Dog Adoption Application

By completing this questionnaire, you will enable us to help pick the very best animal for your situation. It is very important to us that each and every rescued animal in our program finds a compatible home. This questionnaire will help us to determine the personality, temperament and energy level of the dog that would best suit your lifestyle. Please read the questions carefully and answer all questions in detail. An incomplete application will be discarded.
Dog you're applying to adopt*

Green Dogs Unleashed Spay/ Neuter Policy regarding adoption Candidates
Those that wish to adopt a dog from Green Dogs Unleashed must understand that we, GDU, must have guidelines that are met by the adopter. To qualify for adoption an applicant must pass an application review and also meet the criteria that all dogs and cats in the household are spayed or neutered. This requirement does not apply to smaller domestic pets.

Statistically 50% of all animals that are turned into shelters are euthanized with some being given or sold to research labs. This statistic includes purebred dogs and cats as well as mix breed dogs and cats. This does not count the number of animals that are euthanized upon arrival to the shelter because of injury, aggression or illness. Shelters cannot handle the influx of animals they see daily so rescue does their best to help pull their breed, but where one purebred is pulled, 20 mixed breeds never find a home. The only way to stop the number of animals euthanized is to educate the public with the need to spay and neuter their dogs and cats and to stop irresponsible breeding.

GDU's goal is to educate the public in the overpopulation crisis and take a firm stand on the spay/neuter issue by requiring all dogs and cats in the household be spayed or neutered before we can approve an applicant to adopt one of our dogs. We realize that some people are unaware of the seriousness of homeless and unwanted pets and may have an unaltered animal. We also understand that some owners feel they are responsible, won't breed their pet, but prefer to keep their dog in a "whole" state for either personal reasons or "just not being aware" of the consequences of overpopulation. We determine “why” they have an unaltered animal, and if it is within our allowance guidelines, we will carefully discuss the situation, and if we find there are verifiable and justifiable reasons, we will approve the home for adoption (providing the rest of the application is approved.) We wish for those considering putting in an application but who currently have an unaltered dog, GDU will contact the applicant's vet to verify that the unaltered dog has a legitimate medical reason for not being altered. If the applicant claims they are currently and actively showing their dog, we will ask for proof by showing us current entries in AKC sanctioned shows. Matches do not count.

The only exceptions that would allow us to adopt to a home with an unaltered animal are as follows:
- The dog is being actively shown for their championship (we must ask for proof, such as a catalog with the entry or recent show dates)
- The dog has gained its championship and is being bred – CCDR will respect the owner's right to breed a dog only if the dog has obtained it's AKC championship and the person is a responsible breeder who breeds to “better the breed” and who does not over-breed. CCDR does not condone a dog being bred because the owner feels "they are a good quality" or "they want to have a puppy from them." The dog must have a legitimate AKC championship to show for their efforts.
- The dog has health issues where neutering is not recommended because anesthesia may cause complications. – A note from the Veterinarian must be shown as documentation and the vet will be contacted to verify this.
- The dog is too young to be neutered. (Most vets will neuter at 6 months old. A female spayed before her first season will reduce her chances of mammary cancer almost 100%) We hear many people say they don’t spay or neuter their pet for many reasons. Spaying and neutering does not make an animal gain weight or lazy. Once the neutering happens, the hormones subside and the animal is calmer and more relaxed, but by maintaining the same amount of exercise and by monitoring the food you should not see a weight gain. Males become more tolerant and will not be aggressive nor have the desire to roam. Spaying and neutering greatly reduces the risk of cancer in the female, (mammary and uterine) as well as pyometra, a serious infection of the uterus, and in the male greatly reduces the chance of testicular cancer. The younger the dog is neutered the lower the risk of these diseases.
Please understand that our goal is to adopt our dogs to homes that understand how important it is to be responsible by helping us break the cycle of unwanted pets. Therefore we must abide by our policy and only adopt to those homes that understand the importance of neutering all dogs and cats in the household and to be a responsible pet owner who understands and will help correct and educate the public on the importance of spaying and neutering dogs and cats that will never be bred so it will stop the accidental breeding of animals that contributes to the over population of dogs and cats in our society.

