Pets and People Profile for Dog Adoption

-About the Adopter- Name: Phone: h) Address: w)

City/State/Zip: Email address:

Have you adopted from the Humane Society of Boulder Valley before? YesNo

Who will be the primary caretaker for this dog?

If under 18, parent or guardian’s name: Phone:

Have you be the guardian of a dog before? No Yes If yes, how long ago?

-About the Dog- -What qualities are you looking for in a dog?- Adult companion  Comfortable with children of what ages? ______

Good with other dogs  Good with active, playful dogs  Good with mellow dogs 

Good with cats  Good with shy cats  Good with outgoing cats 

Good with livestock such as horses, goats, chickens, etc. 

Can be alone 4 hours  8 hours  12 hours 

Primarily indoors  Indoor/Outdoor  Primarily outdoors 

Crate trained  Will stay in 4 foot fence  Will stay in 6 foot fence 

Independent  Playful  Lap dog  Outgoing  Quiet  Housetrained  Mellow 

Retrieves balls/sticks  Obedience trained  Protection  Non-allergenic  Athletic 

Guard dog 

Please circle topics you would like to discuss today. Housetraining Indoors vs outdoors Separation anxiety Chewing Introducing to other Crate training Vaccines pets Exercise requirements Animal laws Vacation with/out pets Escaping Other ______Dogs and children

Thank You Adoption Counselor Notes For Office Use Only Comments

What information would the adopter like from us today?

What specific problems does this animal have? (ID number)

Would they like their animal to meet this dog? (yes, no, waived, done)

Would the other people in their household like to meet the animal? (yes, no, waived, done)

Can we give their landlord a courtesy call to let them know they are adopting an animal? (yes, no, waived, done)

Landlord ______phone ______

Discussed by: Front desk initials ______Kennel initials ______

Hold information:

1st Hold/2nd Hold ID # ______Kennel ______End ______Extended to ______Initials ______