ADOPTION APPLICATION
Please follow these directions:
1. Fill out this form completely
2. Click "File" and then "SAVE AS" and change the file name to
your name.
3. Email the form to adoptions.recycledpetsnorcal@gmail.com
or mail it to:
Recycled Pets NorCal
P.O. Box 163726
Sacramento, CA 95816-3726
This is your chance to give us an idea of what kind of dog you're really
looking for. We will only use your personal information for contact and your
consideration as a home for a rescued dog. The providing of false
information herein will result in the forfeiture of any adoption.
PLEASE NOTE: Adoption fee is $150
We require all applicants have a home check, for this reason, we will
only adopt to families in the Sacramento region.
Which dog are you interested in?
Applicant Info:
Applicant Name
Address
City, State, Zip
Home Phone
Work/Cell
Email address
DOB
Current Employer
Occupation
Co-applicant Info:
Spouse/Partner's Name
DOB
Current Employer
Occupation
Do you live in a:
If other, where?
House
Apartment
Do you:
Rent
Own
Duplex
Other
Live with Family
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If you rent, name and address of landlord:
Do you have your landlord's permission to have a pet?
What is the pet deposit?
Are you planning on moving within the next 2 years?
How long have you been at your current address?
Do you travel for work at all?
If yes, how much of the time are you out of town?
Yes
No
Yes
No
Yes
No
Is your yard fenced in securely for a dog with no holes
or gaps at the bottom?
How tall is your fence?
What kind of fence do you have?
Is there a gate on the fence?
if so, does it have a lock?
If no, how will the new dog be exercised and where will
it go to the bathroom?
Do you have a swimming pool?
If yes, is it fenced?
How many adults live in your house?
How many children?
Ages of children:
Is there anyone in your home with pet allergies?
Pets
Do you currently have pets in your home?
Are current pets spayed/neutered?
Yes
Yes
No
Yes
Yes
No
No
Yes
Yes
No
No
Yes
No
No
No
Please list breed, age and sex of all pets in your household:
Male
Male
Male
Male
How many dogs have you owned in the past (as an
adult)?
Were your past pets spayed/neutered?
Yes
Yes
Female
Female
Female
Female
No
What happened to them? Be specific (dead is not specific, please tell us
how/why):
2
Have you ever had to find your pet another home
for any reason?
Yes
No
If yes, Please explain:
What circumstances to you are acceptable to find your dog another home?
Divorce
Too big
Barking
Allergies
Behavior
Shedding
Aggressive
Moving
Problems
Medical
Chewing or
No time
New baby
problems
destructive
Children not
Not getting
Getting out
Increased
helping to care
along with
of fence
work hours
for dog
children
Not
Not getting
Other/please
housebroken
along with
None
explain below
/marking
other pets
Other reason why you would have to find your dog another home:
Your New Dog:
Why are you looking at getting a new dog now?
What energy level would you like?
Where will this dog stay during the day?
Where will the new dog sleep?
Will the new dog be allowed on the furniture?
Approximately how long will the new dog be alone
during the day?
If you don't have a crate, will you be willing to purchase one if the new dog needs to be
crated?
Yes
No
What percent of time will the new dog spend
inside the house?
What type of housetraining methods will you use?
How would you discipline your dog if it misbehaved (got into the trashcan,
ate your shoes, etc?)
3
How will you train the dog?
What kind of food will you feed your dog?
What would you consider a realistic cost to
properly care for a dog for one year?
Realizing dogs can live up to 20 years, are you committed to a dog for the duration of
their life?
Yes
No
If something were to happen to you, what
would happen to your pets?
If your dog has any behavioral problems, in the future, what would you be willing to
do?
What if your pet comes down with a serious medical problem that's very expensive,
what would you do?
If you decided to move to a place that didn't allow pets, what would you do?
What activities do you plan to do with your new dog?
Most pets require time to adjust to their new home. How much time are you willing to
give this pet?
Are you planning on enrolling this dog in obedience classes?
Yes
No
Where will the dog stay when you go out of town?
Do you expect any major life changes within the next 10 years - marriage, children,
etc?
Yes
No
Will the dog have access to a raised balcony, patio or porch?
Yes
No
Do you think a dog should be allowed or trusted off-leash in an
Yes
No
unfenced area?
Is there anything else that you would like us to know?
References
Veterinarian Info:
Name
Phone no.
4
Please provide three personal references that we may call to verify
information above.
Name
Relationship
Phone no.
Name
Relationship
Phone no.
Name
Relationship
Phone no.
By signing below you are in agreement and compliance to our foster process and agree
that everything on this application is true.
Date:
Signature
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