Adopt a Dog:

Dog Adoption Application

**We will not be doing any adoptions from June 27th through July 6th**
**All applications will be reviewed when we return July 6th, thank you.**

Before completing the application to adopt, please be sure to read our Adoption Process.  Answer the following questions as detailed as possible to give us the best understanding of your home and the type of dog that would work best for your family.

**Please Note: Retrievers and Friends adopts to families residing in Riverside, San Diego, Orange and southern San Bernardino counties.

Your Family's Information

Name (First & Last):

*Email Address:

Please note: if you use Spamblocker or another program, be sure to include info@retrieversandfriends.com in your "ALLOWED" list.

Home Phone:

Work Phone:

Address:

City:

State: CA

Zip:

Number of people who reside in your home: ??? 0 1 2 3 4 5 6 7

Ages of people who reside in your home:

Your Employer:

Spouse's Employer:

What is your work schedule?

??? Full Time Part Time Work from home Not Employed

About Your Home

Do you live in a:

??? House Apartment Condo or Townhouse Mobile Home

How long at this address?

Do you rent or own your home?

Landlord's Name (if applicable):

Landlord Phone:

Does your rental agreement allow you to have a pet?

Does anyone in your family have allergies?

??? No Yes

If yes, please explain below:

What is your household activity level?

Quiet Active Very active

Do you have a local veterinarian?

Yes No

If yes, please list name and phone number below:

May we call your veterinarian for more information?

??? Yes No

Please tell us what you're looking for:

Name of dog(s) you are interested in (from web site):

How long have you been looking for a pet?

Just started A month or more Six months or more

What age of dog would you like to adopt?

Would you like to adopt a male or a female?

Breed:

Size:

Color:

Why are you interested in adopting this particular breed of dog?

How soon are you ready to adopt?

General Information

If this dog chews, digs, or has any bad habits, what will you do?

Under what circumstances would you consider giving away your dog to a new owner?

Who will be responsible for the care and feeding of this dog?

What brand of dog food you plan on feeding this dog?

What arrangements would you make for the this pet when you travel?

Kennel Pet Sitter Friends, family, or neighbors will provide care We will take our pet with us We do not travel

Do you have any upcoming travel or vacation plans?

If yes, when will you be leaving and how long will you be gone?

How will you exercise this dog?

Please describe your yard, including approximate size (small, medium, large), patios, or any landscaping or other details you feel are important.

Do you have a pool?

??? Yes No

Does the pool have it's own fencing around it to prevent the dog from going into the pool when out in the yard?  Please describe:

Do you have a secure fence that encloses your yard fully?

What type of fence do you have and how high is the fence over-all?

Many fences have varying heights at different points in the yard.  What is the height of your fence at the lowest point (approximate measurement from the ground to the top of the fence).

What is the height of your fence at the highest point (approximate measurement from the ground to the top of the fence)

Where will this dog be kept during the day while you are gone?

How many hours are you usually gone during the day?

Where will the dog be when you are home?

If it's raining outside, is there a covered area where the dog can stay dry? Please describe.

What type of shade is there in your yard for your dog during the summer months?

Where are your water, gas and electric meters located in your yard?  Do meter readers need to access your yard while you are gone?

Do you have a gardener or any other person that enters your yard during the day while you are not at home?

Where will the dog sleep at night?

If indoors, how do you plan on housebreaking your new dog (if not already done)?

Your Pet History

Please provide the following information for any pets you now own or have owned in during your adult life.  You may add additional pets in the "comments" section below.

Pet #1

Breed

Age

Sex

Is your pet spayed or neutered?

Do you still have this pet?

If this pet is no longer with your family, please explain.  (Cause of death, or to whom the pet was given and why.)

Pet #2

Breed

Age

Sex

Is your pet spayed or neutered?

Do you still have this pet?

If this pet is no longer with your family, please explain.  (Cause of death, or to whom the pet was given and why.)

Pet #3

Breed

Age

Sex

Is your pet spayed or neutered?

Do you still have this pet?

If this pet is no longer with your family, please explain.  (Cause of death, or to whom the pet was given and why.)

Pet #4

Breed

Age

Sex

Is your pet spayed or neutered?

Do you still have this pet?

If this pet is no longer with your family, please explain.  (Cause of death, or to whom the pet was given and why.)

Pet #5

Breed

Age

Sex

Is your pet spayed or neutered?

Do you still have this pet?

If this pet is no longer with your family, please explain.  (Cause of death, or to whom the pet was given and why.)

Comments:  please provide any other information that may be helpful for us to know when reviewing your application:

How did you find out about us?

Have you been approved by any other rescues, and if so, which one(s)?