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Dog Adoption

APC > Dog Adoption

Contact Information:

Pet Name

Applicant Full Name: *

Date of Birth *

Email *

Mobile *

Landline

Country *

City *

Region *

Street *

Building *

Floor *

State

Zip Code

Occupation *

If out of reach, whom can we contact?

Name *

Mobile *

Personal Information:

Type of property ownership: *

Leasehold
Freehold

If you are a leaseholder, does your landlord allow dogs? *

Yes
No

How many members are living in your household? *

Is everyone in your household in agreement about adopting a dog? *

Yes
No

Does anyone in your household have allergies to dogs? *

Yes
No

What will you do if someone in your household develops allergies to this dog? *

Why do you want to adopt this dog? *

Child Companion
House Pet
Own Companion
Security

Have you ever adopted a pet before? *

Yes
No

Do you currently have a dog or a cat or any other pets? *

Yes
No

Dog(s)

Cat(s)

Other

Is / are your pet(s) castrated? *

Yes
No

Is / are your cat(s) declawed? *

Yes
No

Please list the name of the vet and his contact number or the clinic number: *

How many hours in an average workday will your dog spend without human contact? *

Are you capable of training the dog to show wanted behavior around the house or seek professional positive reinforcement trainers if need arises? *

Does your house have a garden? *

Yes
No

Will the pet be indoor or outdoor? *

Indoor
Outdoor

Please describe how do you spend your weekends? *

Please describe how physically active your lifestyle is? *

What energy level do you think would work for your lifestyle? *

Low maintenance - No Walks
Mellow - Short Daily Walks
Active - Short Walks & Dog Play-Dates
Energetic - Long Walks, Running, Hiking, etc.

Would you be willing to adopt a different pet if we determine that the pet you are applying for is not right fit to your lifesyle? *

Yes
No

Please state the name and phone number of the person who might take care of the pet during your absence:

Name: *

Mobile *

Do you plan on moving in the next 12 months? *

Yes
No

If yes, what do you plan to do with the pet?

Have you ever had to surrender an animal to a shelter? *

Yes
No

If yes, please explain

Other Information:

May we contact you regarding volunteer opportunities?

Yes
No

May we contact you in order to help with fundraising?

Yes
No

What is your Facebook or Instagram account? *

Adoption Policies & Procedures: After you have adopted a pet from Alyarz Pet Club and signed the contract, it is important to note the following guidelines. In the event of mistreatment, Alyarz Pet Club retains both possession and ownership of the pet and may take legal action. Such mistreatment would be considered a breach of the adoption contract. By adopting a pet, you agree not to abuse or neglect them. Additionally, the pet cannot be given as a gift to another person. You understand that, to the best of our knowledge, the pet is in good health at the time of adoption, and any medical expenses incurred after the adoption date are not the responsibility of Alyarz Pet Club. However, if a health issue arises within the first three days, please notify Alyarz Pet Club immediately to discuss the matter. Furthermore, as part of the adoption agreement, you agree to grant Alyarz Pet Club visitation rights to ensure that the terms of the Adoption Agreement are being upheld. These visitations serve to verify that the pet is being well-cared for and receiving the attention they deserve. *

I agree

I understand that APC requires the above information to insure that the pet is placed in a good home. I certify that the above information is true and I understand that APC will reclaim the pet if they discover any part of the adoption contract is violated? *