What type of dog are you looking for? If you know the name of a specific dog you're interested in, please list it.  
Please indicate your age range. (You must be 21 or older to adopt. Adopters over 60 are eligible for special benefits.)  
Are you a veteran or active military member? (We proudly waive the adoption donation for those who have a valid military ID or DD214) Yes
 No
First Name 
Last Name 
Street Address 1 
Street Address 2 
City 
State 
Zip/Postal Code 
What is your email address? 
Please provide a phone number.  
Please provide an alternate phone number. 
What county do you live in? 
How long have you lived at this address? 
Do you Own your home
 Rent
 Rent to own
 Live with parents
 Live with a partner
 Live with roommates
 Live alone
If other people live in your household, please list their ages and gender (leave blank if you live alone):
Do children under age 18 visit (or live in) your home?  
Is this your first dog? 
Why do you want a dog?
How much money do you imagine spending on this pet throughout the year? 
Is this dog a gift for someone?  
Will this dog have outdoor access? 
Will this dog live 
Are you familiar with introducing a new dog into the household? 
How many hours per day will this dog be left alone?  
How will your dog get exercise? Walks
 Fenced yard
 Dog park
 Other
If you have a fenced yard, what kind of fence is it, and how high is the fence? (If you do not have a fence, leave this question blank).
Are you willing to provide behavior training?  
MUST this dog be housebroken at the time of adoption?
 
If the dog is not housebroken, how will you housetrain?
Please indicate the animals that have lived with you in the past 5 years: Spayed or Neutered dog(s)
 Spayed or Neutered cat(s)
 Spayed or Neutered rabbit(s)
 Unaltered dog(s)
 Unaltered cat(s)
 Unaltered rabbit(s)
 Other animal(s)
 I have not lived with any pets in the past 5 years.
Are any of these pets no longer with you? If so, let us know why they no longer live with you. (Leave blank if this will be your first pet.)
Which veterinarian or clinic would you take your dog to? 
Which of the following live with you RIGHT NOW? Spayed or Neutered dog(s)
 Spayed or Neutered cat(s)
 Spayed or Neutered rabbit(s)
 Unaltered dog(s)
 Unaltered cat(s)
 Unaltered rabbit(s)
 Other animal(s)
 I don't have any pets right now.
What provisions will you make if you can no longer care for your dog?
Have you considered what you will do with your dog if a common situation arises, including behavior concerns, pet-related allergies, moving, a change in financial situation?  
How did you hear about Animal Friends?  
How would you like us to contact you?  
 
I certify that the above information is true and correct. I understand that any intentional misrepresentation may result in application denial. I understand that Animal Friends reserves the right to refuse the placement of any animal. I understand that submission of an application does not guarantee an adoption.
 

Dog Adoption Application

Animal Friends

Caryl Gates Gluck Resource Center
562 Camp Horne Road | Pittsburgh, PA 15237
Phone: 412.847.7000 | Fax: 412.847.7001
speak@ThinkingOutsideTheCage.org
M-F 11 a.m.-7 p.m. | S/S 10 a.m.-5 p.m.

Copyright 2015 Animal Friends Inc.