Adoption Forms

First Name

Last Name

Phone Number

Local?
Are you within 40 miles of Atlanta? Yes No Other

Timeframe immediate?
Are you ready to adopt immediately? (If no, specify when you will be ready in the "other section") Yes Other

Timefame Looking
How long have you been looking for a dog? Days Weeks Months

Current Pets
Please tell us all about your current pets. If you don't have any, please say NA.

Age Preferred
What age do you prefer? Puppy (less than 6 months) Young (6 months - 3 years) Adult (3 -7 Years) Senior (7+ years)

Energy Level Preferred
What energy level do you prefer? Low Moderate High (puppy = high!)

Gender Preferred
What Gender do you prefer? Male Female Other

Size Preferred
What size do you prefer? Small (less than 30lbs) Medium (30-50lbs) Large (50-70lbs) Extra Large (70+lbs)

Kids under 10
Do you currently have kids under the age of 10? Yes No

Current Spayed/Neutered
Are your current pets spayed/neutered? Yes No Other

Adoption reason
List the reason you're adopting this dog. Watchdog Family Pet Pet for Child Hunting Family Gift Companion for other pet

Prepared for 15 years
Are you prepared to care for this pet for up to 15 years? Yes No

Spay/Neuter
Do you realize we only adopt spayed or neutered pets? We do this to negate the risk of breeding and adding to our already overwhelming pet over population problem. Yes No

Adoption Fee Acknowledge
Do you realize there are fees associated with adopting? These fees range from $100-$350 depending on the dog and the rescue.
Yes No

Living
Do you live in a: House Townhouse Condo Apartment

Fence
Do you have a fence? Yes No Other

Own/Rent
Do you own or rent your home? Own Rent

Inside/Outside
Will this dog live mainly: Indoors Outdoors Indoors/Outdoors

Indoor/Outdoor explanation
If you said indoor/outdoors, please explain, otherwise, say NA.

Mostly Outdoors
Do/will any of your pets live mostly outdoors? Yes No

Sleep?
Where will your dog sleep specifically? If you have dogs now, where do they sleep?

Unattended
How many hours/day will your dog be left unattended?

Garage/Basement/Outdoors
Do/Will any of your pets, live in a garage, basement or outdoors? Yes No

Care?
What are you willing to spend on this pet if they become injured/ill? up to $500 $500-$1,000 Whatever it takes to provide appropriate care

Notes
What else should we know?

Acknowledgement
By submitting this form you agree that you release Releash Atlanta and anyone operating within Releash Atlanta from any and all liabilities associated with a dog should they cause any damages to persons or property. Agree

Adoption Forms

Releash Atlanta Match Submission Form