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501C3 Non Profit Dog & Puppy Rescue in Orange County, California

Doggie Bonez Adoption Application

The first step in adopting a dog or puppy is filling out an Adoption Application Form.  Once you submit the form and it is approved, we will contact you to schedule a meeting with the dog of your choice.

Please fill out all fields as completely as possible.

    First Name

    Last Name


    Your Home Address

    Street Address



    Zip Code

    Best Contact Phone Number

    Email Address

    Family & Housing

    List names & ages of all members of your household

    What type of home do you live in single family, town home, apartment, farm, etc.?

    Please describe your household:

    If you rent, please give the rules governing pets and the landlord’s name and number:

    *By providing this information, you are allowing Doggie Bonez, Inc. to contact your landlord. Please inform them of this call so they will speak with us.

    Is everyone in your home in agreement with the decision to adopt a dog?

    Do you have time to provide adequate love and attention to a new dog or puppy?

    Other Pets in the Home

    What other pets do you currently have? (Specify type and number)

    Have you ever surrendered a pet? If so, why?

    Have you ever had a pet euthanized? If so, why?

    How do you discipline your pets and why?


    Do you have a regular veterinarian?" display="inline

    Vet First Name

    Vet Last Name

    Clinic Name

    Clinic Phone

    *By providing Doggie Bonez, Inc. with this information, you are allowing Doggie Bonez to call your vet. Please call your vet and inform them we will be calling to authorize the release of information to Doggie Bonez, Inc.

    Do you agree to provide regular healthcare by a Licensed Veterinarian?

    About the Dog you are Interested In

    Which dog(s) are you interested in meeting?

    Desired Breed?


    Desired Sex of Dog
    Spayed FemaleNeutered MaleNo Preference

    Willing to Adopt
    Outgoing/hyper DogDog that needs regular medicationShy dogDog that needs trainingNone of these

    Where will the dog spend the day? How many hours alone? (Describe)

    Where will the dog spend the night? (Describe)

    Who will have primary responsibility for this dog's daily care?

    Who will have financial responsibility for this dog?

    When the dog goes out, how do you plan to supervise it? Fenced Yard?

    Do you agree to contact Doggie Bonez, Inc. if you can no longer keep this dog?

    Are you willing to let a representative od Doggie Bonez, Inc. visit your home by appointment?

    Personal References

    First Name

    Last Name

    Phone Number

    First Name

    Last Name

    Phone Number

    All of the information I have given is true and complete. This dog will reside in my home as a pet. I will provide it with quality dog food, plenty of fresh water, indoor shelter, affection, annual physical examination and vaccinations under the supervision of a licensed Veterinarian.

    Today's Date

    Please type your full name

    Using your mouse or finger, please sign your name in the box below

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