Application

Gwinnett Jail Dog Program Adoption Application
Thank you for your interest in adopting. Please answer each question thoroughly to help ensure the best fit with your new pet.

It is likely you are not the only person applying for this animal, so please give us us much information about yourself as possible and explain in detail why you think you would be the best new home for this particular pet. Please note, incomplete applications will not be processed.

* Indicates required field

Please indicate which dog(s) you're interested in adopting *

Name *

First

Last

Address *

City *

State *

Zip *

Contact Phone *

May we text you? *

Email *

Do you live in a: *

Do you: *

If you rent, please list the name and contact number of your landlord or management company: *

Are you currently employed? *

How long have you lived at your current address? *

Please list the names and ages of all people who live in the home full or part time, including yourself *

Is this pet a gift or surprise for someone? If so, who? *

Who will be the primary caregiver for the dog(s)? *

Why do you want to adopt a dog? *

How many hours a day will the dog be unattended? *

Where will the dog be kept while you are not home? *

Please list name, age, size and breed of all pets you currently own *

Are they all spayed or neutered? *

If no, why not? *

Where do your current pets live? *

Where will your new dog live? *

Where will your new dog sleep? *

Is there a yard available? *

Are your current pets up to date on shots? *

Please provide the name and phone number of your current veterinarian. NOTE: Your application cannot be completed without contact information for the veterinarian who has your current pets' most up to date vaccination records. *

What do you plan to do with your dog when you go on vacation? *

Are you aware of heartworm cause and prevention? *

If approved, when do you plan to bring your new pet home? *

I attest that the above information is accurate. I am also relieving the Gwinnett Jail Dogs Program and the Gwinnett County Sheriff's Department of any and all liability during the viewing and adoption process. *

I agree to the aforesaid

NOTE: Completion of this form does NOT entitle an adoption. Gwinnett Jail Dog Program reserves the right to refuse any and all adoptions for ANY reason. This form is for screening purposes only.

Submit

Operation Second Chance - Jail Dogs

NOTE: Completion of this form does NOT entitle an adoption. Gwinnett Jail Dog Program reserves the right to refuse any and all adoptions for ANY reason. This form is for screening purposes only.