506B Curtis Corner Road, Peace Dale 02883 PO Box 458, Wakefield RI 02880-0458 (401) 789-7606 APPLICATION FOR ADOPTION FOR DOG ADOPTIONS ONLY 2. Please check the following characteristics you have a strong preference for: [ ] Adult dog [ ] Puppy [ ] Male [ ] Female [ ] Already altered [ ] House dog [ ] Outdoor only [ ] Indoor/Outdoor [ ] Small (Up to 20 lbs) [ ] Medium (20-40 lbs) [ ] Large (40-75 lbs) [ ] X-large (Over 75 lbs) 3. Do you have a preference for a certain breed or mix? ____________________________________ 4. What are your main reasons for adopting a dog? [ ] Companion [ ] Gift [ ] Family pet [ ] Guard/watch dog [ ] Hunting [ ] Breeding [ ] Fighting [ ] Companion for other animal [ ] Other: ________________ 5. Where will the dog be during the: Day? ____________________ Night? ____________________ How many hours a day will the dog be left alone on average? _____________________________ How many hours kept outside? _____________________________________________________ 6. How will your dog be confined if kept outdoors? ________________________________________ 7. Is your household: [ ] Very busy [ ] Busy [ ] Moderately busy [ ] Fairly quiet [ ] Very quiet 8. Describe personality, temperment, and special characteristics you are looking for in a dog: __________________________________________________________________________________ __________________________________________________________________________________ |