Smiles & Cries Rescue Society

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“A dog is the only thing on earth that loves you more than he loves himself.”– Josh Billings

If you have troubles loading our online application, please open the word document above, fill out and a scanned copy can be emailed to smilesandcriesrescue@gmail.com

Adoption Application

Adoption Application

First Name

Last Name

Email

Phone

Address

City

Name of dog you are applying to adopt

Why do you want to adopt a dog?

For what reasons would you like to adopt a dog for?

Sport

Guard

Companion

Hunting

Service/Therapy

Other

What do you believe are the most important responsibilities in owning a dog?

Please provide ages of all residents of your home (adults/children)

Please list any current pets living in your home, breed, age, sex and if they are spayed / neutered.

Are you planning to move in the near future?

Yes

No

What will you do with this dog if you need to move?

Is anyone in your household allergic to dogs?

Yes

No

Yes, but is tolerable and they are OK with it

When will you be ready to adopt this dog?

This weekend

Within a week

Within a month

Not ready yet, just researching

Some dogs require fostering forst to ensure a good fit. Do you agree to foster the dog prior to adopting if requested by Smiles & Cries?

Yes

No

Undecided

Are you familiar with the breed?

Yes

No

What type of home do you currently reside in?

House

Duplex

Condo / Apt

Townhome

Basement Suite

Other

Do you rent or own this property?

Own

Rent

Live with Parents

Do you have a yard?

Yes, fully fenced

Yes, invisible fencing

Yes, Partial fencing

No fence

No yard, (apt/condo/townhome)

What behavioral problems are you willing to tolerate and or work on?

Barking

Chewing

Mouthing

Counter Surfing

Housebreaking

Separation Anxiety

Shedding

Digging

Leash Pulling

Dog Reactivity

I will try anything to help this dog

Where will the dog be kept when you are not home? (ie: run of the house, in a crate, kitchen etc...)

Where will the dog be kept at night?

Crate

Basement

Run of the house

In your bed

Tied up outside

Garage

Other

How many hours during the day will the dog be left alone?

If gone for more than 8 hours, do you have a plan in place for someone to take the dog while you are gone?

Have you discussed this adoption with all members of your household?

Yes

No

Yes, adults have discussed. Kids don't know yet.

Under what circumstance(s) would you find it neccessary to re-home your pet?

Divorce

Current pets do not like rescue dog

Allergies

Moving

Illness

Behavioral Issues

Never

Are you aware of the financial responsibilities in owning a dog? Accidents and illnesses can happen at any time and depending on the needs of the dog, vet care can range from a few hundred to a few thousand dollars per year. Are you able and willing to take on this financial obligation?

Yes

No

Have you ever been denied to adopt an animal from any other organization or rescue? Please explain

Are there any comments that you would like to make in support of your application?

Thanks for Submitting!

2018 by Smiles & Cries Rescue Society

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