<p> Pets and People Profile for Dog Adoption</p><p>-About the Adopter- Name: Phone: h) Address: w) </p><p>City/State/Zip: Email address: </p><p>Have you adopted from the Humane Society of Boulder Valley before? YesNo</p><p>Who will be the primary caretaker for this dog? </p><p>If under 18, parent or guardian’s name: Phone: </p><p>Have you be the guardian of a dog before? No Yes If yes, how long ago? </p><p>-About the Dog- -What qualities are you looking for in a dog?- Adult companion  Comfortable with children of what ages? ______</p><p>Good with other dogs  Good with active, playful dogs  Good with mellow dogs  </p><p>Good with cats  Good with shy cats  Good with outgoing cats  </p><p>Good with livestock such as horses, goats, chickens, etc.  </p><p>Can be alone 4 hours  8 hours  12 hours  </p><p>Primarily indoors  Indoor/Outdoor  Primarily outdoors  </p><p>Crate trained  Will stay in 4 foot fence  Will stay in 6 foot fence  </p><p>Independent  Playful  Lap dog  Outgoing  Quiet  Housetrained  Mellow  </p><p>Retrieves balls/sticks  Obedience trained  Protection  Non-allergenic  Athletic  </p><p>Guard dog  </p><p>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</p><p>Thank You Adoption Counselor Notes For Office Use Only Comments</p><p>What information would the adopter like from us today?</p><p>What specific problems does this animal have? (ID number)</p><p>Would they like their animal to meet this dog? (yes, no, waived, done)</p><p>Would the other people in their household like to meet the animal? (yes, no, waived, done)</p><p>Can we give their landlord a courtesy call to let them know they are adopting an animal? (yes, no, waived, done)</p><p>Landlord ______phone ______</p><p>Discussed by: Front desk initials ______Kennel initials ______</p><p>Hold information:</p><p>1st Hold/2nd Hold ID # ______Kennel ______End ______Extended to ______Initials ______</p><p>1st Hold/2nd Hold ID # ______Kennel ______End ______Extended to ______Initials ______</p><p>1st Hold/2nd Hold ID # ______Kennel ______End ______Extended to ______Initials ______</p><p>1st Hold/2nd Hold ID # ______Kennel ______End ______Extended to ______Initials ______</p><p>1st Hold/2nd Hold ID # ______Kennel ______End ______Extended to ______Initials ______</p>