Prerequisites

To adopt, you must be at least 21 years old, have the knowledge and consent of all adults living in your home, and be willing and able to spend the time and money needed to provide the dog with training, vet treatment and proper care. Completion of this application doesn’t guarantee adoption approval. We reserve the right to approve or deny any adoption.

Your Name: *
Your Name:
Your Birth Date: *
Your Birth Date:
Spouse/Partner/Roommate Name:
Spouse/Partner/Roommate Name:
Your Home Address: *
Your Home Address:
Tip: This is a system generated form, it has a bug in that it requires the "Address 2" field to be populated with something and not everyone has an Address 2. Please enter a "-" (dash) in Address 2 area if you do not have an Address 2.
Phone: *
Phone:
Time Applicant Leaves for Work:
Time Applicant Leaves for Work:
Time Applicant Returns from Work:
Time Applicant Returns from Work:
Time Spouse/Partner Leaves for Work:
Time Spouse/Partner Leaves for Work:
Time Spouse/Partner Returns from Work:
Time Spouse/Partner Returns from Work:
Have you ever owned a dog? *
Have you ever given a dog to a shelter or to someone else? *
Have you ever had a pet euthanized? *
What will the dog's role be? (check all that apply) *
Is someone home during the day? *
Do you have a yard?
Describe your yard's fence (check all that apply):
Do you have a dog door? *
Will the dog be tied up sometimes? *
Will the dog spend any time in the garage, basement or cellar? *
Do you have a pool? *
Will you keep the dog up-to-date on vaccinations? *
Will you keep the dog on year-round heartworm prevention? *
Will you keep the dog on year-round flea and tick prevention, such as Frontline? *
Daily Exercise: Please summarize who and how much exercise the dog will get everyday (i.e. dog park, walking, jogging, hiking, rollerblading) . Time in yard does not count.
Do you plan on hiring a daily dog walker? *
Dogs can live 15 years or longer. Can you commit to caring for this pet that long? *
Will you get pet insurance? A monthly fee provides added security and coverage for vet bills? *
Properly cared for dogs can cost more than $1,500/year. This includes yearly vaccinations, vet checkups, dog supplies, potentially needed training, possible boarding, and high quality food. Furthermore, unforeseen medical expenses for illness/accidents can costs thousands more.
Are you FINANCIALLY ABLE to spend $1,500 - $5,000+ per year on this dog if required? *
Are you COMMITTED to spending $1,500 - $5,000+ per year on this dog if required? *
Is any household member allergic to pets? *
Dog's Alone Time? How many hours will this dog be alone per day?
Dog Alone Summary: *
Are you willing to take responsibility for this dog for the next 15 years or more? *
Will you be taking your dog to obedience classes? *
Do you own or rent your home? *
What kind of housing do you live in? *
Do you have to use an elevator to get to your unit?
If you rent, what is your landlord's name and phone?
If you rent, what is your landlord's name and phone?
References Please provide references of two people (not in your family) who have known you 5 years or more:
Personal Reference #1 Name *
Personal Reference #1 Name
Personal Reference #1 Phone: *
Personal Reference #1 Phone:
Personal Reference #2 Name: *
Personal Reference #2 Name:
Personal Reference #2 Phone:
Personal Reference #2 Phone:
Current Vet Phone:
Current Vet Phone:
Former Vet Phone:
Former Vet Phone:
Current Pets Please describe all the pets currently in your home:
Pet #1 Gender and Spay/Neuter Status:
Pet #1 Age in Years:
Is Pet #1 up to dates on vaccinations?
Is Pet #1 licensed?
Pet #2 Type:
Pet #2 Gender and Spay/Neuter Status:
Pet #2 Age in Years:
Is Pet #2 up to dates on vaccinations?
Is Pet #2 licensed?
Pet #3 Type:
Pet #3 Gender and Spay/Neuter Status:
Pet #3 Age in Years:
Is Pet #3 up to date on vaccinations?
Is Pet #3 licensed?
Previous Pets Please tell us about the last three pets that you no longer have:
Previous Pet #1 Name:
Previous Pet #1 Name:
Previous Pet #1 Type:
Previous Pet #1 Gender:
Previous Pet #2 Type:
Previous Pet #2 Gender:
Previous Pet #3 Type:
Previous Pet #3 Gender:
How did you hear about OPIN and the dog you're applying for? *
Are you familiar with local animal control laws?
PLEASE READ CAREFULLY BEFORE SIGNING FEES: There is $300 non-refundable adoption donation to be paid by cash or check. The $300 goes towards off-setting the cost of the spay/neuter surgery, Rabies/Distemper/Parvo/Bordetella vaccines, micro-chipping, assessment by trainer and boarding costs. All donations above this amount are very welcome, and greatly appreciated, as our costs per dog are greater than the adoption fee. In addition, we rely on donations to be able to save the next dog HOME VISITS: OPIN will perform both pre-adoption and post-adoption home visits. USE OF DOG: You agree that the dog will be adopted as a house pet and companion and is not to be kept kenneled, chained up, tethered, on a cable run or penned outside, or used as a guard dog or for personal protection. OPIN reserves the right to reclaim the dog if it feels the dog is not being fed, housed or cared for to its satisfaction. If you are unable to care for this dog, he/she must be returned to OPIN. This application is designed to help us determine if the adoption is in the dog’s best interest, and to assist you in finding a pet compatible with your lifestyle. An unwise adoption can result in an unpleasant experience for adoptive families and may ruin the pet for further adoptions. We hope you will agree that the pet’s welfare must be our foremost concern. I understand the above questions and I authorize investigation of all statements contained in this application. I understand that misrepresentation or omission of facts is cause for denial of adoption. By signing this application, I am stating that the above mentioned is true.
Today's Date: *
Today's Date: