Adoption Application

Skip to content

Name *

First

Last

Date *

in fit a

Email *

Street Address *

City, State, & Zip *

Phone Number *

Ok to Text? *

Yes
No

Please tell us why you are interested in adopting a Cavalier. *

Number of adults in the home and their ages: *

Number of children in the home and their ages: *

Do you own or rent? *

Own
Rent

If you rent, do you have your landlord's permission to have a pet?

Yes
No
N/A

Landlord's Name

First

Last

Landlord's Phone Number

Do you currently own other pets? If so, please describe them. *

Do you have a yard? *

No
Yes, and it's fenced.
Yes, and it's not fenced.

Do you have a pool? *

No
Yes, and it's fenced.
Yes, and it's not fenced.

Do you have a doggie door? *

No
Yes

Does your house have stairs? *

No
Yes

How would you describe yourself as a dog owner? *

Have you ever rescued or adopted a dog before? If so, where from? *

Are you willing to adopt a dog that requires medication or other medical accomodations? *

No
Yes

Do you understand that there is often a period of adjustment for each rescue to its new surroundings which may include potty accidents, shyness, or other undesirable behaviors? *

No
Yes

Are you willing to continue work on housebreaking a rescue? *

No
Yes

If the Cavalier makes a mistake, what corrective actions would you take? *

What behaviors can you not tolerate? *

What traits are most important to you? *

Would you be willing to take a rescued Cavalier to a training class? *

No
Yes

Where will the Cavalier spend the day? *

Where will the Cavalier spend the night? *

How would you rate the activity level of your family? *

High
Medium
Low

Have you ever had to re-home any of your pets? If yes, please describe the circumstances. *

Veterinarian's Name *

First

Last

Veterinarian's Phone Number *

Please provide the name of a personal reference. *

First

Last

First personal reference phone number. *

Please provide the name of a second personal reference. *

First

Last

Second personal reference phone number. *

What else would you like us to know about your family that would help us to make a good match and assist in determining if you would be a good fit for a rescue? *

Home
Adopt
Foster
Donate
FAQ
Contact
Partners

A 501(c)3 Nonprofit Organization, EIN# 99-2153272