AdoptionApplication Fill out the ECHO Adoption Application today!Meet your new best friend! DOG INFORMATION Name of the dog you are interested in adopting: Breed: YOUR INFORMATION Today's Date: Your name: Your email: Your address (street, city, st, zip): Your cell phone: Your home phone: Your work phone: Type of housing: ApartmentCondoHouse Do you: RentOwn How long at this address? If renting, please provide landlord's name and number: Are you planning to change residence in the near future? YesNo If yes, please explain: Do you have a yard? YesNo If yes, is it fenced? YesNo Fence height: Is it fully or partially fenced? FullyPartially If you do not have a fence, do you understand what a dog requires for exercise and bathroom needs? YesNo A representative of ECHO must perform a home visit as part of this application. Do you consent? YesNo Number of adults at home: Number of children at home: Children's ages: Does everyone in the house agree to adopt this pet? Does anyone have allergies? Which family member will have the major responsibility of caring for this pet? Do you often have people visiting your home? YesNo YOUR CURRENT PETS Do you have animals now? YesNo Please provide the following information: NAME BREED M/F AGE SPAYED/NEUTERED If any of your pets are not spayed or neutered, please explain why not: Are all pets current on vaccinations? YesNo Are all pets on a heartworm preventative? YesNo YOUR PAST PETS Have you had other animals in the past? YesNo If so, what happened to them? Have you ever had to give up an animal? YesNo If so, how did you do that? CARE OF YOUR NEW DOG Why do you want to bring a new dog into your home? How long have you been searching for a new dog? Where have you searched? Why are you interested in this particular dog? When will you be ready for your new dog? How long will the dog be left alone during the day? Where will the dog be kept while alone? Do you own a crate? YesNo Have you ever crate trained a dog? YesNo Do you plan on crating your new dog? YesNo Will the dog be kept: InsideOutsideBoth How much daily exercise will you provide? Please explain: Do you understand that your new dog may develop issues as it adjusts to its new home? YesNo Will you tolerate the following issues? Housebreaking accidents YesNo Chewing YesNo Barking/whining YesNo In no, please explain: If these issues are not resolved in a reasonable amount of time, what will you do? What do you consider a reasonable amount of time? Would you be willing to take the dog to obedience training if needed? YesNo Have you ever taken a dog to obedience training before? YesNo If needed, how will you housetrain the dog? Are you financially ready and willing to provide the medical care your dog will need for its lifetime? YesNo If something happened to you, who would care for the dog? ADDITIONAL INFORMATION Please provide your veterinarian's name, phone and city: Please provide two references not living with you, name, phone and relationship: Are you employed? YesNo How long at this job? Employer name and address: Please provide any other information you may want to include in regard to adopting this pet: I have filled out the above information truthfully on this date Signed: *Please note: This application may take up to 7 business days to process. You must be 18 years of age to adopt. Incomplete applications will not be processed. Join Our Email FamilyWe do not post too often but we would love to include you in all our news! Welcome and thank you for signing up! First Name Last Name Email Subscribe
