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Adoption Forms
Releash Atlanta Match Submission Form
First Name
Last Name
Email
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
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