Dog Adoption Application

Dog Adoption Application

  • Please answer all questions so that we are able to approve you and find the right match for your family. Questions that are left blank may prevent or delay approval. This is a PRELIMINARY application. Filling out this application does not guarantee approval.
  • Other Pet Information
  • Veterinarian Information
  • Your Dog Experience
  • Housing
  • Where will the dog stay?
  • This application is designed to help us determine if the adoption is in the dog’s best interest, and to assist you in finding a compatible pet for your lifestyle. An unwise adoption can result in an unpleasant experience for both the adoptive family and the pet and may ruin the pet for future adoption. We hope you agree that the pet’s welfare MUST BE OUR FOREMOST CONCERN. We reserve the right to examine the adoptive situation and decide what is best for the pet overall quality of life. Our goal is to ensure a forever home for each pet that is adopted and a conducive life for the pet involved. I understand these goals and agree to them. I also understand that misrepresentation or omission of facts is cause for denial of adoption. I understand the above questions and I authorize investigation of all statements contained in the application. By signing this application, I am stating that the above mentioned is true.
  • Kennel cough known medically as infectious trachea bronchitis, is a disease in dogs characterized by the presence of a dry or harsh cough. It results from an infection of the dog’s respiratory system, resulting in inflammation. Kennel cough is named as such because the disease can spread rapidly from one dog to another, especially when they live in the same quarters, such as in a kennel. Commonly, kennel cough presents as coughing, which may be associated with gagging or retching. Both viruses and bacteria can cause kennel cough. Most of the time, kennel cough is caused by more than one kind of organism. These organisms can be spread through the air and via direct and indirect contact with contaminated material. Portage Animal Protective League vaccinates all dog with Bordetella, a vaccine to help prevent kennel cough, however there are several strains. Shelter staff works very hard to ensure the health of your dog. By initialing below, you agree that Portage Animal Protective League is not responsible for any costs incurred due to kennel cough in your adopted dog, the transmission to owned dogs or any other dog. You also acknowledge the risks and responsibilities associated with adopting a dog with kennel cough or a dog with exposure to kennel cough. Dogs may not show symptoms of kennel cough for up to two weeks after exposure. During the first two weeks after adoption, you must watch for signs and symptoms and if necessary you must bring your dog to the veterinarian for diagnosis and/or treatment at your own expense.
  • I understand that the Portage Animal Protective League makes no guarantee regarding the temperament, disposition or the training of the animal. I understand that based on an assessment of this animal, in the shelter environment, it has been determined that it has a possibility to bite. I agree that the Portage Animal Protective League shall not be held legally liable for any acts of the animal after it leaves the shelter. I agree that I fully acknowledge the risks of adopting this animal. I hereby release and discharge Portage Animal Protective League, its employees, agents, Board Members, donors and supporters for all acts and omissions, claims or causes of action of any kind arising from the adoption of this animal. By initialing below, you agree that you have fully read and understand this waiver and agree by these terms.
  • This field is for validation purposes and should be left unchanged.