ONLINE Adoption Application
BEFORE ADOPTING or Filling out an Application : Please read our FAQ's HERE
Date (MM/DD/YYYY)
ABOUT YOU - The Applicants
Full Name of Applicant:
Your Email Address:
Phone Numbers (s) you would like us to use
Complete Address of your home (street #, street, apt #, city, zip)
List ALL people living in this home, relationship and ages
Applicant Occupation and Place of Employment
Applicant Work Hours and Days
Co-Applicant Occupation and Place of Employment
Briefly Describe your weekly activities or commitments other than work
Will you likely be adding more children to your family during the lifetime of this dog?
Will you likely have visiting babies or toddlers during the lifetime of this dog?
About your Home, the place that the Dog will call Home.
Is your home rural, on a residential street, on a cul-de-sac, in a subdivision, townhome, apartment, etc.?
How long have you lived at this address?
Do you rent or own?
Do you have a completely contained, safe fenced area on your property?
Describe the fence and the area of your yard that is fenced, including height & material fence is made of:
About Dogs
Do you have experience with a Bichon? If yes, please briefly describe:
What sex of Bichon & age range will you consider?
Is anyone consistently home or can come home during the daytime or is there a reliable person available who canlet your dog out to potty mid-day, if the Bichon that you adopt needs this?
Honestly, what are your feelings about potty accidents in your house? Bichon's, especially Special Needs Bichons, can be to be slow to house train and may have accidents, either for a while after joining your family, or, in some rare cases, throughout their life. Will you be able to handle these possibilities?
If you are interested in a male Bichon, would you be willing to adopt one that may need to wear a Belly Band? (Please Read the article “Belly Band Basics” on our Information Page
How will you address the dog's bathroom need? (E.g. tie out stake, fenced yard, leash walk, underground fence, invisible fence)
Where will your dog be kept during the day? Please be specific:
Where will your dog be kept during the night? Please be specific:
Will the dog ever be crated? If so: when?
Who will care for the dog while you are away, such as on vacation?
What dogs have you owned before, as an Adult? If they are no longer with you, please provide a brief explanation of why:
Have you ever given an animal to another person, rescue or shelter? If yes, please explain circumstances:
Please LIST ALL PETS that currently live inside/outside of the house. Include animal, name, breed, sex, age, and whether they are neutered or not and free ranging or not:
Your References and Comments
Have a current Veterinarian? Please give name, address and contact phone number:
Non-family member references:- Please give names, addresses, contact phone numbers, and how you know the individual: Min 1 Person, 2 is great.
Additional Comments or Information you can tell us - (up to 1500 characters)
Lastly.....
Are you interested in a Specific Dog amongst our current dogs looking for a forever home? Or is this a general application to start the process ?
