Adoption Questionnaire | Dog Harmony, Inc.

(850) 376-4190

About
Events
Training
- Classes and Clinics
- Private Lessons
Dog-Harmony Life
Shop
Support Us

Your information:

First Name *

Last Name *

Email Address *

Street Address *

Apartment, suite, etc

City

State/Province

ZIP / Postal Code

Country

Do you own or rent? *OwnRent

Phone Number *

About your household:

Have you owned a dog before? *Yes, but not currentlyYes, I currently have a dogNo

What kind of dog do you currently have? *

Dog's Weight in Pounds: *

Dog's Age *

Do you have children or elderly people in the household? *

NoChildren under 8yrsChildren 8yrs and olderElderly

Do you have cats or other animals in the household? *

NoCatsOther

What other animals are in the house? *

My dog will primarily be: *An indoor dogAn outdoor dog

How many hours a day will your dog spend outside? *

How many hours will your dog spend alone each day? *

When I'm gone my dog will be: *In a crate in the houseLoose in the houseIn the yard

When I am home I want my dog to be by my side: *The majority of the timeSome of the timeI don't want my dog by my side

What kind of collar/harness will your dog use? *HarnessSimple leash and collarPinch collar

Please let us know the kind of dog you are looking for:

I want a guard dog: *YesNo

I want my dog to hunt or heard with me: *YesNo

I want my dog to be enthusiastic in the way it loves people: *VerySomewhatNot at all

I want my dog to be playful: *VerySomewhatNot at all

I want my dog to be laid back: *VerySomewhatNot at all

I am comfortable doing manner correction training: *VerySomewhatNot at all

I want to participate in Agility, Flyball, or Obedience classes with my dog: *YesNo

I'm interested in a dog with special needs (medical or behavioral): *YesNoPossibly

It is most important to me that my dog: *

Please prodide us with current or former veterinary clinic information:

Veterinarian's First Name

Veterinarian's Last Name

Clinic Name

Clinic Phone

Please provide two personal references:

First Name *

Last Name *

Phone *

Relationshp *

First Name *

Last Name *

Phone *

Relationshp *

About

237 Market Street, Santa Rosa Beach, FL 32459

(850) 376-4190

Mon - Sun: 8AM - 8PM

Quick Links

Donate
Humane Education

Newsletter

* indicates required

Email Address *

Sign Up for a Loose Leash Clinic

Your Information

First Name *

Last Name *

Email Address *

Phone *

Choose a session *February 5thFebruary 15thPlease choose one session

Dog's Name *

Dog's Breed

Dog's Age

Dog's Weight

Veterinary Information

First Name *

Last Name *

Your Vet's Phone Number *

Has your dog been spayed/neutered? *

YesNo

Has you dog been around other dogs? *

YesNo

Training Information

Has your dog had training before? *

YesNo

Where has your dog had training and what classes have they attended? *

Payment

Payment Options *Pay NowPay First Day of Class

Please do not fill in this field.

Cancel and Close

Syds Test Form

Your Information

First Name *

Last Name *

Email Address *

Phone *

Dog's Name *

Dog's Breed

Dog's Age

Dog's Weight

Veterinary Information

First Name *

Last Name *

Your Vet's Phone Number *

Has your dog been spayed/neutered? *

YesNo

Has you dog been around other dogs? *

YesNo

Training Information

Has your dog had training before? *

YesNo

Where has your dog had training and what classes have they attended? *

Payment

Payment Options *Pay NowPay First Day of Class

Please do not fill in this field.

Cancel and Close

Sign Up for Hound About Town

Your Information

First Name *

Last Name *

Email Address *

Phone *

Dog's Name *

Dog's Breed

Dog's Age

Dog's Weight

Veterinary Information

First Name *

Last Name *

Your Vet's Phone Number *

Has your dog been spayed/neutered? *

YesNo

Has you dog been around other dogs? *

YesNo

Training Information

Has your dog had training before? *

YesNo

Where has your dog had training and what classes have they attended? *

Payment

Payment Options *Pay NowPay First Day of Class

Please do not fill in this field.

Cancel and Close

Sign Up for Clicks and Tricks

Your Information

First Name *

Last Name *

Email Address *

Phone *

Dog's Name *

Dog's Breed

Dog's Age

Dog's Weight

Veterinary Information

First Name *

Last Name *

Your Vet's Phone Number *

Has your dog been spayed/neutered? *

YesNo

Has you dog been around other dogs? *

YesNo

Training Information

Has your dog had training before? *

YesNo

Where has your dog had training and what classes have they attended? *

Payment

Payment Options *Pay NowPay First Day of Class

Please do not fill in this field.

Cancel and Close

Sign Up for Puppy Kindergarten

Your Information

First Name *

Last Name *

Email Address *

Phone *

Dog's Name *

Dog's Breed

Dog's Age

Dog's Weight

Veterinary Information

First Name *

Last Name *

Your Vet's Phone Number *

Has your dog been spayed/neutered? *

YesNo

Has you dog been around other dogs? *

YesNo

Training Information

Has your dog had training before? *

YesNo

Where has your dog had training and what classes have they attended? *

Payment

Payment Options *Pay NowPay First Day of Class

Please do not fill in this field.

Cancel and Close

Sign Up for Intermediate Obdience

Your Information

First Name *

Last Name *

Email Address *

Phone *

Dog's Name *

Dog's Breed

Dog's Age

Dog's Weight

Veterinary Information

First Name *

Last Name *

Your Vet's Phone Number *

Has your dog been spayed/neutered? *

YesNo

Has you dog been around other dogs? *

YesNo

Training Information

Has your dog had training before? *

YesNo

Where has your dog had training and what classes have they attended? *

Payment

Payment Options *Pay NowPay First Day of Class

Please do not fill in this field.

Cancel and Close

Sign Up for Basic Obedience

Your Information

First Name *

Last Name *

Email Address *

Phone *

Choose a session *MondaysSaturdaysChoose a session

Dog's Name *

Dog's Breed

Dog's Age

Dog's Weight

Veterinary Information

First Name *

Last Name *

Your Vet's Phone Number *

Has your dog been spayed/neutered? *

YesNo

Has you dog been around other dogs? *

YesNo

Training Information

Has your dog had training before? *

YesNo

Where has your dog had training and what classes have they attended? *

Payment

Payment Options *Pay NowPay First Day of Class

Please do not fill in this field.

Cancel and Close

We use cookies to ensure that we give you the best experience on our website. If you continue to use this site we will assume that you are happy with it.AcceptPrivacy Policy