What is the name of the dog you are interested in adopting? Name * First Name Last Name Email * Phone * (###) ### #### Address Address 1 Address 2 City State/Province Zip/Postal Code Country Please let us know why you are intrested in this dog? You live in a...... House Apartment Condo Other How long AND where will this dog be left alone (without people) on an average day? Where will the dog sleep at night? Are you willing to housebreak a dog? How many people live in your household? Please give ages of any children. What is the height of your fence at its lowest point (if applicable)? * Please list ALL your current pets including this information: species, age, spayed/neutered/unaltered, and how your pet gets along with dogs: * Have you ever been in a situation where you were unable to keep a pet or had to give a pet away? Please explain. Have you owned dogs in the past? Check all that apply: * This will be my first dog I currently on a dog I have owned a dog in the past I have lived in a household with a dog as an adult My family had dog(s) growing up I have worked closely with dogs in another setting (Groomer, Training, Boarding, etc.) What are the plans for the dog if you were to move? If a medical emergency occurred with your dog, would you be able to afford the average cost of $500? If not, who would? * What circumstances would cause you to give up a pet ? Even if a dog is listed as "house-trained," a change to the dog's environment may cause the dog to have accidents. * I understand I do not understand I am prepared to take care of this dog for his/her entire lifetime. * Yes I am No, I am not Unsure If you ever become unable to keep this dog, do you agree to return it to Cruz'N Animal Rescue? * Yes, I agree No, I do not agree Uncertain Have you filled out this application to the best of your knowledge? If so, please enter your first and last name below: Thank you for your interest in one of our dogs!We will reply as soon as possible.Have a pawsitively wonderful day!