Adopt Romy Post October 31, 2025 If you are interested in adopting our cleft lip and palate puppy Romy, please fill out this form! Applications will be considered based on best fit for Romy, not in the order that they are received. Adopter Information First & Last Name: * E-mail: * Address: * City, State, Zip: * Home Phone: Work Phone: Cell Phone: Are you 18 or older?: Yes Are you 65 or older?: Yes No Drivers License #: * Children and Your Home: * I have children I do not have children Children visit my home Children rarely visit my home Children's Ages: Living Situation: * Rent Own Live with Parents Mobile Home Condo Complete for Dog Adoption Dog Experience: * First time owner Have had one or two Have had many Have attended training classes/hired trainer During the Day My Dog Will Be: * Outside Inside Outside and Garage Uses dog door Crate/Kennel At Night My Dog WIll Be: * Outside In the garage Inside What behavior(s) are unacceptable to you?: Difficult to distract or control when on leash May attack and cause injury to a small animal Afraid of other animals(backs away/may snap) Fearful of new people/places Protective of family/home Shy/Nervous toward children Independent–doesn’t really need people much Clingy–needs to have someone around often Not housetrained What behavior(s) do you desire or could accept?: Very Active/Active Calm/Gentle/Well Mannered Reserved/Shy Excitable/High Energy Confident Playful Pushy/Tests the Limits Protective of family/home Clingy/Dependent Do you have any pets currently living in the home? If so, please describe them: * Do you have experience with special needs animals?: * Do you have the ability to take Romy to and from appointments, surgeries and check ups?: * Is there anything else you would like to tell us about your home, or why you would be a good match?:
