Adoption Application

** ALL fields are required. Fill out N/A if not applicable.

General Information

Dog Information

Provide two references that are not members of your immediate family

Personal Reference #1




Personal Reference #2



About Your Home





Spouse/Life partnerRoommates (list number below)Boyfriend/GirlfriendOther (list below)





And your yard...

I do not have a yard at this time (skip to the next section)

Front yardBack yardDog houseGarageEnclosed PatioOther (specify below)

If yes...






GardenerHousekeeperPool manDeliveryUtilityNeighborPostmanOther (specify below)

Your experience with dogs

I have had dogs of my own as an adultI grew up with dogs but not had one as an adultI have never had one and/or have limited experienceOther (explain below)


About this dog...

Family memberGift for someoneProtectionChild's companionCompanion for another petOther (specify below)


Rub nose in offending spotTake out every couple of hoursCrate trainingConsult professionalOther (specify below)

Publish parkDog parkBeachHikeNeighborhood parkDon't plan on it

Additional information

Door to doorFlyersFacebookDrive around lookingCheck local sheltersNotify the chip companyOther (specify below)

Excessive barking/neighbor complaintsDiggingAggressive on leashDestructive chewingBiting/Aggression towards other dogsDivorce/SeparationShedding/DirtyNot trainableAllergiesPoor watchdogMoving/RelocatingHouse training problemsFinancial problemsBiting/Aggression towards peopleGrowling/Nipping at guestsExcessive vet billsHaving a babyNew spouse/partner doesn't like dogsNew pet doesn't get along with dogNone of the aboveOther (specify below)

And finally...

Please read and initial each statement below:




  • $250 for puppies (**A spay/neuter agreement is mandatory for puppies)
  • $200 for adult dogs
  • $100 for Veterans and Seniors

I agree to Animal Rescue Relay's adoption fee* which helps offset the cost of altering**, vaccinating, and microchipping my dog.

After submitting an application, you should receive an automated e-mail to the e-mail address you provided.

If you receive an error “One or more fields have an error. Please check and try again,” please review your application for errors. The most common ones are:

  • The field is required.” – fill out the missing fields and resubmit
  • The telephone number is invalid. – Submit a valid telephone number and resubmit (###-###-#### format)