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Please complete the online form below or download and complete the printable PDF Application and send via email to caps@caps-web.org. (Get Adobe Reader)
To be considered as an adopter you must:
Be at least 18 years of age with a legal ID showing your current address.
If you rent, be able to verify that you can have a pet where you live.
Pet ownership is a major responsibility.
In CAPS ongoing effort to find the best possible homes for its animals, we ask that you take the time to fill out this questionnaire and expect to spend some time discussing it with one of our adoption representatives before the adoption is completed. We also ask you to take time to ask one of our volunteers to help you spend time handling the animal you are interested in adopting before you request adoption. The adoption process includes a review of all your answers to the questions below.
Please agree to the following by checking each box.
I am at least 18 years old I understand that this is only an application and does NOT guarantee that I will be approved I understand that the CAPS has the right to refuse an applicant for ANY reason.
1. Date*
Today's date.
2. Name of Dog*
3. Breed / Description*
4. Name of Adopter*
First Name Last Name
5. Co-Adopter
7. Address*
Street Address Address Line 2 CityAlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific ZIP Code
8. Phone Primary*
9. Phone Secondary
10. Email*
Please re-enter your Email Address
11. List any pets you currently have in your home
Click the + or - icons to add or remove entries.
Breed / Type (required) Age (required) Spayed / Neutered? (required) Vaccines Current? (required) -+
12. List any other pets you have had in the past (as an adult)
Breed / Type (required) Age (required) Spayed / Neutered? (required) What happened to this pet? (died?, gave away to other home or shelter?)(required) -+
13. Have you ever given away a pet?*
YesNo
14. How long have you been at your residence?*
15. Residence Type*
HouseApartmentCondo / co-opTownhomeManufactured HomeRV / Camper / TrailerBoatOther
16. Residence property rights*
Own with no HOAOwn with HOA restrictionsRent / LeaseMilitaryStay with family / friend / partnerOther
17. Does your residence have any pet restrictions?
NoYesDo not know
If "yes", please describe:
18. Yard and residence features*
Check all that apply
BalconyPet DoorYardStairsOutdoor KennelPatioPool / SpaOutdoor Dog House
If "Yard", please describe:
If "Pool / Spa", please describe:
21. What type of fencing is around any outdoor areas the dog will use?*
No FenceWoodChain LinkBlock / Brick WallVinylOther
If "No Fence", please describe:
If "Other", please describe:
23. Are there coyotes or other wildlife in your city or town?*
If "Yes", please describe:
24. What would happen to your pet if you moved (Please describe)?*
25. Name of all persons living in your household and their relationship to you:*
Name Age (If under 18)(required) Relationship (required) -+
26. Who will provide for this dog in the event that you become ill or unable to care for him/ her ?*
27. Does anyone in your home have pet allergies?*
CatsDogsYardother
28. If you have children, do they have experience with dogs?*
YesNoThere are no children in the home
Please describe (type / size / energy of dogs, child's responsibilities, etc)
29. How will they be supervised with a new dog?*
30. How do you plan on exercising this dog and how often?*
31. How many hours per day would the dog be exercised?*
32. Based on your family schedule in a normal week, what is the maximum hours your dog will be left alone?*
33. Where will the dog be when you are home?*
34. Where will the dog be when you are not home?*
35. Is there any time the dog will be confined outdoors without access to the home?*
36. Is there any time that the dog will be restricted to a limited area indoors?*
37. Where will the dog sleep?*
38. Will the dog spend any time in garage?*
39. Have you been informed of any behavioral problems of the dog you want to adopt?*
40. If this dog has or develops behavioral problems, what would you do?*
41. Are you willing to housebreak, leash train, and behavior train this dog?*
42. Which of the following may be reasons for giving up your new dog?*
Check all that apply.
Excessive barkingDiggingMouthing / ChewingDestructivenessBitingDog fighting with another petSoiling in the houseJumping on peopleSheddingFleasMovingNew BabyDivorceIllness / AllergiesNot getting along with other petsFinancial Problems
Others. Please describe:
43. List any other information you think may be helpful for us to know.