If there is any doubt to the overpopulation issue, a visit to your shelter is all you need to do. Ask them how many dogs and cats come in daily and how many dogs and cats are euthanized weekly. Many are purebred and aren't just mixed breeds. It will open your eyes to the unwanted pet problem.
I have read, understand, and agree to the above spay/neuter policy*
- I have read, understand, and agree to the above spay/neuter policy

Section 1: Owner Information
Name(s)*
First Last
Address*
Street Address City State Zip/ Postal Code
Telephone (primary)*
Telephone (alternate)
Best time to call
Email*
Employer
Occupation
Employer (spouse)
Occupation (spouse)
How many children are living in the household, and ages:

Section 3: Pet History/Information
How many dogs have you owned in the past ten years?*
(Please give sex, age, breed if spayed/neutered)
If your pet(s) were not spayed/neutered, please state why.
If you no longer own this (these) pet(s), please state why.
Regarding the dog you want to adopt, have you owned this breed before?*
- Yes
- No
What do you know about the breed, and do you have any questions/concerns?*
Are there regular visitors to your home in which your new dog must get along (including humans and animals)?*
- Yes
- No
Please elaborate:*

Section 4: Pet Preferences
Do you prefer a male or female dog, and why?
- Male
- Female
Why:
Pet Preferences:
Color:
Size Preference:
Age Preference:
*Although you’ve marked the preference above, please indicate what you’d be willing to consider suitable in another (different dog) if the occasion arises:
Sex:
- Male
- Female
Age:
Color:
Breed:
Other:

Section 6: Veterinary Care/Licensing
Veterinary Office:*
Doctor(s):
Address*
City State
Telephone:*
How long have you been with this vet*?*
*If less than one year, please provide previous veterinary office:
May we contact your vet and inquire about your previous or current pet healthcare?*
- Yes
- No
Are you willing to allow Green Dogs Unleashed to periodically visit your home?*
- Yes
- No
Do you understand we require this animal to be spayed or neutered?*
- Yes
- No
Do you agree to license this dog and to give it regular health care?*
- Yes
- No

Section 7: Assurances
Please tell us why you feel you could provide a good home for a rescue dog, and why you would like to adopt a rescue:*
Please provide us with the names/phone/email of two (2) personal references that you have known for at least 2 years:
Name (Reference 1)*
First Last
Phone (Reference 1)*
Email (Reference 1)*
Name (Reference 2)*
First Last
Phone (Reference 2)*
Email (Reference 2)*
Do you agree to contact Green Dogs Unleashed if you can no longer keep this dog?*
- Yes
- No

Section 8: Agreement
Green Dogs Unleashed does ask an adoption fee to help us cover expenses incurred.

I certify that all of the above information is correct. Should an un-neutered or un-spayed animal be placed with me, I agree to have it neutered or spayed by such date agreed upon by me and a Green Dogs Unleashed representative. At that time, I will forward evidence to Green Dogs Unleashed that such procedure has been completed. The animal will reside in my home as a pet. I will provide it with adequate food, water, shelter, training, affection and medical care. I understand that Green Dogs Unleashed is a referral service and is not responsible for the accuracy of information received about the habits, temperaments, or physical condition of animals available for adoption. I understand that it is my responsibility to evaluate the animal for myself before agreeing to adopt it.

I am in full agreement with these terms of adoption. Green Dogs Unleashed shall not be liable for, and is hereby relieved from all liability for any damage, expenses, causes of action, fines, suits, demands, judgments, or claims of any nature whatsoever arising from or by reason of any damage to property or injury to any persons caused in whole or in part by the dog placed in your home. I hereby accept and assume such liability and agree to protect, indemnify, and hold Green Dogs Unleashed harmless from and against all the aforesaid.

Completing and returning this document constitutes your permission for us to check references.

By signing, I attest to the fact that I am 18 years of age and that the above information is correct.
Signature of Applicant (enter your full name):*
Date*
Date Format: MM slash DD slash YYYY
Parent’s Signature (if Applicant is Under 18 Years of Age):
Date
Date Format: MM slash DD slash YYYY
Both parties agree that this application can be executed by the applicant and sent to Green Dogs Unleashed via hand delivery, US Mail, Federal Express, or any other recognized overnight delivery service, facsimile, or by e-mail. If the applicant would like to send the document via e-mail, applicant and Green Dogs Unleashed agree that applicants typed signature is valid and binding upon the parties.

GREEN DOGS UNLEASHED RESERVES THE RIGHT, IN OUR SOLE DISCRETION, TO REFUSE ANY APPLICANT FOR ANY REASON WHATSOEVER.

IMPORTANT: If when you submit you get a "request timed out" error, immediately hit the back button and submit again, it will then go through. Thank you.

click below to submit.
Comments
This field is for validation purposes and should be left unchanged.

Step 1 of 10

Green Dogs Unleashed Spay/ Neuter Policy regarding adoption Candidates

Section 1: Owner Information

Section 2: Housing Information

Section 3: Pet History/Information

Section 4: Pet Preferences

Section 5: Additional Information

Section 6: Veterinary Care/Licensing

Section 7: Assurances

Section 8: Agreement

IMPORTANT: If when you submit you get a "request timed out" error, immediately hit the back button and submit again, it will then go through. Thank you.

click below to submit.