Adoption Application

Please review our adoption process BEFORE filling out the application. And, please read the entire biography of the dog you are interested in adopting. We list specifics about their temperament, health, special needs, and living requirements so you can determine if the dog is a good fit for your lifestyle, home, and personality.

Please note that we will NOT process incomplete applications and we reserve the right to refuse adoption to anyone for any reason at any time during the adoption process. Thank you in advance for your patience and cooperation!

Please note, you must be 21 years or older to adopt a Gingerbread Dog.

*indicates required field

Name of Dog(s) interested in adopting*

Adopter Information

First name*

Last name*

Address*

City*

State*

Zip*

Phone number*

Cell phone*

Email*

Date of birth*

Driver’s license number and state*

Work situation

Employment status*

Employer Name*

Address*

City*

State*

Zip*

Phone number*

Occupation*

Work Schedule*

Have all adults in the household agreed to adopt a dog?*

Relationship Information

Relationship Status*

Partner/spouse name

Phone number

Date of birth

Driver’s license # and state

Employer Name

Address

City

State

Zip

Phone number

Occupation

Work Schedule

Children in Household

Are there any children under the age of 18 LIVING IN your household?*

List details for all children LIVING IN the household.*

Name(s)*

Age(s)*

Sex*

Please share his/her experience with dogs*

Has he/she ever been bitten?

If yes, please explain circumstances and outcome*

Are there any children under the age of 18 that VISIT your household?*

List details of all children that VISIT the house.

Name(s)*

Age(s)*

Sex*

Relationship*

Frequency of visits*

Please share his/her experience with dogs*

Has he/she ever been bitten?

If yes, please explain circumstances and outcome*

Members of Household

How many additional people live in your household?*

Please list names, ages, relationship?

Is anyone in the household allergic to dogs?

If yes, who and explain

Pet History

Do you currently have animals living in your house?*

If yes, list details for ALL animals currently living in the house.

How many pets currently live in your house?*

Names*

What type of animal?*

Breed*

Age(s)*

Sex*

Spayed/Neutered?*

If not, why?*

Shots Current?

If not, why?*

Heartworm prevention method*

Flea and tick prevention method*

Where was animal obtained?

How long owned?

List details for ALL previously owned animals during the past 15 years.

Names

What type of animal?

Breed

Age(s)

Sex

Were Previous Pets Spayed/Neutered?

If not, why?

Were Previous Pets Shots Current?

If not, why?

Heartworm prevention method

Flea and tick prevention method

Where was animal obtained?

How long owned?

Where is the animal now?

If deceased, what were the circumstances?

If rehomed or surrendered, to which rescue/shelter?

If rehomed or surrendered, why?

If you currently own other dogs or cats, are they friendly with unfamiliar dogs?

Have they spent time with unfamiliar dogs?

If so, where?

Do they need time to warm up?

If yes, how long?

Veterinary References

List ALL veterinary doctors seen in the past 15 years.

Veterinary practice name*

Doctor name*

Address*

City*

State*

Phone number*

Last appointment (approx.)*

Dog name(s) seen by this practice*

Are there other vets you would like to include?

Veterinary practice name*

Doctor name*

Address*

City*

State*

Phone number*

Last appointment (approx.)*

Dog name(s) seen by this practice*

Are there other vets you would like to include?

Veterinary practice name*

Doctor name*

Address*

City*

State*

Phone number*

Last appointment (approx.)*

Dog name(s) seen by this practice*

Are there other vets you would like to include?

Veterinary practice name*

Doctor name*

Address*

City*

State*

Phone number*

Last appointment (approx.)*

Dog name(s) seen by this practice*

Personal References

Please list three personal references including one relative that does not live with you and two unrelated such as coworkers, friends, neighbors, etc. (please let them know we will be calling).

Reference 1
(relative)

Relative name*

Phone number*

Relationship*

Reference 2
(non-relative)

Unrelated name*

Phone number*

Relationship*

How long known?*

Reference 3
(non-relative)

Unrelated name*

Phone number*

Relationship*

How long known?*

Home Details

What type of home do you live in?(house, townhouse, condo, apartment, duplex, mobile home, other)*

Do you own, rent, live with parents?

