Pre-Adoption Application

CANINE CRUSADERS

A 501c3 non-profit organization

"Helping Mahoning Valley Dogs go from Lost to Loved since 1999"

www.canine-crusaders.com

CANINE CRUSADERS Adoption Process:

1.) Fill out application as completely and honestly as possible.

2.) Upon approval, we will schedule a "Meet n Greet"

3.) Home visit performed by one of our volunteers

4.) Upon approval, Final adoption

Name of DOG that you are interested in: *

First Name *

Last Name *

Address 1 *

Address 2

City *

State *

Postal Code *

Phone *

Email Address *

Have you previously adopted a dog from this organization? *

Yes

No

Number of Household Members *

Ages of children *

Do you have other pets in the house? *

Yes

No

Please list ALL other animals in the house (please include Species/Age/Sex *Spayed/Neutered?)

Do you own your home? *

Yes

No No

Do you Rent? *

Yes

No

If you rent, does your landlord allow pets?

Yes

No

Is there a size/weight/breed restriction? *

Yes

No

If so, please list any size/breed restrictions

Please provide Landlord's name:

Landlord's Phone number:

Do you plan to keep the dog primarily indoors or out? *

Indoors

Outdoors

How large is your yard (approx.)? *

Is it securely fenced? *

Yes

No

If your yard is not fenced, how do you plan to ensure that the dog receives safe and adequate exercise? *

Do you plan on using a crate? * 🛈

No

Yes

If so, how many hours per day would the dog be crated?

Have you ever owned a dog before? *

Yes

No

If yes, what breed(s)?

What happened to him/her?

Name of Veterinary Clinic (If your name is NOT the one on record at the Vet Clinic, please provide appropriate name and their relation to you) *

Veterinary Phone number *

Are you financially able to provide your pet with state mandated vet care? *

Yes

No

Are you prepared to provide any unforeseen state mandated vet care? *

Yes

No

Are you aware of your community's ordinances concerning leash/breed laws? *

Yes

No

Have you considered the pros and cons of owning a dog? *

Yes

No

Have you taught your children the proper way to treat and handle animals? *

Yes

No

Not Applicable

Does everyone in your family want a dog? *

Yes

No

Does anyone in your family have allergies? *

Yes

No

CANINE CRUSADERS requires a home visit during the pre-adoption process. Are you okay with this? *

Yes

No

Should any circumstance arise at any time where you would be unable to keep the dog, would you be able to keep him/her until we are able to find a foster or permanent home? *

I hearby affirm that all of the above information is true and correct. I understand that submission of this application does not necessarily mean that I will be approved to adopt and that CANINE CRUSADERS reserves the right to reject any applicant. I authorize CANINE CRUSADERS to verify any and all information set forth in this application. I also understand that providing false information can result in the termination of my application.

Signature *

Date *

Comments/Additional Information