Which dog are you interested in?
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If you are direct adopting off of a transport the dog may not be microchipped. We do require you to get the dog microchipped within 7 days with Grubby Paws listed as the secondary contact. If this is not completed in 7 days Grubby Paws reserves the right to revoke ownership of the dog. Do you agree to provide proof within 7 days?
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Applicant Name
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First Name
Last Name
Age
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Email
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Phone
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(###)
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Driver's License #
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Address
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Address 1
Address 2
City
State/Province
Zip/Postal Code
Country
How long have you lived there?
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Employer
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How long have you worked there?
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How many days per week do you work?
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How many hours per day?
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Do you go to a worksite or work from home?
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If you work from home, is this arrangement due to the COVID pandemic?
If yes, please explain:
Provide two references that are not members of your immediate family:
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Reference #1:
First Name
Last Name
Years known
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Relationship
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Phone Number
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(###)
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Reference #2
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First Name
Last Name
Years known
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Relationship
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Phone
(###)
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What type of home do you live in?
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House
Apartment/Condo
Townhouse/Duplex
Other
If other, please explain:
Who shares your household?
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Spouse/Life Partner
Boyfriend/Girlfriend
Roommate(s)
Other
If you selected roommates, how many?
If you selected other, please explain:
Are there children in the home?
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If yes, how many?
How old?
Your home is:
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Owned by you
Owned by your spouse or partner
Owned by both you and your spouse/partner
Owned by someone else in the house
Rented directly from the owner or through a management company
Rented as a part of a group of roommates
Other
If other, please explain:
If renting, is your name on the lease?
If no, please explain:
If renting, do you have your landlord's permission to have a dog?
Landlord's Name
First Name
Last Name
Landlord's Phone
(###)
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Does anyone in your home have an allergy to dogs that you are aware of?
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If yes, please explain:
What rooms/areas are off limits for the dog?
What outside areas are available to the dog? (check all that apply)
If other, please explain
Do you have a swimming pool?
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If yes, how will you protect the dog from the swimming pool until they learn boundaries?
Do you have a doggie door?
Is your yard shared with neighbors?
Is your yard fenced?
What type of fence?
Fence height:
Highest point:
Lowest point:
Have you recently inspected your fences?
Are they in good condition with no holes or loose points?
If your dog will have free access to a fenced yard, where is it located?
Which of the following is used to secure your gate?
If you do not lock your gate, or you selected 'other,' please explain:
If your gate does not have a lock, are you willing to install one?
Who has access to your yard? (check all that apply)
If yes, where is the dog kept while they are working?
Do you trust your workers not to let the dog out?
Is someone home during the day?
Where will your dog spend most of his/her day when you are home?
How many hours will your dog be alone each day?
Where will the dog stay when he/she is home alone?
When will the dog be inside?
When will the dog be outside?
Where will the dog sleep at night?
If you go away overnight (or longer), what are your plans to care for the dog?
How will you exercise the dog and how often?
How would you describe your dog owning experience?
If other, please explain
How many dogs have you owned in the past 5 years and what happened to them?
Do you currently have pets?
If yes, please provide the following information for each animal:
Name, Type, Breed, Gender, Age, Spay/Neutered? If not, why?
How long have you had each pet?
How do you feel your current pets will adjust to a new dog in the house?
What type of training do you plan to do with your new dog?
Have you had experience with behavioral or medical issues with your previous or current pets: If yes, please describe:
Have you or would you be willing to enroll your dog(s) in obedience classes:
How would you discipline your dog if he/she misbehaved and/or chewed household items:
What method do you intend to use to housetrain your dog: (check all that apply)
CheckboxShare your reasons for wanting a dog: (check all that apply)
If other, please explain:
In which of the following situations might you allow your dog off leash:
Pets are an investment of your time and money. Can you afford to provide medical care, grooming, proper diet, shelter, and exercise for your new dog:
Explain:
What is your monthly budget for your dog:
Who will have financial responsibility for the dog:
If your dog went missing, what would you do:
Would you like food recommendations?
Are you able to make a long-term commitment to care for your dog for its entire life span, which could be as long as 15 years or more:
Other concerns:
Your veterinarian name and phone:
If you move, what will you do with your dog:
Which of the following reasons might force you to give up your dog: (Check all that apply):
Does everyone in the household actively want to adopt a dog? If no, explain:
If you have a training issue that is beyond your ability to handle on your own, what will you do? Are you willing to hire a trainer?
What one or two things are you most concerned about when adopting a new dog?
Have you ever re-homed a pet, and if so when, and why?
Any other comments you would like to include about why you would like to adopt a dog:
Is there anything else you would like to share with us?
Please read each statement and check the box in agreement
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