DOG application – Animal Rescue New Orleans

PLEASE MAKE SURE YOU HAVE FILLED OUT ALL REQUIRED FIELDS OR YOUR APPLICATION WILL NOT BE SUBMITTED! YOU WILL BE REDIRECTED TO A THANK YOU PAGE WHEN YOU HIT SUBMIT IF YOUR APPLICATION WAS SUBMITTED SUCCESSFULLY. Please email adopt@animalrescueneworleans.org with any questions. Thank you!
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ARNO Dog Application

Must be 21 or over to apply to adopt or foster. Please fill out the following dog application completely. Applications with missing information will not be processed. Please email adopt@animalrescueneworleans.org for any questions.

Are you applying to adopt or foster? *

Adopt
Foster

Have you adopted from ARNO before? *

Yes
No

If yes, what was their ARNO name or ID# and what happened to them?

First Name *

Last Name *

Age *

Co-Applicant’s Full Name

Co-Applicant’s Age

Address *

City *

State *

Zip Code *

Email Address *

Home Phone Number *

Work Phone Number *

Mobile Phone Number *

Employer’s Name *

Employer’s Address *

Employer’s Phone Number *

About the Dog

A complete answer to ALL questions will enable us to become more familiar with your request and requirements and will help us find the right dog to match your needs and expectations.

Age Desired *

Sex *

Male
Female
Any

Desired Activity Level *

Is there a specific dog or puppy from our website or shelter in which you are interested?

Yes
No

If so, which one is it? (if there is more than one with the same name, please specify color, gender, or anything that would allow us to distinguish it from the other one)

Why are you interested in this particular dog/puppy? Please specify.

Would you consider a dog/puppy with special needs, such as one who requires medication for a permanent, but controlled, condition? *

Yes
No

Do you want to adopt a dog/puppy as a gift for someone? *

Yes
No

If Yes, is it a surprise gift? *

Yes
No

Please list every pet you have owned in the past 10 years. Please include the following about each pet: Species, Name of Pet, Sex, Age, Was she/he spayed/neutered and what happened to the pet. Please fill out completely. *

Please explain what you know about heartworms and prevention. *

Is/Was your dog current on heartworm prevention? *

Yes
No
N/A (never owned a dog before)

Veterinarian Information

Please provide the full name, address, and phone number of your current veterinarian (or family/parents’ vet if you only had family pets): PLEASE ASK YOUR VET TO RELEASE YOUR VET INFORMATION TO US!

Veterinarian’s Name and Clinic Name: *

Vet Clinic Address *

Vet Clinic Phone Number *

Human name and Pet Name(s) the vet records are under: *

Please list other veterinarians you have used in the past 10 years. Please include the following: Veterinarian’s Name and Clinic Name, Clinic Phone Number, Address, Human Name and Pet Name(s) vet records were under.

Where do you purchase heartworm preventative from? *

Home and Lifestyle

How long have you lived at your current address? *

Do you own or rent? *

Own
Rent

Renters: Please provide Landlord’s name and phone number (if you are a homeowner, write N/A): *

Renters: Do you have the permission of your landlord to have a dog/puppy?

Yes
No

Renters: Are you aware of any size/breed restrictions that your landlord has?

Yes
No

Please provide the ages of everyone living in your household: *

Do you have family/friends that visit frequently? *

Yes
No

Does everyone in your household share your interest in adopting a dog/puppy? *

Yes
No

Who is the dog/puppy primarily for? (Adult, Child, Senior, Disabled) *

Who will be the primary caregiver for the dog/puppy? (who will exercise, care for, groom, play with) *

Does anyone in your household have allergies? *

Yes
No
Unsure

If Yes, to which allergens?

May we visit your home prior to and/or post application approval? *

Yes
No

If Yes, when is the best time? (day, night, weekends, any, etc.)

Caring for a dog

Have you ever owned a dog before? *

Yes
No

How much money are you budgeting annually to properly take care of this dog? *

Where will the dog live and play? (Inside Home, Outside, Both Inside and Outside) Please explain. *

Do you have a dog door? *

Yes
No

If Yes, where does it lead?

Where will the dog stay when you are at work? Running errands? (Inside, Outside, Crate, etc.) *

How long daily will the dog be left alone (without humans)? *

Will the dog be allowed in the house? *

Yes
No

Are you planning to use a dog crate to train your pet during your absence/at night? * *

Yes
No

Is your yard fenced? *

Yes
No

Type of fence? (Include height, width, length and material made of)

If you do not have a fence, do you plan to install one?

Yes
No

Approximate size of pet’s yard area? *

Will the dog be walked daily? *

Yes
No

Exercised in a fenced yard? *

Yes
No

Will the dog be allowed to run free without supervision? *

Yes
No

Will your dog receive formal obedience training? *

Yes
No

What is your plan if your dog becomes more active than anticipated? *

Have you ever sold, given away or surrendered an animal to a shelter for any reason? *

Yes
No

If you answered yes, please specify why:

Please tell us why you want a dog/puppy: *

Please tell us a little about your lifestyle, your family, including any special activities in which your dog would be included. (If you have any special requirements or requests for a dog, please let us know so that we can more carefully match a dog to your lifestyle.) *

If you experience a change in life (get married/divorced, have a baby, etc.), what do you plan to do with your dog? Please explain. *

If you move, what will you do with your dog? What if you move to an apartment/condo/house where the landlord does not allow pets? *

What is your plan for your dog if you have to evacuate for a hurricane or any other reason? *

Do you understand the state and local ordinances concerning licensing and/or leashing? *

Yes
No

Have you, or any member of your family/household, been cited for leash law violations or cruelty to animals in the past? *

Yes
No

If you answered yes, please specify why:

Please tell us how you became aware of Animal Rescue New Orleans (ARNO) and our programs. *

May we give your name and address to pet food companies for receipt of specials/coupon offers, etc. These are companies that are helping ARNO feed our rescued animals. *

Yes
No

Signature

I/We attest that the information supplied in this application is true to the best of our ability, and this application is a necessary part of the adoption process, and the information provided will be kept confidential but is also enforceable under an Adoption Contract. I/We also understand that the submission of this application does not guarantee adoption of a pet from ARNO. I/We also give permission to have any and all information contained on this application verified by ARNO, including but not limited to veterinary and personal reference checks.

Applicant’s Electronic Signature *

Date *

Co-applicant’s Electronic Signature

Date

PLEASE MAKE SURE YOU HAVE FILLED OUT ALL REQUIRED FIELDS OR YOUR APPLICATION WILL NOT BE SUBMITTED! YOU WILL GET REDIRECTED TO A THANK YOU PAGE WHEN YOU HIT SUBMIT IF YOUR APPLICATION WAS SUBMITTED SUCCESSFULLY. Please email adopt@animalrescueneworleans.org with any questions. Thank you!