contact people and phone numbers when requested. Our first responsibility is to the dog/puppy and to ensuring a permanent, lifelong match. Due to the high volume of applications and limited number of volunteers, we are only able to contact applicants that have been approved. We thank you for understanding.

Which Underdog/s are you interested in?:

Why do you want this particular dog?:

Name of Applicant (First & Last): Name of Spouse or Signigficant Other:

If this relationship were to change, who would keep the pet?:

Daily caretakers age?:

If you have children, what are their ages?:

Please list any additional people in the household?:

Address: City: Zip:

Home Phone(include area code): Cell Phone(include area code):

Work Phone(including area code): Email:

Occupation: Employer:

Do you live in a?: House Apartment Condo Other

Do you: Own Rent

If renting, do you have your landlords permission to have a dog?: Yes No

Landlords or HOA Assoc. Name & Phone Number (REQUIRED if you RENT):

How long have you lived at this address?:

If you are in an Apt or Condo, what is the pet weight limit?:

Will the dog be an indoor or outdoor pet?: Inside Outside Both

How many hours will this dog be inside?: How many hours will this dog be outside?:

How long will the dog be left alone each day?: Where will the dog be left when alone:

Will the dog be allowed on the furniture?: Yes No

Will some furniture be off limits?: Yes No What furniture will be off limits?:

Will the dog be allowed in all areas of the house?: Yes No

Which areas will be off limits?:

Where will the dog sleep at night?: Dog House Outside Dog Bed Inside Home Crate Inside Home
Bedroom Garage Other

If other, please describe:

What brand of dry dog food will you feed your dog?: Wet Food?:

Will you give your dog people food?: Yes No

What type of excersise will you provide?:

Will you walk/excersise this dog on or off leash (or both)?: If off leash, where?:

Do you have a backyard?: Yes No

Is your backyard fenced?: Yes No

Height of fence: Type of fence: Latched Gates?: Locked Gates?:

Do you have a pool?: Yes No If yes, is it fenced?: Yes No

Will this be your first dog?: Yes No

Please list any pets that you currently have in your household:

Are ALL other pets spayed or nuetered?: Yes No

If you have cats, are they indoor or outdoor?: Indoor Outdoor

If you have a cat/s are they declawed?: Yes No

If the cat/s are declawed, please explain why:

Please list pets you currently have and have had in the past:

Pet #1 Breed
Male or Female
Length of Ownership?
Still own?
If yes, how old is this pet?
If no, what happened to this pet?

Pet #2 Breed
Male or Female
Length of Ownership?
Still own?
If yes, how old is this pet?
If no, what happened to this pet?

Pet #3 Breed
Male or Female
Length of Ownership?
Still own?
If yes, how old is this pet?
If no, what happened to this pet?

Have you ever been in a situation where you were not able to keep a pet?: Yes No

If you have given a pet away before, please explain:

Were you ever in a situation where you had to bring a dog to a shelter? Please explain:

What will happen to the dog if you move?:

Who is your Veterinarian?: Address:

City: Zip: Phone:

What is a reasonable amount to spend if your dog became very sick?:

Does anyone in the home have animal related allergies?: Yes No If yes, who?:

What would happen if someone in the home developed alergies related to the new dog?

How will you train this dog? Obedience School / Spray Bottle / Firm Verbal Commands / Swat with Newspaper / Other

Are you willing to housebreak a dog? If yes, using what method?

What will you do if the dog has accidents in your house?

Do you understand and accept that a change in a dog's environment may cause the dog to have accidents, especially in the early days of the adoption?: Yes No

What will you do if the dog chews, digs, or has other bad habits?

Do you plan to take your new dog to obedience school?: Yes No

If you answered no, please explain why:

Are you prepared and able to take care of this dog for his/her entire lifetime?: Yes No

Do you have a friend or relative who would take this dog if you became unable to care for it? If yes, please list name and phone number

Please estimate the annual cost of premium dog food, toys, vet care, grooming, etc. for your new pet

We are a 100% volunteer run organization; the adoption donation is used to partially recover the costs involved in rescuing the animal you are interested in. These costs include but are not limited to; Animal Shelter Fees, Spay/Neuter, Food, Housing, Vaccinations, Deworming, and any Veterinary Exams, or medical care that the animal may have required. We would not have been able to save the life of the animal you applied to adopt without the adoption donation from another that came before him or her. Because the minimum Adoption Donation rarely covers the costs associated with each dog, we ask that adopters who are in a position to give additional funds do so at their discretion.

I am willing and able to make a minimum adoption donation of $250? Yes No

If you answered No to the above question please explain:

What circumstances would cause you to give up a pet?:

If you were unable to keep this dog, would you return it to Underdog Rescue as required by our adoption contract?: Yes No

We reserve the right to inspect all potential homes and yards prior to placement:
Is this agreeable to you?: Yes No

I have read the above information carefully and have filled out this application honestly. I understand that omisison of information and/or failure to answer all questions can result in the application being declined. Also, if an omission or untruth is discovered after and adoption takes place, I understand and accept that Underdog Rescue has the right to annul the adoption and reclaim the dog. This application becomes a part of our Adoption Contract.
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