Apply to Adopt

Fill out the form below and click “Submit” to apply to adopt.

First Name: Last Name:
Address:
City: County
State: ZIP:
Home Phone:
Work Phone
Cell Phone:
Email:
Do you presently own pets? Yes No
List Name, Age and Type of Pet
If you own dogs, are they Spayed and or Neutered?
If your current dogs are not altered, please explain why not.
Are they up to date with Rabies?
Are they regularly tested for heartworm?
Are they on monthly heartworm prevention?
Have you owned any pets in the past? Yes No
Please list by name and tell us what happen to them.
Vet Name:
Vet Address:
Vet Phone:
What name are the vet records in?
Where do you live? House or apt?
Do you own or rent your home? Own Rent
Landlord's Name:
Landlord's Phone Number:
Pet Deposit? Deposit Amount:
Weight Limit?
Do you understand that Min Pins tend to bark a lot and might not make good apartment pets if other tenants are not tolerant of barking? Yes No
Is your yard completely fenced in? Yes No
What type of fence?
Fence Height?
How do you plan on exercising your Min Pin?
Do you have a crate to keep the dog in? Yes No
How many hours will the dog be alone during the day?
Where will you keep the dog while you are at work or out on errands?
Where will you keep the dog while you are on vacation?
Why are you interested in adopting a Miniature Pinscher?
Do you have a preference of Male or Female?
Please describe any preferences you might have about the age of a min pin you would be interested in adopting.
Is there a particular Min Pin you are applying to adopt? Yes No
If yes, what is the Name, State and Tag number of the dog you are interested in?
How many adults are presently living in the house?
Women: Men:
Do you have roommates? Yes No
Have they agreed to have this pet in their home?
If you and your pet will live with a roommate or your parents for any part of the year, please provide their information below.
Do your roommates have pets?
If yes, please list Name, Age and Type of Pet.
Are there children presently living in the house? Yes No
If yes, what are their ages?
Do you have children who visit often? Yes No
Note: We do not adopt to homes with children under 10 except in cases where specific dogs have successfully lived with children in the past.
Do you understand that AMPS requires a home visit prior to adoption and in some cases after adoption? Yes No
I am prepared to take on the responsibility of caring for this dog for its lifetime, an average of 12 - 18 years. Yes No
I am willing to spend the time, patience and money to properly train a dog? Yes No
I understand that a Miniature Pinscher should never be allowed off lead in open spaces? Yes No
How far are you willing to travel for a minpin?
Please list a personal reference: Required information is Name, address, phone number, relation to you.
  • Adoption Donations Are As Follows:
    • Healthy dogs up to 2 years of age: $300.00 - $350.00
    • Healthy dogs between the ages of two and six: $150.00 - $300.00
    • Healthy dogs between the ages of six and nine: $75.00 - $150.00
    • Geriatric or “special needs” dogs: donation is set on a case -by -case basis.

The Donation Fees Above Do Not Reflect Any Vet Fees Which Will Need To Be Reimbursed To AMPS.

Donations Made Are Necessary To Continue Needed Medical Care For The Minpins AMPS Assists.

For Your Convenience AMPS Can Accept Money Orders, Cashiers Or Bank Checks And Paypal.
By checking “Yes” here, I certify I agree to the information in the above paragraph pertaining to the adoption donations. Yes No
By checking “Yes” here, I certify that the above information is true: Yes No