Your full name *

First Name

Last Name

Your phone number

(###)

###

####

Do you own or rent your home? *

Own

Rent

If anyone in the family allergic to pets? *

Yes

No

Do you have a gender preference for a dog?

Male

Female

Would you be willing to take a dog with minor health or behavioral issues?

Yes

No

Have you ever been convicted of animal cruelty, neglect or abuse? *

Yes

No

By submitting this form, you are acknowledging that no dog is perfect, and you understand you will have to work with any dog you foster or adopt. This may require the support of a trainer/behaviorist if issues arise. All members of the household must be in alignment on this serious commitment of pet ownership. This form does not guarantee application approval. A visit of your home by a DDB representative is required. All references provided here may be contacted by a DDB representative. If approved, a final, legally-binding contract will signed by both parties upon the completion of the adoption or foster process. *

I agree

I have some questions/concerns I'd like to discuss first