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ADOPTION APPLICATION
Are you interested in :
Adopting
Fostering
Volunteering
Are you 18 years old or older
Yes
No
To help serve you better , if known, please specify the adoptable pets Name AND Breed you are interested in OR what breed, age ,sex, size, and color of the pet your prefer.
First name
*
Last name
*
Email
*
Retype email
*
Home Phone
*
Cell Phone
*
Multi-line address
Country/Region
*
Address
*
City
*
Zip / Postal code
*
Best time to call
*
What type of dog are you looking for?
*
Agility
Companion
Gift
Gaurd Dog
Herding
House Dog
Hunting
Obedience
Therepy
Working Dog
Yard Dog
Other
What type of activities would you do with your new dog? (Select all that apply)
*
Agility
Bike rides
Car rides
Herding
Hunting
Jogging
Obedience
Fetch
Games
Therepy
Walks
Runs
Playing with kids
Outing in the park
Other
Do you currently own a Dog/Cat
*
Yes
No
If yes please list all pets (include name, breed, and age)
Is your pet spayed or neutered
*
Yes
No
N/A
Have you owned any pets in the past 5 years that are not listed above?
*
Yes
No
If yes please list all pets you have owned in the past 5 years including name,age, and if they were spayed or neutered?
Does your current dog/cat get along with other dogs?
*
Yes
No
N/A- no pets at this time
Are you willing to carefully supervise all of your pets during this time of introduction?
*
Yes
No
Have you ever obedience trained a dog?
*
Yes
No
N/A- I have never owned a dog
Have you ever had to give away a dog due to Obedience problems?
*
Yes
No
N/A- I have never owned a dog
Please provide veterinarian reference. First and Last name.
*
Veterinarian's phone number
*
So you rent or own your residence?
*
Rent
Own
If you rent, we will need to call your land lord to confirm that you have permission to have a dog and the size and breed. Please provide landlords name and phone number.
Have you ever given a pet away?
*
Yes
No
If yes, you have given pet away, please explain why.
Size of yard : feet x feet
*
Is your yard enclosed?
*
Yes
No
Do you have a fence?
*
Yes
No
If you have fence, What type of fence is it?
*
Board Picket
Chain Link
Wood
N/A- No fence
If you have a fenced in yard, is the gate lockable?
*
Yes
No
N/A- No fence
If you do not have a fenced in yard, Please explain how you will handle your dog/puppy's bathroom and exercise needs.
Is anyone home during the day?
*
Yes
No
How long will your dog/puppy be left alone ?
*
Where will the dog/puppy stay when alone? Day and Night:
*
What do you do with your dogs when you go on vacation or are away for extended periods? ( Buisness trips, etc)
*
Do you have childern who will be in contact with with the dog/puppy?
*
Yes
No
Please list the ages of childern who will be in contact with the dog/puppy.
Are you willing to teach your childern how to interact properly with your new dog/puppy?
Yes
No
N/A no childern
Are you willing to supervise young childern around your new dog/puppy?
Yes
No
Please list 3 references (with phone numbers)
*
Do all parties (if more than one adult in household) want a pet
*
Yes
No
Does anyone in your household have allergies to dogs?
*
Yes
No
Would you give up your dog(s) if someone in your household develops an allergy to dogs?
Yes
No
Are you willing to allow someone from Hope For Hannah Rescue, Inc, visit your home with an appointment?
*
Yes
No
How did you hear about us?
*
Please add any information you think will be helpful for Hope For Hannah Rescue's adoptoin or foster decision. If you have adopted from us before , please let us know.
Your application will not be considered if you do not agree with the terms and conditions in the contract. do you agree with the terms and conditions?
*
Yes
No
Submit
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