Dog Adoption Application

Fill out the form below.

Applicant Information


Dog of Interest


Household Information


Your Family


Animals in Your Household

  • If yes, please list breed, gender and age of each animal.
  • Please list your previous pets (type, name, age) and explain why you no longer have them.

More Information



  • Please enter 3 references we may contact, including contact information.

Veterinary References



  • Dog adopters must supply a properly fitting buckle collar and leash at the time of adoption. Dogs can not ride in the back of pick-up trucks.
  • No matter how much rescued animals are evaluated by their temporary care families, they usually come with "baggage" we don't know about and the transition may take weeks or even months.
  • Falsified answers to any question in this application or asked as part of the application process will lead to automatic refusal of this application.
  • Mel's Farm reserves the right to refuse any adoption application if it feels the adoption is not in the best interests of the animal.


  • By signing or typing your name below, the applicant and co-applicant certify that the information given is true, and you understand that Mel's Farm reserves the right to deny your application for any reason at any time. You further authorize the investigation of all statements in this application.