If rent, provide landlord information and/or complex rules outlining pet parameters.

Landlord name:

Phone number:

If townhouse or condo, provide association or property management contact details.
HOA or Property Mgmt name:

Contact name:

Phone number:

Do you have a fenced yard?*

If yes, fully or partially fenced?*

Please describe height and material (wood, chain link, etc).*

What is the activity level in your household?*

How often do you have visitors?*

What type of activities will you engage in with your new dog?*

Daily Routines & Care

Who will be the primary caretaker of the dog?*

Do you understand that changing a dog’s environment and schedule may cause it to have accidents?*

What will you do to acclimate the dog during the first few weeks?*

Are there any habits you will not tolerate from your dog?*

If needed, are you willing to hire a professional dog trainer or attend obedience class?*

What type of issue would cause you to need to return the dog? *

Where will the dog be kept during the day?*

Where will the dog be kept during the night?*

Where will the dog be kept when you go out of the house?*

How many hours a day will the dog(s) be left alone?*

What arrangements will you make if you go away on vacation?*

Do you use a doggie daycare, boarding facility, or pet sitter? If yes, please provide contact details.
DaycareBoardingPet SitterNone

Daycare Information

Name

Daycare Address

City

State

Phone number

Boarding Information

Boarding Facility Name

Address

City

State

Phone number

Pet Sitter Information

Pet sitter name

Address

City

State

Phone number

Do you have a groomer that you use or have used in the past?*

Groomer name*

Address*

City*

State*

Phone number

Are you willing to take responsibility for the dog for the rest of its life?*

If the dog you are interested in has special needs/ medical issues, are you experienced to handle them?*

Are you familiar with the costs involved with food and veterinary care?*

Are you financially able to care for the dog with routine veterinary care, sick or emergency visits, medications, supplements, and any special dietary needs? *

Have you planned with family or a friend for the long-term care of your dog in the event of your death or permanent disability?*

If yes, please share details.

If not possible, do you agree to have the dog returned to GBH?*

If there is any additional information you would like to share, please include it here.

Due to the COVID19 virus and resulting displacement and euthanasia of countless family pets, we have incorporated statements in our Adoption Contract to ensure Gingerbread Dogs are returned to The Gingerbread House Sanctuary & Rescue in the event adopters and their families can no longer care for the dog(s) either temporarily or permanently. As part of the Adoption Contract, adopters must agree to put succession planning measures into place as outlined in the Adoption Contract, including leaving microchips registered to GBH and providing their family/emergency contacts with GBH contact information. For temporary medical situations, dogs will be returned to owners upon their ability to once again care for their dog(s).

Applicants certify that the information provided in this Adoption Application is true and accurate and that they will have sole responsibility in the care and well-being of the adopted dog(s). Any misrepresentation with this adoption application or omission of certain information may result in the application being denied. Misrepresentation and/or omission will invalidate any future adoption contract and the dog(s) will be reclaimed by The Gingerbread House Sanctuary & Rescue and no refund will be given for any adoption fees. Prior to adoption, all dogs receive age-appropriate vetting that may include: a dental cleaning, spay or neuter, vaccines, microchip, and have a full medical screening including bloodwork, fecal, and urinalysis. Please refer to our adoption process for next steps.

Primary Adopter Signature*

By checking this box and typing my name below, I am electronically signing my application.*
Full Legal Name*

Date*

Secondary Adopter Signature

By checking this box and typing my name below, I am electronically signing my application.

Full Legal Name

Date:

Adoption Application

Name of Dog(s) interested in adopting*

Adopter Information

Work situation

Relationship Information

Children in Household

Members of Household

Pet History

Veterinary References

Personal References

Reference 1 (relative)

Reference 2 (non-relative)

Reference 3 (non-relative)

Home Details

Daily Routines & Care

Daycare Information

Boarding Information

Pet Sitter Information

Primary Adopter Signature*

Secondary Adopter Signature

Reference 1
(relative)

Reference 2
(non-relative)

Reference 3
(non-relative)