Dog Adoption Application

Name M. Sean Downing______________________________________

Home Phone____________________________ Address_13038 Morene
St______________________________________
Work Phone____________________________
City Poway__________ State ___Ca_____ Zip __92064___________
Cell Phone (530)249-8572__________________________
E-Mail Address
(s)__mseandowning@hotmail.com___________________________________
___ & ________________________________________________
LOCAL Personal References: (if possible please list one relative
not living with you)
1)Name_Kylie Downing_____________________________ Phone
(530)207-9392_________________
Relationship__Daughter__________________ 2)Name_Kaitlyn
Downing________________________________ Phone__(530)588-
8627_________________ Relationship__Daughter__________________
Place of employment (RETIRED) California Department of
Corrections_________________________________
Manager/phone number _______________________
Estimated annual income: $45k________________________

To ensure that this adoption is in the best interest of both you

and the dog you selected, we ask that you answer the following
questions:
1) Do you live in (select one): House_X__ Apartment___
Condo/Townhome___ Trailer___ Other___
2) Do you: Own__X__ Rent/Lease____ Name of Complex & Office
Phone #__________________________
3) Are you planning to move in the next six months? Yes_____ No
__X__
4) What will happen to this dog if you move unexpectedly I wont
be moving. We own our Home___________________________
5) What will happen to this dog when you go on vacation or in
case of an emergency? The dog would either come with me on
vacation or stay at home with my folks. And it depends what the
emergency would be ? But the dog would either come with me,
stay with my folks in our home, or one of my daughters would
watch the dog __________________

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6) How many hours during the average day will your dog be
without a human?___1____
7) Do you want this dog to be (select one): Inside only____ Outside
only____ Both__X__
8) Where will this dog be kept during the day? Inside the House
________________________________________________
Night? ___Inside the House_____________________________
When you’re not home? ___Inside the House________________________
9) Does your home have a dog door? Yes____ No__X___
10) Do you have a fenced-in back yard? Yes _X___ No _____
If your yard is fenced be sure to check for gaps and weaknesses
in the fencing before bringing your dog home.
If you are adopting a large dog consider if your fence is tall
enough (6 ft).
11) Does your gate have a lock? Yes_X__ No____ If not could one
be put on?Both of our side yards are double gated. So a gate ate
each end. And the gates that can open to the front are padlocked
_____________________________________________________________
(Gates should always be locked so the dog cannot be let loose by
neighborhood kids or utility service people.)
12) If there is no fenced yard how will you exercise the dog?
________________________________________________________________
13) If the yard is not fenced who will walk the dog and how often
will you take the dog out?________________
14) What type of vehicle do you own? Toyota Tacoma extra cab &
Chevy Traverse________________ If you have a truck how will your
dog be transported? _Which ever vehicle the dog would be riding
in, it will be inside and secured with a doggy
seatbelt_______________________________________________________________
______ ____________________
15) Please tell us why you would like to adopt a dog? _For me, I
believe this is the right thing to do. These dogs need someone
who can give them that extra unconditional love they deserve
and to make them a permanent part of their
family.______________________________________________
______________________________________________________________________
____________________
16) I am adopting this dog for (check all that apply): myself_X__
spouse___ children___ gift____ other__ (please explain)
________________________________________________________________17)

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Please list below all the people your dog will be living with
(including yourself):
Name Age Relationship to
prospective
Sharon Downing 83 Mother
Samuel Downing 83 Father

19) Will the whole family share in the care of this dog? Yes__X___
No _____
20) Is there any member of your household who is allergic to
dogs? Yes ____ No _X___ 21) Are there any children that visit your
home frequently? Yes _____ No__X___
If Yes, ages: ___________________________________________________
22) Are there any regular visitors to your home, human or animal,
with which your new dog must get along?
Yes_X__ No___ If Yes, Describe:_I have 2 sisters that come by at
least once a month to visit with us for a couple hours. And I
would introduce them to the dog in a proper manner so that the
dog would not see them as any type of
threat.____________________________________________________
23) Do you have any other pets living with you now? Yes___
No_X__
If Yes, please list below:
Type Breed Neutered/Spayed Age of pet
(Dog/Cat)

24) Have you had pets in the past? wouldX__ No_____

If Yes, please list below:

Type Breed Neutered/Spayed # of years

(Dog/Cat) owned
Dog English Spayed 13
Pointer
(working)
Dog Chihuahua Spayed 15

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25) Do you have a regular veterinarian? Yes __X___ Clinic name,
address, and phone number
Midland Animal Clinic__________________14155 Midland Rd. Poway
Ca. 92064 (858)748-
4412______________________________________________
26) May we have your permission to request information from
your veterinarian? Yes __X___ No ___
27) How often do you feel a dog should see a veterinarian? For
check-ups or when health issues
arrise_______________________________________________________________
29) What will you feed your new dog? When it comes to the
Bulldog breed, that can vary, specifically dog to dog. I would
discuss with you, to see if the dog has any food allergies and will
ask what you are feeding the dog so as to continue with that
particular food once in my
home._______________________________________________________________
30) What kind of behavior do you find unacceptable? So the only
real behavior that bothers me is when a dog continuously jumps
on you nonstop for extended periods of time. But, I DON’T blame
this one the dog. I feel it falls on the owner for not taking the
time to work with the dog on this behavior. Also, I understand
that a dog may want to greet you and jump a bit when you first
arrive. Which I am fine with. I hope this doesn’t sound
contradictory
________________________________________________________________
________________________________________________________________
31) If the dog has problems with behavior what will you do about
it? I feel that any unwanted behavior can be worked out of a dog
by using positive reinforcement. I don’t believe in yelling or
screaming at a dog nor any sort of corporal of punishment. I think
that you can get your point across by using a stern, firm voice.
The dog should understand this.
________________________________________________________________________
______________________________________________________
32)Place of employment I am a Retired Correctional Officer from
the California Department of
Corrections________________________________ Phone
number______________________

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I certify that the above information is true and understand that
false information may result in nullifying this adoption.

Applicant’s Signature
(Michael) Sean
Downing______________________________________________Date
4/26/2024___________

WE RESERVE THE RIGHT TO REFUSE AN ADOPTION!

Thank you for completing the Dog Adoption Application. Please
return it to an adoption counselor so that we may review it with
you. The entire adoption procedure usually takes about a week.