* All fields are required. Incomplete applications will not be considered.
* If the adoption is approved, an adoption contract will also be required.
Dog Choice #1:
Dog Choice #2 (optional):
Dog Choice #3 (optional):
Please list any preferences (age, sex, breed, color, personality):
Place of Employment:
Primary Phone Number:
Other Phone Number:
For whom are you adopting the dog?
Why do you want to adopt a dog?
Who will be the main care-giver of the dog?
Does everyone in your household agree top adopting the pet?
What do you think are the most important responsibilities in owning a dog?
Do you live with:
Are there any children in your household?
If yes, what are their ages?
How many adults (18 and older) in your household?
Your New Dog
Dog's living situation (check all that apply)
If other, please specify:
How many hours will the dog be home alone in a typical day?
When home alone, the dog will be (check all that apply):
How will you exercise the dog? (check all that apply)
Where will the dog sleep at night?
Is the yard enclosed by a fence? If yes, height, length, and type of fence:
You live in a:
If you are renting, please provide Landlord's name and phone number for verification of pet policy:
If your landlord allows dogs, is there a weight/size/breed restriction? If "yes", what is the restriction?
Other Pets and Experience
Do you have other pets living with you now?
If yes, please list - Type (dog, cat, etc), Breed / Age, Neutered / Spayed, Owned for how long?
If you are applying for a puppy/dog that is not housetrained, how will you housetrain the dog?
How do you plan on transitioning this new pet into your home?
Are you familiar with heartworm disease and how to prevent it?
Have you ever given a pet up for adoption?
If yes, please explain:
Please provide the name and phone number of your current veterinarian(s), or the one who saw your previous pet(s). Vet references are required if you have previously owned or currently own a pet.
Vet(s) name and phone number
Please provide the name and phone number of a personal reference not related to the applicants. Personal reference is required.
Additional information you would like to provide about yourself and/or the dog you would like to adopt:
Thank you for your interest in adopting a Coco’s Cupboard dog!
Coco’s Cupboard is ran by volunteers and funded by donations. Coco’s Cupboard has 501(c)(3) non-profit status.
I have read the above information carefully and have filled out this application honestly. I understand that omission of information and/or failure to answer all questions and sign the application can result in this application being declined.
Also, if an omission or untruth is discovered after an adoption takes place, I understand that the Coco’s Cupboard reserves the right to annul the adoption and reclaim the animal. I grant Coco’s Cupboard full permission to verify the information provided as well as contact veterinarians and other references. If the application passes this review, I agree to a home and yard visit on a mutually agreed date by a Coco’s Cupboard volunteer before an adoption decision is made.
Coco’s Cupboard reserves the right to refuse any adoption.
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