Adoption Application

Before filling out our application please review the adoption process, adoption policy & requirements, and service and agreements.

What dogs are you interested in adopting?*
Please tell us why you believe that you (and your family) would be the best possible option for this dog. Why should we pick your family?*
How soon are you looking to adopt?*
I understand the adoption fee for an adult dog is $200 and $300-500 for a puppy.
Contact Information
Date
Name*
First Last
Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Cell Phone*
Email*
Date Of Birth*
Drivers License*
Family & Housing
Please tell us a little about your employment.
What is your work schedule? How many hours are you away from home on an average work week? Is there anyone who stays at home when you aren't?*
Where will your dog be kept during that time?*
How many hours a day will your dog be left alone or crated?*
Where will your pet be sleeping during the night?*
How many adults are there in your family ( their relationship to you) ?*
How many children ( ages ) ?*
What type of home do you live in?*
Do you*
- Own
- Rent
- Live with family
Please describe your household*
- Active
- Noisy
- Quiet
- Average
If you rent, please give the rules governing pets and the landlord's name and number*
By providing this information you are allowing us to contact your landlord. Most apartments have breed restrictions for Bully breeds.
Are you planning on moving in the near future? What happens to the pet if you move?*
Do you have a fenced in yard? Whats the size and type of fencing?*
Does anyone in the family have a known allergy to dogs?*
Is everyone in agreement with the decision to adopt and care for a dog?*
Do you have time to provide adequate love and attention?*
How will you keep your dog confined to your property?*
Are you planning on getting a trainer for your dog? Or if the need arises would you hire a trainer? What behavior(s) would you NOT be willing to work with?*
Can you afford veterinary care, grooming, emergency expenses, supplies, toys and food for the lifetime of this pet? Do you understand the costs, challenges and care required for an animal that may live up to 15 years old?*
( Anual Vet Exams, Vaccines, monthly Heartguard, Flea and Tick prevention, Quality Dog Food, Day Care/ Pet Sitter Costs, training, etc )
Would you be able to pay your dogs vet bill if an emergency or accident happened where they needed to be treated asap?*
Ex. illnesses, broken bones, surgeries
Other Pets
What other pets do you have? ( Sex, Breed & Age )*
Are these pets up to date on vaccines?*
Are these pets spayed/neutered? If not... why?*
Are these pets on heartworm preventative?*
Have you ever surrendered a pet? If so, why?*
Have you ever had a pet euthanized? If so, why?*
How do you discipline your pets and why?*
Have you ever been denied to adopt by another rescue or control shelter? If so, why?*
Veterinarian
Do you have a regular veterinarian?*
- Yes
- No
Veterinarian's name
Clinic name*
Clinic Phone*
Providing us with this information you are allowing us to call your vet. Please call your vet and authorize them to release the records to us.
About the dog you wish to adopt
What is the name of the dog you are wanting to adopt?*
Why are you wanting this particular dog?*
Who will have primary responsibility for this dog's daily care?*
Are you adopting to keep this dog for its entire life?*
Will you keep this dog as an indoor dog with supervision when outside? How do you plan to supervise it?*
How much will the pet be exercised?*
Who will have financial responsibility for this dog?*
Do you agree to provide regular health care by a licensed veterinarian?*
- yes
- maybe
- no
Do you agree to contact us if you can no longer keep this dog?*
- Yes
- No
Adopting from us you must agree that if for any reason you can’t keep your dog that you must reach out to us so we can help with the rehoming process. You must foster the dog until we find a new foster or home. If you cannot keep the animal at any point in the future, you must notify us so we can help you re-home the pet, wether its signing off on a friend or a family member taking the pet. By adopting this dog you are taking full responsibility. Under no exception can you surrender your dog to a shelter or euthanize it. IT IS A $5000 FEE IF YOU SURRENDER YOUR DOG TO A SHELTER OR ABANDON IT.
In what type of situation would you consider giving your dog back? Select all that apply.*
- Jumps Fence
- Barks Excessively
- Escapes Crate
- Pulls on Leash
- Moving
- Fights with Other Pets
- Medical Issues
- New Baby
- Not Housebroken
- Allergies
- Divorce
- Financial Problems
- Behavior Issues
- Chews & Messes
- No Reason i would give up my dog
- Other
If you wanted to return your adopted dog, would you agree to still foster the dog until we can find a new place for the dog to go?*
We run only on foster homes so when a dog is returned and a foster home is not available the dog has no where to go. We would appreciate it if our adopters could still keep the dog until we can find placement.
Are you willing to let a representative of Caitlin's Vine Of Bravery to visit your home by appointment?*
How did you hear about Caitlin's Vine Of Bravery?*
Would you be interested in fostering?*
- Yes
- No
- Would like to know more
Do you agree to send us updates and pictures of your adopted pet?
We have a Facebook group for all of our fosters and adopters for everyone to post pictures and updates of their adopted dog 🙂
Personal References
Please list someone who is familiar with both you and your pets.
Name*
First Last
Address
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Phone*
Relationship ( relative, neighbor, friend, etc .. )*
Name
First Last
Address
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Phone
Relationship ( relative, neighbor, friend, etc .. )

Adoption Application

Before filling out our application please review the adoption process, adoption policy & requirements, and service and agreements.

Adoption Application

Contact Information

Family & Housing

Other Pets

Veterinarian

About the dog you wish to adopt

Personal References