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Thank You for Considering Adoption

This could be a life changing experience

Adopting from a shelter or rescue will not only change the life of the dog you’re adopting, but it will also change the life of the next dog we rescue by filling that spot!

Please fill the form out below and we will get back in touch with you shortly! This form is long, so please be patient. If you have any questions before filling out the form, please feel free to Contact Us.

If you are a human and are seeing this field, please leave it blank.

Fields marked with an * are required

Personal Information

First Name *

Last Name *

Address 1 *

Address 2

City *

State *

Zip / Post Code *

Phone *

Email *

Home Information

How long have you lived at this residence? *

Rent or Own Your Home? *

Rent
Own

Type of Home *

Is your yard fenced? *

Yes
No

Do you plan on moving in the next 6 months? If so, to what city? *

Approximate size of your backyard *

Home Environment(Check all that apply) *

Active
Noisy
Quiet
Busy
Average

Known allergy to dogs in the family? *

Yes
No

Please list the name and age of all residents in your home *

Pet Information

Please list any other pets in the home, include breed, weight and age * Help Text

Help Text

Have you ever had to have a pet euthanized or lost a pet to an accident(if YES please explain) *

Are all other pets in your home up to date on vaccines? *

Are other pets in your home on Heartworm prevention? *

Please provide your primary veterinarian's information * Help Text

Help Text

Are all other pets in your home spayed/neutered? If NO, please explain *

Potential Adopter Information

Please describe age, size, breed, sex and traits you are looking for in a dog * Help Text

Help Text

Where will the pet stay while under your care? *

Will the pet be in your home at night? *

Where will the pet sleep? *

How many hours per day are you home and interacting with the pet? *

Please Provide 3 Personal References

Personal Reference 1

Name *

Relationship *

Years Known *

Phone *

Personal Reference 2

Name *

Relationship *

Years Known *

Phone *

Personal Reference 3

Name *

Relationship *

Years Known *

Phone *

All the information given is true and correct. I agree that I will provide healthy food, plenty of water, affection and annual physical examinations and vaccinations under the supervision of a licensed veterinarian. I also agree that should I choose to adopt a dog from Guardian K9 Rescue Unit that it will be an inside pet.

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