Please be as detailed as possible when completing the application below.

This information allows us to facilitate the best possible match. Note: A home check and adoption fee are required for all adoptions.

MUTT SCOUTS ADOPTION APPLICATION

Name of Animal: *

First Name *

Last Name *

Street Address *

City *

State *

Zip Code *

Phone Number *

Email Address *

Social Media Handles (if applicable)

	@
Instagram	@
Facebook	@

Age *

Occupation *

Please tell us a bit about yourself and why you want to adopt. *

What day would you be ready to welcome the dog home? Please advise on any upcoming scheduling conflicts that might push the adoption day to a later time (i.e. upcoming trips, visitors in the home, etc). We ask this because our adoption process can move very quickly depending on the circumstances - It is best to apply when you are ready sooner rather than later! *

Have you applied to adopt or foster a dog from Mutt Scouts before? If so, please let us know if it was recent, less than or over a year ago. *

Full Name/Age/Relation of all living in household. Please list each individual, including roommates and children. *

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Does anyone in your household have allergies to dander/hair? *

Do you have other pets living with you? *

YES

Please list all pets in your home:

	Type of Animal	Breed / Sex / Age	Last Vaccinations	How Long as Your Pet	Spay/ Neutered (Y/N)
Pet 1	Type of Animal	Breed / Sex / Age	Last Vaccinations	How Long as Your Pet	Spay/ Neutered (Y/N)
Pet 2	Type of Animal	Breed / Sex / Age	Last Vaccinations	How Long as Your Pet	Spay/ Neutered (Y/N)
Pet 3	Type of Animal	Breed / Sex / Age	Last Vaccinations	How Long as Your Pet	Spay/ Neutered (Y/N)
Pet 4	Type of Animal	Breed / Sex / Age	Last Vaccinations	How Long as Your Pet	Spay/ Neutered (Y/N)
Pet 5	Type of Animal	Breed / Sex / Age	Last Vaccinations	How Long as Your Pet	Spay/ Neutered (Y/N)
Pet 6	Type of Animal	Breed / Sex / Age	Last Vaccinations	How Long as Your Pet	Spay/ Neutered (Y/N)

Please list all pets no longer with you (childhood pets not necessary).
Include: Species, breed mix, and brief history- including all relevant details as to why you no longer have this pet.
If the pet died: how? If it was given away/sold, why? If it was taken to a shelter, why and where? etc.

*

Does everyone in the household want to adopt a dog? If NO, please explain. *

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Do you have any breed or size restrictions from either your landlord or HOA? If so, please elaborate. *

If this pet is a gift, for whom? And have they expressed wanting the emotional and financial responsibility of a pet? *

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IF YOU ARE ADOPTING A PUPPY: are you prepared to sign an addendum to the adoption contract stating you are responsible for the cost of spaying/neutering, and commit to doing so when they are 6 months of age? *

YES

N/A

Do you or other household members work from home? *

YES

What type of home do you live in? (single family home, apartment, other-please explain) *

Is there access to a swimming pool, body of water, or fountain? *

YES

How do you plan to keep your dog safe in regards to water access like water access? *

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Do you own or rent your home? *

If renting, do you have your landlord's permission to have a dog? Please provide the landlord's name and contact information. *

Do you have a yard, and if so, what type and height is the fencing? If no fencing, please explain. *

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Do you have a balcony or deck? If yes, please describe feet/story from ground, width of slats, height of rail, and if dog would have access to this space. *

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How do you plan to handle your dog's bathroom and exercise needs? *

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How many hours will your dog be left alone during the day? How will your dog's needs be met if you are away for an extended period of time? *

Where will the dog be kept when alone? *

Who is your veterinarian/clinic? *

How much money will you spend if your dog became ill or injured? *

What will you do with your dog if you have to move? *

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If you were to become unable to care for your dog due to illness, injury, or death, who would take guardianship/responsibility for your pet?
(Outside of notifying adopting agent per Adoption Agreement Terms) *

Dogs can dig, chew, bark, jump on people, playfully or aggressively bite, and pull on leash. How do you plan to address these issues, and/or any other concerns that arise with your pet? *

What reasons would cause you to return the dog to us? *

Is there anything else you would like to tell us about you, or do you have any questions for us? *

Please read the following carefully, and sign below in agreement:

I understand a home inspection is required prior to final placement.

I understand a home inspection does not guarantee adoption.

If approved, I agree to provide my own collar, leash, and I.D. tag upon completing the adoption contract.

I understand that Mutt Scouts reserves the right to refuse adoption to any applicant for any reason.

I understand this application becomes a part of the adoption contract.

I understand an adoption fee is required to adopt any dog from Mutt Scouts.

I understand and agree to pay the adoption fee of $450 for dogs 1 year+ and $550 for dogs under a year. The adoption fee on the East Coast for adult dogs is $550, and $600 for puppies. In the event an adoption does not work work, adoption fees are refundable, less $75, should adopter return the dog to the rescue within one week of bringing the dog home.

My signature below signifies I have read, understood, and agree to all terms listed above.

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Please upload an image (PDF or JPG) of your Driver's License or State Issued ID. *