Disclaimer: Due to the limited time spent with the rescued animals, Sacramento Independent Animal Rescuers is not responsible for the health, behavior, or temperament of the animals listed by or adopted from this group.
*ALL FIELDS MUST BE COMPLETED*
Dog Adoption Questionnaire

Sacramento Independent Animal Rescuers Inc.
Date:
Name:
Address:
City, State, Zip
Home phone:
Cell phone:
Work phone:
E-mail address:
Is there a particular dog on the website you are interested in?
Name of dog you are interested in:
YOUR IDEAL DOG:
Breed:
Energy level:
Age:
Gender:
Size:
Coat type:
Additional characteristics you are looking for:
IF NECESSARY:
Are you willing to provide house training?
Are you willing to provide crate training?
Are you willing to provide obedience training?
Other comments:
HOME ENVIRONMENT:
Please indicate where you live:
Do you own or rent:
If renting, do you have permission from your landlord to keep pets?
Please provide contact name/number of property manager:
How long have you lived there:
Do you have a yard?
If yes, what size is it?
Is your yard fenced?
If yes, fence height and what type of material?
Do you have a pool?
If you have to move, what will happen to the dog?
Please list the gender and ages of all people in the home (including yourself):
Are there other animals in the home?
If so, please list what type, including gender and age:
Are they altered?
Are they up to date on vaccines, flea and heartworm preventative?
Who is their current vet?
Have you owned dogs in the past?
If so, what happened to them?
Adopting a dog is a commitment that could last over 10 yrs - are you prepared to take care of a dog for this period? If you cannot, what would you do?
YOUR NEW DOG:
Where will the dog spend the day?
How many hours will the dog spend alone?
How many hours will the dog spend outside daily?
What will be the dogs sleeping area?
What activities do you plan for your dog?
If necessary, how do you plan on obedience training your dog?
Will you agree to keep your dog on flea and heartworm preventative?
Thank you for taking the time to complete this application. Sacramento Independent Animal Rescuers reserves the right to refuse adoption to any applicant. If approved, this application becomes a part of the adoption contract. Due to the responsibilities involved in pet ownership and the possibility of incurring costs associated with veterinary care, all applicants must be at least 18 years of age.
Click "send application" when finished or click "clear application" to start over.