Adoption Application

Which dog(s) are you interested in adopting?*

Full Name*

Occupation*

Street Address*

City, State, Zip*

How long at this address?*

Best phone number to reach you at*

Best time to call*

Email Address*

How many adults are there in your family (their relationship to you)? Please include first and last name.*

How many children (ages)?*

What type of home do you live in?*
---Single FamilyTown Home/CondoApartmentFarmOther

Please describe your household*
---ActiveNoisyQuietAverageOther

If you rent, please give the rules governing pets and the landlord’s name and phone number: (by providing this information you are allowing Underhound Railroad to contact your landlord. Please inform them of this call so they will speak with us).

Please tell us a little of your lifestyle, your family including any special activities in which your dog would be included. If you have any requirements or requests for a dog, please let us know so that we can more carefully match a dog to your lifestyle.*

Do you have a fenced yard?*
---YesNoOther

If YES, what type and size? If NO, how do you plan to keep the dog in your yard?*

What other pets do you have (specify species, name, breed, gender, age)?*

Are these pets up to date on vaccines?*
---YesNoOther

Are these pets spayed/neutered?*
---YesNoOther

If NOT spayed or neutered, why?*

Have you ever surrendered a pet? If so, why?*

Have you ever had a pet euthanized? If so, why?*

Have you ever been issued a citation for your pet or had to reclaim your pet from the animal control/shelter?*
---YesNoOther

If Yes, please specify circumstances and dates. If No, type N/A.*

Have you, or any member of your family/household ever been cited for leash law violations or cruelty to animals in the past?*
---YesNoOther

If Yes, please specify circumstances and dates. If No, type N/A.*

What is your idea of an ideal dog and why? Desired age, breed, gender, size.*

Breed you would NOT adopt?*

Where will the dog spend the day? (describe)*

Where will the dog spend the night? (describe)*

When you are NOT HOME, where will your pet stay?*

Number of hours (average) dog will spend alone?*

Who will have primary responsibility for this dog's daily care?*

Who will have financial responsibility for this dog?*

Do you agree to provide regular health care by a Licensed Veterinarian?*
---YesNoOther

Do you agree to keep the dog as an indoor dog?*
---YesNoOther

Willing to adopt (select all that apply) Hold CTRL and click*
Dogs that need regular medicationDogs that need trainingDogs that need groomingDog that is hyperactiveDog that is shy

What kind(s) of behavior would you be unwilling to work with?*

What would happen if your dog developed a physical or behavioral ailment or problem that you felt you could not handle?*

Most of our dogs will need to be RE-housetrained. Please describe the method you plan to use to housebreak the dog. (frequent trips outside, pads, bell, etc.)*

Do you believe in crate training?*
---YesNoOther

How will you handle excessive barking, fearfulness, jumping, aggression towards other dogs, chewing, potty accidents, separation anxiety, etc. should any of these issues arise? Please understand many of these actions are common during the first few weeks as the new pet adjusts to your home.*

Are you ready for a possible 20 year commitment?*

Do you have a regular veterinarian?*
---YesNoOther

Veterinarian’s name, clinic name, street address, city, state, zip, phone number.*

Please list someone who is familiar with both you and your pets. Name, city, state, phone, email, relationship to you.*

Do you agree to a post-adoption visit from Underhound to ensure that the adoption/adjustment period is going smoothly?*
---YesNoOther

Do you agree to contact Underhound Railroad if you can no longer keep this dog?*
---YesNoOther

Are you willing to let a representative of Underhound Railroad visit your home by appointment?*
---YesNoOther

How far would you be willing to travel to pick up your new companion?*

Would you be interested in fostering?*
---YesNoWould like to know more

Is there anything else you would like us to know?*

PLEASE NOTE: Completing this application does not bind or promise a dog to you. Please give us 48-72 hours to process your application as we are all volunteers. I have read this disclaimer and am aware I am not bound to, or promised, a dog.*
I agree and understand

By clicking Send, I certify that this information is true and correct to the best of my knowledge and give Underhound Railroad permission to confirm it. By clicking Send, I am also using this as my electronic signature as I am applying through the electronic application provided on this website.
First Last
By typing your name above, you electronically sign/agree to the terms and conditions outlined above.