blueskyrescue.org blueskyrescue14@gmail.com 952-212-1008 Canine Adoption Application Name Address City State Zip Home phone Cell phone Email Birth date Name of dog and breed Own or rent your home If rent, landlord’s contact info Do you have a fenced in area If yes, what kind of fence Do you live near a busy road Are there lots of kids in your neighborhood Are there aggressive dogs in your neighborhood How many people live in the home Do all the adults in the house want to adopt a dog If kids, what are their ages Do you have any other pets What type/breed Age/sex Temperament Do they get along with dogs Describe the history of dog ownership What type of dog have you owned most recently Age Temperament Up to date on vetting Spayed/neutered Deceased Cause of death What type of dog have you owned prior to this Age Temperament Deceased Cause of death old age Have any of your dogs ever bitten anyone If yes, how was this resolved Have you ever given away a dog Have you ever lost a dog Veterinarian’s Name Phone Address How long have you been looking for a dog Where have you been looking Have you applied at another rescue. Describe a typical day in your home (please give details) Where will the dog spend the day Where will the dog be during the day when you are gone Where will the dog spend the night What issues will you be willing to work with: Dog aggression People aggression Food aggression Potty accidents Chewing Digging Not coming when called Jumping up Please provide an unrelated personal reference and phone number – By submitting this application you are agreeing to take care of the dog well, provide proper vet care, feed him/her good quality food, provide water at all times, exercise the dog appropriately (usually at least 1 hour daily), and teach the dog to behave properly. You are also agreeing to keep the dog indoors at all times except when you are outside with the dog. No Blue Sky Rescue dog is allowed to be chained or be considered an outdoor dog. Adopting a companion animal is a family decision. This companion animal will be a family member and just as with other family members, the responsibility of the entire family. If at any time you can no longer keep the dog, he/she must be returned to Blue Sky Rescue.