Dog Adoption Application

Name of dog you are interested in:*

Name*

First Last

Date of Birth*

Email*

Phone Number*

Mailing Address*

Street Address City State ZIP Code

Is your physical address the same as your mailing address?

Yes, my physical address is the same as my mailing address.
No, my physical address is different.

Physical Address (if different)*

Street Address City State ZIP Code

How long have you lived at your current address?*

Do you own or rent?*

Own
Rent

Landlord Name*

First Last

Landlord Phone Number*

Do you have other pets? Please list your pet's name, species, age and gender. Please include all pets you have owned within the last 7 years, even if deceased. all pets you've had in the last five years.*

Please also include spay/neuter status and number of years owned. Do you still have these pets? If not, please explain. Click the "plus sign" to add another pet.

Who is your veterinarian?*

Location of veterinarian?

*The Ark will be calling your veterinarian for references and verifying home ownership or landlord permission.*

How many people live in your household?*

Is everyone in agreement with adopting?*

Yes
No

Please list the names and ages of everyone who lives in the household or visits regularly:

Have you ever given a pet away? If yes, please explain.*

Do you have a fenced-in yard?*

Yes
No

Are your pets allowed on the furniture?*

Yes
No

What type of home do you live in?*

House
Mobile Home
Condo/Townhouse
Apartment
Other

Please describe "other".

How long will your dog be left alone?*

How active is your household?*

Very active
Moderately active
Low activity

Are you able to afford medical expenses for your new pet?

Yes
No

Why are you looking to adopt?*

Tell us about what you are looking for in a dog by answering the following:

My dog needs to get along with other dogs.*

Yes
No

My dog needs to be good with:*

Check all that apply.

Children under 8 years old
Children over 8 years old
Elderly people
None of the above

My dog needs to be able to be alone (per day)...*

2 hours or less
4 hours or less
4-8 hours
8-10 hours
More than 10 hours

When I'm at home, I want my dog to be by my side...*

All of the time
Some of the time
Little of the time

When I'm not at home, my dog will spend her time...*

Check all that apply.

In the garage
In a crate in the house
Loose in the house
Confined to one room
In the yard

Are you comfortable with training your dog? If yes, how would you train your dog? If not, are you willing and able to seek help from a certified dog trainer?*

Are there any additional preferences or information you would like to share?

Please be aware that we cannot guarantee that any dog is fully potty-trained or without behavioral issues. We do our best to disclose what information we have to adopters, but often animals come in without a history. If you currently have dog(s) in the house, we will need to do a meet and greet between your dog(s) and the dog you are interested in adopting. All dogs are spayed/neutered and up to date on vaccines before any adoption is finalized. Be aware that all cats and dogs 12 weeks old and over must be vaccinated for Rabies as per Maine Law. If the adoption does not work out for whatever reason, we ask that you call The Ark and we will make arrangements to take the dog back. By signing below, you certify that the information you have provided is true and you recognize that any misrepresentation of facts may result in your losing the privilege of adopting a pet from The Ark. You also understand that the Ark has the right to deny your applicationa at their discretion, and that adopting a pet is not “first come, first serve,” because The Ark operates on placing animals in adoptive homes that are the best possible fit. You also authorize investigation of all statements in this application and understand that there may be a 24-hour waiting period to verify the facts in this statement.

Would you like to be on our mailing list?

Yes - I would like to receive newsletters
No thank you

Please enter your full name as your signature.*

Dog Adoption Application

Dog Adoption Application

Make a Difference

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Dog Adoption Application

Dog Adoption Application

Make a Difference

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