Choose an animal:
OR Application For Preapproval*
Cell Phone Number*
Home Phone Number (Optional)
Are you 21 years of age or older?*
Is your ENTIRE household on board for adoption? *
Please list the full name and age of everyone currently living in your household:*
Are there children living in your household under the age of five?*
Have you, or anyone listed as living in the household ever been investigated for crimes involving an animal, including abuse and neglect? *
Does anyone listed as living in the household smoke inside the home?*
What type of housing do you live in?*
Do you own or rent the place you live? *
If you rent, does your landlord allow pets? *
Have you received permission from your landlord? *
Landlord’s Phone Number
Do you have a fenced in yard? *
Type of Fence
Height of Fence
If you have an electric/invisible fence, was it professionally installed?
Who is the adopted dog for? *
The adopted dog will primarily be a *
Will the adopted dog primarily be an indoor or an outdoor dog? *
Inside and Outside
Where will you keep the dog when you are not home? *
Where will the dog sleep at night? *
Will your adopted dog wear identification? *
Will the dog spend any time in the garage?*
Are you willing and able to exercise the dog on a regular basis? *
How do you plan to exercise your dog? *
If you drive a truck, will you ever allow the dog to ride in the bed of the truck? *
Are there times when the dog will be tied up? *
Do you plan on crate training this dog?*
Will someone be home to housetrain the dog, if necessary? *
How will you discipline this dog? *
How much time will the dog spend alone during the day?*
What brand of food do you intend to feed this dog? *
Who will be the primary caregiver of the dog? *
Does anyone in your family have allergies to animals? *
Does anyone in your family have asthma? *
What would happen to your adopted dog if you were to move? *
Do you have an in-home daycare?*
Do you currently own any other pets? *
If yes, please provide name, species, and age of each:
Have all the pets listed above been spayed or neutered?
Are all the pets listed above up to date on vaccinations?
If not, what are the circumstances?
Have you owned any pets in the past 5 years that are no longer in your possession? *
If yes, please list the breed, sex, age, and reason they are no longer with your family.
If you own cats, have they been exposed to dogs?
What routine medical treatments/preventives do you consider necessary for this dog? *
How much would expect to spend annually on medical care for a healthy dog?*
Are you prepared financially for annual and emergency care? *
Veterinarian information is required for all applicants. If you have never owned a companion animal, please list the information for the veterinarian you intend on using for your adopted dog.
Name of Veterinarian:*
Name of Practice:*
What is the most common reason you have visited the veterinarian?
Have you seen this veterinarian before? *
Please list at least two personal references (who are not family members). Please provide full name, phone number, and relationship for each reference:*
Under what circumstances would you surrender your dog or cat? Have you ever needed to surrender a pet in the past? Please explain.*
How did you hear about us?*
I understand that submitting this application to Sioux Falls Canine Rescue is not a guarantee of acceptance, and that approval is contingent on many factors including an in-person home visit by a representative of Sioux Falls Canine Rescue. By singing this application, I certify that all the information I have provided is true and correct. I give permission to Sioux Falls Canine Rescue to check my veterinarian and landlord references.