Create Account or Log In:
Creating an account or logging in via facebook/email will let you save your application, and allow you to access your pets medical records and other important information after you adopt or foster.
(Please read carefully. This is intended to be a legally binding document)Some information below is required so we can be sure to best help your dog. Please be sure to fill out the form in its entirety. Missed fields will prevent the form from submitting. Upon successful submission you will be brought to our confirmation page and receive an confirmation email. If you have any issues please don't hesitate to reach out to email@example.com.
For information or assistance, please email us at firstname.lastname@example.org or call (855) NEWFIES (855) 639-3437.
How do you prefer we contact you?
Description of Dog
Does your dog have rear leg double dew claws?
How did you acquire your dog?
Name and address of Shelter, Rescue, Pet Store, or Breeder
If Other, please explain.
Are registration papers available?
Is your dog microchipped?
If Yes, Brand and Microchip # ?
Name and Phone Number of Vetrinarian
Dates of last vaccinations: DHPP
Dates of last vaccinations: Rabies
Dates of last vaccinations: Bordetella
Date of last Heartworm check
Date of last heartworm preventative pill:
Has the dog ever been treated for ear infections?
Does your dog have hot spots/skin problems?
If yes, describe.
Does you dog have other health issues? If yes, please describe.
What brand/type of dog food does your dog eat?
How many times a day and at what time(s) is your dog fed?
How much do you feed your dog?
Like to ride in cars?
Like to swim?
Let you take toys/treats away?
Urinate when scared or excited?
Know Basic Commands?
Come when called?
Growl at strangers?
Afraid of storms?
Used to children?
Good with children?
Good with cats?
Good with other dogs?
Used to being groomed?
Used to being walked?
Where does the dog sleep?
Live during the day?
What commands does your dog know?
Is your dog housebroken?
Has your dog ever bitten anyone? If yes please explain
What does the dog like/dislike?
What are the dogs best/worst points?
Why are you giving this dog up?