Dog Adoption Application

Adoptable Cats | Adoptable Dogs

All applications are processed by volunteers in the order they are received with the intent to make the best match for families and dogs/cats. Please note that we have different applications for cats and dogs!

Dog Adoptions:

To adopt a dog from us, please fill out a DOG adoption application by filling out the online form below, or by downloading one of these files: Microsoft WORD file, PDF file (to print). (If you download one of the files, you can submit your completed application by email, by fax at 866-811-5119, or by dropping it off at our Tree of Life Pet Sanctuary during open business hours.)

Adoption fee of $350 includes: Spay/Neuter, Deworming, Physical Exam, Up-to-date basic vaccinations of Rabies and Distemper, Heartwork check and will be current on HW preventative, and microchip

The adoption application will give us the information we need to make sure the cat/dog you’re considering is the right fit for your home. The adoption donation helps to cover the costs of spaying/neutering, testing for contagious diseases, micro-chipping, and required shots. Please contact us at 410-643-9955 if you have any questions. Please understand that it may take longer at times for us to process applications on high-interest animals, such as kittens or puppies. Thank you for understanding!


Dog Adoption Application Form:

DISCLAIMER: Chesapeake Cats and Dogs (CCAD) does not guarantee that all prospective adopters/applicants will be approved. We reserve the right to choose the adoptive families we feel are most suited to the pet’s needs at the time of application. We evaluate all applicants on a case-by-case basis. People who are not approved may wish to reapply for a different dog or cat at a later time when their circumstances change. In addition, we reserve the right to redirect applicants to a dog or cat that better fits your lifestyle in order to have a successful adoption. If concerns present themselves at any time during the adoption process, we reserve the right to reevaluate your application.

Please note: if you filled out an application and have not received a response from us within 48 hours to verify your application was received, please contact us by email or by calling 410-643-9955.

Application is for (dog's name) (required):


*If the dog you are interested in is not a good match or is no longer available, do you want to still be approved for adoption? YesNo

Why have you chosen this specific dog to adopt?:

Your Name (required):

Applicant's Age*:

*Must be at least 21 years of age


Co-adopter/Spouse's Name:

Co-adopter/Spouse's Age:

Home Address (where the animal will be living; please include street, city, state, and zip code) (required):

Preferred Phone Number (required):

Work/Other Phone Number:

Your Email (required):

Names, ages and relationship of all household residents (in addition to listed above, roommates, etc.) (required):

HOME:

Do you: OwnRent

Type of dwelling (check one) (required): single family hometownhouseapartment/condoother

If you rent, do you have the approval to keep a pet from your landlord? YesNo

Landlord’s name and telephone number:

How long have you lived at this address (if less than one year, provide previous address) (required):

If adopting a dog, do you have a fenced yard?: YesNoWe do not have a yard

Please describe your fence, If applicable (height and material):

Where will the dog be kept when no one is at home? (required):

How many hours of the day will the pet be left alone? (required):

Do you have a doggie door and/or free access to the yard/outside? (required):

Describe the activity level in your home (required):

Are there regular child visitors?: YesNo Frequency?

Has anyone in the home been diagnosed with dog or cat allergies?: YesNo

Where will the dog stay when you travel or are away? (required):

OTHER PETS:

I would be a first-time dog adopter (required): YesNo

Have you ever given away, sold, or surrendered a pet? (required): YesNo

If yes, when and under what circumstances?:

Please list all current pets and former pets, including whether they were a dog/cat, if they were spayed/neutered (if not, why?), whether they are still with you, what age they are, and what happened if pet is not still with you (if no other pets, please enter N/A in the text areas below):

What kind of heartworm meds (for dogs)
flea preventatives (cats and dogs)?:

What brand of food do/will you use?:

Please give your best estimate for the following: Cost of routine veterinary care for a year (required):

Have you ever taken a dog to training classes? YesNo

Reason?

Will you take your new dog to a basic obedience class? YesNo

What are your biggest concerns in adopting a dog? (required):

VET REFERENCE

Are you using a vet presently or have you used a vet in the last 2 years? (required): YesNo

If yes, please provide the name, address, and phone number of your current vet (if no, please type in N/A) (required):

Applicant hereby consents for to release any information requested by the CCAD rescue group regarding prior animals owned by the applicant and veterinary care provided by the applicant.

(Signature of Prospective Adopter) Typing your name here constitutes a digital signature:

Date:

Adoption Fees:

There is a non-refundable adoption fee of $350—is this acceptable to you? (required): YesNo

Applicants, by signing below allow Chesapeake Cats and Dogs Inc. to confirm the validity of the information provided herein, including contacting listed veterinarians and a personal reference.

(Signature of Prospective Adopter) Typing your name here constitutes a digital signature:

Date: