Adoption Application Please fill out this application truthfully and honestly. Applications are not taken on a first-come-first-serve basis. Any question with an asterisk (*) is required. All dogs will be placed in homes that will best suit them. Applications with false information or incorrect details may take longer to address or be denied. First Name*: Last Name*: Email*: Phone Number*: Mailing Address*: (Street, City, State, Zip) Name, gender, and age of all adults in household: (18yr+, including yourself)* Age of minors in household: (17 or younger)* Do you rent or own your current home?* RentOwn If renting may we contact your landlord? (If you own, select no) YesNo Landlord name and phone number: Are you open to a home visit?* YesNo Name or type of dog you are interested in: * If you are interested in a specific dog or breed, would you consider a different dog if we feel that your home is not the perfect fit for the dog you are looking at? YesNo Do you have a fenced in yard? (If you do not have a fence this does not disqualify your application.)* YesNo How many hours a day would the dog be left alone?* Please list any animals you currently have in your home: (Name, age, breed, gender, how long you've had them)* Are the animals in your home spayed or neutered, as well as up to date on vaccines, rabies, flea protection, and heartworm preventative?* YesNo If not, please explain why: Have you owned any animals in the past?* YesNo If yes, please describe them: Have you ever had a rescue dog before?* YesNo If applying for a Shiba Inu, have you owned a Shiba before? YesNo If yes, please describe them: (If not, please take this time to do some research before completing the application to make sure a Shiba Inu is right for you!) If necessary, are you willing to take your new dog/puppy to obedience classes?* YesNo We require that you keep your new dog up to date on dog license, vaccines, rabies, flea protection, and heartworm prevention. Do you agree to these requirements?* YesNo Veterinary Office Information: Veterinary Phone Number: The name your records can be found under: ATTENTION: Please make sure to call your vets office and references to give them permission to speak with us and to let them know we will be calling!!! I have read the above statement and will contact my references and vet. If you do not have a vet please explain why: Personal Reference 1* (Name, relation, and phone number): Personal Reference 2* (Name, relation, and phone number): By submitting this application I understand that if there are any questions left blank it will delay the application process; and that if any of the information provided is false it could cause my application to be denied.