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Buster’s Friends, Inc. Dog Adoption Application Thank you for visiting our adoption location today! Please understand that not all families and dogs are compatible. Every effort is made to match traits exhibited by an animal with characteristics you desire in a dog. Our goal is to ensure the welfare of the animal by only placing dogs in the best possible home. To be considered as an adopter, you must be:    25 years of age or older and have identification showing present address Willing and able to invest the time and money required to provide proper care for the dog. Estimated minimum cost annually: $500 per dog Prepared to pay an adoption fee of $125 (check or cash only) How did you hear about Buster’s Friends adoption program?___________________________ Have you previously applied to or adopted from Buster’s Friends? Yes No Name: __________________________________________________________________________ Home Phone: ________________________________Cell Phone: ___________________________ Email Address:____________________________________________________________________ RESIDENCE INFORMATION Address: ________________________________________________________________________ City/State: __________________________________________________ Zip: __________________ Do you live alone with friends with relatives Number of adults? _______ Number of Children_______ Ages of Children? ____________________ Does anyone have known allergies-explain?_____________________________________________ _________________________________________________________________________________ Do you: Own Rent House Condo Apartment Mobile Home Townhome Name of Apartment Complex:_________________________________________________________ Landlord's name / phone: ___________________________________________________________ If you do not own, do you have your Landlord's permission to have a dog? Is a deposit required? No Yes No Yes - Amount? ___________ Has it been paid ? Yes No What restrictions on size and/or number of dogs apply in your subdivision or apartment? _________________________________________________________________________________ Do you operate a business in your home? Yes No Type? __________________________ ANIMAL CARE INFORMATION Why do you want to get a dog? _______________________________________________________ How long have you considered this decision?_____________________________________________ Do all adults agree to this adoption?________ Who will be responsible for care of this dog? _________________________________________________________________________________ Where will this dog be kept during the day?____________________ At night?___________________ Where will this dog be kept when you go on vacation? _________________________________________________________________________________ How many hours per day will this dog be left with no one home? ____________ Where will it be kept? _______________________________________________________________ Buster’s Friends places stray or abandoned animals. Can you invest the time and effort to allow this dog to adjust to its new home? Yes No If Yes, how long seems reasonable for this? _________________________________________________________________________________ If you had to give this dog up, what would you do with it? _________________________________________________________________________________ If this dog were lost, what would you do? ________________________________________________ Some animals may require medical attention, are you willing to provide this? ____________________ How many pets do you have? __________ List all pets you currently have in your household: Species/Breed Spayed/ Sex Age Neutered? Vaccines Kept where? Current? Previously owned pets and where are they now (last 2 years)? _________________________________________________________________________________ _________________________________________________________________________________ What veterinarian do you or will you use? ______________________Date of last visit?____________ Do you consent to Buster’s Friends contacting your veterinarian for a reference? Do you consent to Buster’s Friends conducting a home visit: Yes Yes No No Please explain why you picked the animal you are applying to adopt? _________________________________________________________________________________ DOG OR PUPPY ADOPTION INFORMATION Do you want a dog for a: (Mark all that apply) Company for other dog Fighting dog House dog Children's Dog Hunting dog Companion Outside Dog Guard dog – Explain______________________________________________________________ Gift for (Is it a surprise?):_______________________________________________________ What do you consider valid reasons for giving up a dog: (Mark all that apply) Destructive Biting Grew too big Too rough with children Digging Chewing Barking (too much / too little) Moving Fleas Unable to Housetrain Having a baby Other--Explain:___________________________________________________________________ What preferences and personality traits do you want in a dog? Size / weight? ___________________ Age? __________ Color? _____________ Activity level? Low Playful Medium Lap dog Good with children Short hair Med to long hair High Laid back Housetrained Outgoing Quiet Past puppy stage Affectionate Gets along w/ cats What traits would you consider undesirable?_____________________________________________ Will this dog be kept: At home At work Both How will you keep this dog confined? (Mark all that apply) Chain Garage Patio Leash Crate Other:_________________________ House Kennel Fence Other: ________________________ If crated or kenneled, how many hours per day? __________________________________________ Do you have a yard? Yes No Partially fenced Completely fenced Open If fenced: Type? _____________________ Height? _________ Condition? ___________________ You will probably have to housetrain a new puppy or dog. Are you willing to work with the dog and achieve success in a positive manner?__________________________________________________ Where and how will you exercise this dog?_______________________________________________ How will you transport this dog? _______________________________________________________ It may be necessary to seek professional help to train your dog (digging, chewing, destructive behavior). Are you willing to make this commitment? ______________________________________ Are you familiar with Heartworms? Yes No Do you agree to keep your new dog on a heartworm preventative: Yes No Is the dog(s) you have at home now (or was the last dog you owned) on a heartworm preventative? No--Explain Yes - what type? _________________________________________________ Dogs often live 10+ years. Are you prepared to make this commitment? Yes No I certify that the above information is true and correct. I understand that false information may result in nullifying this adoption. Buster’s Friends reserves the right to deny adoption to anyone. Signature of Applicant:______________________________________ Date: ___________________ FOR Buster’s FriendsUSE ONLY: ______________________________ Approved Denied By: