Section 01Applicant Information
Select your 1st-choice foster pet, or choose “Open to Coordinator Match / Undecided” if you’d like help finding the right fit.
Please select your 1st-choice pet or “Open to Coordinator Match / Undecided”.
Optional: Add Backup / Second-Choice Pets

Interested in more than one pet? Check any backup choices below so our volunteer team can consider them together on this single application.

Please enter your full name.
Please enter your age in years.
Please enter your street address.
Please include your City, State, and 5-digit ZIP code so we can process your application (e.g., Chicago, IL 60601).
Please enter your City, State, and ZIP code.
10-digit phone number
Please enter a valid 10-digit cell phone number.
Optional
Optional
Please enter a valid email address.
Please enter your current employer (or Retired / Self-Employed).
Full name, relationship, and phone number of a personal reference.
Please provide a reference name and phone number.
Section 02Household Information
Are all members of your household in agreement with this adoption?
Please specify who will be the primary caregiver.
Do you live in a:
Do you own or rent?
Does your landlord allow dogs/cats?
Enter “N/A” if you own your home.
Please enter your landlord’s name and phone number, or “N/A” if you own.
Are there any restrictions from your landlord or subdivision?
Do you have a fully fenced yard?
Enter the number of adults in your household.
Enter the number of children (0 if none).
Enter children’s ages or “N/A”.
Have your children been around animals before?
Does anyone in your home have pet allergies or asthma?
Section 03Current / Previous Pet Information
Enter “None” if you have not owned pets in the past 5 years.
Please list your current/previous pets or enter “None”.
Please state how many are spayed/neutered (or “N/A”).
Have you adopted from an animal welfare group before?
Have you ever given up a pet?
If you are a first-time pet owner, list the local clinic you plan to use.
Please provide your veterinarian or clinic name and phone number.
Section 04New Pet Information
Please describe the personality you are looking for.
Are you aware of crate training?
Have you ever house-broken a pet before?
Please describe how you plan to handle house-training accidents.
Please enter how many hours per day the pet will be alone.
Please specify where your pet will sleep at night.
Please describe how outdoor activity will be supervised.
Please specify where your pet will stay when nobody is home.
Please share how much time you will allow for adjustment.
Are you willing to work through your new pet’s issues, if any?
Are you aware that a new environment is stressful for your pet, and they may exhibit uncharacteristic behavior?
Do you understand that a pet can be an 18 year commitment, and can cost $1,300 – $1,500 per year to care for?
Are you aware that a large-breed dog takes about two years to mature? Is this something you’re prepared for?
Do you plan to take obedience training with your pet?
Please enter a trainer/class or “N/A”.
Please share your answer.
Please share what you would do if you could no longer keep the pet.
How did you find out about Dog is My Shepherd Rescue & Rehab?
Section 05Release Acknowledgment & Signature

By signing this application, I acknowledge that if I adopt this animal, the animal is adopted AS IS, with no guarantees or warranties of any kind regarding health, medical condition, temperament, or behavior, and that upon adoption I assume full financial and legal responsibility and agree to release, indemnify, and hold harmless Dog Is My Shepherd Rescue & Rehab from any and all liability, claims, or expenses arising after adoption.

Please type your full legal name to sign this application.