EmailMeForm
ADOPTION APPLICATION
HOUND Rescue and Sanctuary
Name and/or Breed of Dog you are interested in Adopting
Your Name
First
Last
Phone
###
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###
-
####
Address
Street Address
City
State / Province / Region
Postal / Zip Code
Email
Persons living in Household
Please list Name, Age, and Relationship to Applicant.
Employer
Employer Address
Street Address
City
State / Province / Region
Postal / Zip Code
Employer Phone
###
-
###
-
####
Is anyone in the home allergic to dogs?
Yes
No
Do you own or rent your home?
Rent
Own
Contact information for Landlord or Property Owner:
Name and Phone Number
Does your landlord allow pets?
Yes
No
Is your yard fenced?
Yes
No
Current pets residing in your home.
Please list: species, age, gender, spayed, neutered or unaltered.
How many hours a day will your rescue dog spend WITHOUT human companionship?
Where will your rescue dog stay when you ARE at home?
Where will your rescue dog stay when your are NOT at home?
Where will your rescue dog sleep at night?
How much time per day and in what kind of activities do you plan on spending with your rescue dog?
Has any animal residing in your home ever bitten or shown signs of aggression towards another animal or human?
Yes
No
If YES, give the information of the animal and explain the situation and the outcome in detail.
Have you ever surrendered an animal to a shelter or had an animal euthanized?
Yes
No
If YES, please explain the circumstances in detail.
Have you ever adopted an animal from a rescue group or shelter?
Yes
No
If YES, please provide name of pet and contact information for that shelter or rescue group.
Have you ever or are you currently fostering a dog for another rescue or shelter?
Yes
No
If YES, please provide name of pet and contact information for that shelter or rescue group.
Veterinarian Information:
Please provide Veterinarian Name, Clinic Name, Address, Phone
References: Please list the Names and Phone Numbers of at least three people that are not members of your family.
By submitting this application the applicant agrees that he/she has read and understands all content of this application and agrees to all conditions herein. Applicant certifies that he/she is above the age of 21 years old and all of the above information given is true and complete. If an omission or untruth is discovered after an adoption takes place, the applicant understands that HOUND Rescue and Sanctuary reserves the right to annul the adoption and reclaim the animal and all legal rights to said animal. Applicant gives HOUND Rescue and Sanctuary permission to fully investigate the information provided as well as contact all references, employers, veterinarians, and related officials. HOUND Rescue and Sanctuary reserves the right to refuse any applicant without explanation.
Applicant Agrees
