Destiny's Adoption Application

Name of dog/ pup to Adopt:
Your Name & Age:
Spouses Name & Age:
Address:
E-Mail Address:
Day Phone:                                                                              
Evening Phone:
What is your Occupation?
What is your spouse's occupation?
What is your families work/school schedule
What are your interests/hobbies?
Do you have children?  Please list their names and ages.
Do you live in city, suburb or rural?
What type of housing?     
How long at this residence?
Landlords Name & Telephone #:
If renting, are dogs allowed?
Do you have a fenced in yard?          
If yes, what are the approximate dimensions?
If no, how will the dog be taken out?
Why do you want to adopt a dog/ pup?
PET INFORMATION
Do you have Breed(s) preference, if so what Breed?
Do you have a gender preference?
What size dog suits your family? 
What age dog suits your family?
If you currently own a cat or dog please list their information including:
  • Name of current Pet(s)
  • Type or Breed
  • Male/Female
  • Spayed/Neutered
  • Age
In the past 6 years, how many dogs and/or cats have you owned?
Please describe where these dogs and/or cats are today & why?
Will your companion be kept primarily inside or outside?
Where will your companion be kept during the day?
Where will your companion be kept at night?
Where will your companion be when you are not home?
What will you do with your companion when you're on vacation?  
On a typical day, how much exercise will your dog get & how?
How do you plan to discipline your companion?
Have you ever taken a dog through formal obedience classes?
Are you interested in participating in any particular dog sports with your new dog/puppy? If so, what kind?
Have you considered the damage that a dog/puppy can do? (Soiling, biting, chewing, etc)
Rescued companions may have been in neglectful and/or abusive situations, and therefore may experience difficulty making the transition to a new home.  What amounts of time are you willing to give your companion to adjust to its new home?
Have you ever had to euthanize an animal?  Could you if advised to by your vet?
GENERAL INFORMATION
Are you aware that, assuming your dog doesn't have any unusual medical conditions, yearly costs can be over $600 for check-ups, vaccinations, heartworm control, flea control and proper feeding?   
Are you aware that you are making up to a 15 yr commitment?
If you move, would you only find housing that allows dogs?
Would you be willing to let us visit you at home during or after the adoption takes place? 
Are you aware that you may return this dog at any time, in one week, one year, and that Destiny's should be consulted before any transfer of the dog in any way? 
Do you understand that a full refund will be made for any animal returned to Destiny's Rescue within 3 days of adoption. 
Do you agree to allow Destiny's Rescue to contact your veterinarian and listed individuals for personal references checks?
Personal Reference Name & Telephone #:
Personal Reference Name & Telephone #:
Veterinarian Reference Name & Telephone #:
Thank you for taking the time to complete this questionnaire. Your answers will permit us to more effectively match your needs with the dogs in our program.
If you have any comments or concerns about adopting a rescue dog or or about this program, please let us know. We are always interested and open to your viewpoint.
We are always prepared to gratefully accept donations which help us to provide care to homeless dogs.