B.A.S. Online Dog Adoption Application

Name of Dog:      

Please read this paragraph carefully before filling out our adoption application.


This questionnaire has been designed to help you and The Baja Animal Sanctuary decide if you and your family are, at this moment, adequately prepared to assume the level of responsible ownership, which we are trying to ensure for our adoptive dogs. Our primary concern is to place each dog in the best possible home for that dog. Pet ownership is a serious responsibility. We are asking you to make a lifetime commitment to the dog you adopt. It is very stressful for the animals and for you when an adoption does not work out and a dog is returned to us. Because of this we will ask to do a home visit, during the Foster Period, before you permanently adopt one of our dogs.

You must be 21 to fill out this form.

Name:     

I am 21 or older. YesNo

California Drivers License #:           Exp date:    

Address:   

City:          State:          Zip Code:    

Home Phone:           Cell Phone:           Bus. Phone:    

Email address:    

Number of people in household:           Ages of children under 21:    

  1. Do you or anyone you live with have an allergy to dogs?       Yes     No     Don’t know    


  2. Do you agree to let a BAS representative do a home visit prior to adoption?       Yes     No    


  3. Dog experience:       First time owner     Have had one or two     Knowledgeable & experienced    


  4. What is the reason you want a dog?       companion     for my spouse    
    guard dog     for my other pet(s)     for my children     other    


  5. Type of dwelling:       House     Apartment     Condo     Mobile Home     Military     Other    
    Do you:       Rent     Own     Live with parents     Military housing    


  6. If you rent, may we contact your landlord for confirmation that you are allowed to have a dog?        Yes     No     N/A   
    Landlord’s name:    Phone #:

  1. Are you or your spouse in the military?       Yes     No    


  2. Home atmosphere:       Busy & noisy     Some activity     Quiet & Serene    


  3. Do you have a yard?       Yes     No    

    Is it fenced?       Yes     No     N/A   
    How high is the fence?      

  4. What kind of dog is right for you?       Highly energetic     Somewhat energetic     Calm    


  5. Where will the dog sleep?       Inside the house     In the garage     Outside    


  6. Where will the dog be left when no one is home?      


  7. How many hours per day will the dog be alone?       All day     Part of the day     Rarely    


  8. Who will be responsible for the care of the dog?      


  9. Are you willing to spend the time and effort to help this dog adjust to your home and lifestyle?       Yes     No    

    How much time?      

  1. Have you previously owned a dog?       Yes     No    
    If you answered Yes, please check:
    Still have     Gave away     Sold it     Strayed off     Stolen     Died     Other    
    Please explain:     

  1. What animals do you presently own?      Dogs #:    Cats #:    Others #:   


  2. Are all of your dogs current on their vaccines?      Yes     No     N/A   


  3. Have all of your dogs been spayed/neutered?      Yes     No     N/A   


  4. Do you currently have a vet?      Yes     No     N/A   
    May we use your vet as a reference?       Yes     No    
    Vet’s name: Phone #:

  1. What do you do with your animals when you go on vacation?       Neighbors take care of them     Pet service    
    Boarding     House sitter     Other

  2. Have you ever housebroken a dog? Yes     No    
    How do you housebreak a dog? (max. 150 characters)

  1. Dogs need daily exercise. How many times a day will you be able to walk your dog?     
    For how long each time?     

  1. Under what circumstances would you not keep the dog?       Divorce/marriage     New baby    
    Moving     Owner’s illness     Behavioral problems     No time     Getting another pet Other
    Please explain:     

  1. Under what circumstances would you put your dog to sleep (euthanize)?       Costly illness     Old Age    
    Untreatable suffering     Uncorrectable behavioral problems     Other

  1. Dogs have been known to dig holes, chew things up, bark, etc. How do you intend to handle these problems? (max. 150 characters)


  2. How do you feel is the best way to discipline a dog? (max. 150 characters)     


  3. Dogs can incur as much as $10,000 in expenses (food, medical expenses) over an average (10 year) life span. Are you aware of these expenses?
    Yes     No    


  4. If your dog develops unforeseen health problems, there is a potential for considerable expense. Are you able to sustain this additional expense?
    Yes     No    


  5. If for any reason you are unable to keep this dog, do you agree to return it to The Baja Animal Sanctuary?
     Yes     No    


I have read this application and I understand the questions, the policies and the process. The Baja Animal Sanctuary reserves the right to refuse to adopt a dog to any person.