Applicant Please enter your information State*: We Only Adopt Locally. You Must Live In Or Near Colorado. Select... Colorado ----- Arizona Kansas Montana Nebraska New Mexico Oklahoma South Dakota Texas Utah Wyoming Preferred Contact Method: Select... Email Phone - Call Phone - Text Please list two personal references whom we may contact. A Phone # or email address is required for each Reference 1 Reference 2 Next Home and Family Please Enter Your Housing Information Type of Housing: Select... House Apartment Condo Own or Rent? Select... Own Rent Landlord's Name: Landlord's Phone Number: How long at this location? (in years) Do you have a fenced yard? Select... Yes No How tall is your fence? (in feet) What is the lowest point of the fence? (in feet) Type of Fence? Select... Wood Chain Link Cinder Block Brick Vinyl Split Rail Electric Wireless Do You Have A Doggie Door? Yes No Please tell us about your household Do all family members want a dog? Yes No Please list all household members and ages. Please include YOURSELF. Please list all current household pets, including name, age and gender. Do you give permission for a SDPPR representative to visit your home prior to adoption and to follow-up after adoption? Yes No Previous Next Care Tell Us About How The Animal Will Be Cared For What Is The Longest Time The Dog Will Be Alone (Without Humans)? * Where will the dog sleep at night? * Who Will Care For The Dog While You Are On Vacation? * What will you do with the dog if you have to move? * Have you successfully housetrained a dog before? * Yes No How will the dog get exercise? * Are you willing and able to purchase and use a crate if needed or advised? * Yes No Are you willing and able to commit to behavior and/or dog obedience training? (HIGHLY RECOMMENDED) * Yes No Please list all other pets you have had in the past five years and what happened to them. * Have you ever given an animal away, if so, why and to whom? * Are You Willing To Take Responsibility For This Dog For The Next 10-15 Years? * Yes No Are You Capable Of Providing Timely Healthcare? * Yes No Are all of your pets current on vaccinations? * Yes No Do you have a current veterinarian? * Yes No Current Veterinarian's Name: * Current Veterinarian's Phone Number: * Dogs Can Take A Month Or Longer To Adjust To A New Home, Particularly If Other Pets Are Involved. Are You Willing To Devote This Much Time To Make The Dog Comfortable In Your Home? * Yes No Previous Next Preferences Tell Us About Your preferences Do You Have A Specific Dog In Mind? * Yes No Which dog are you interested in? * Select... Dog 1 Dog 2 Dog 3 Dog 4 Dog 5 List other dogs you're interested in: Dog 1 Dog 2 Dog 3 Dog 4 Dog 5 When Will You Be Ready To Adopt? * Select... Yesterday This Week Next Week Next Month Would You Consider Fostering While Waiting For The Perfect Dog? * Yes No Is There Anything Else You Would Like To Let Us Know? Previous Submit
