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Mission Statement
Meet the Humans
Partners and Sponsors
Donate
support
Sponsor an Animal
Adopt
Volunteer
Donate Items
Apparel
Contact Us
Blog
We've mooved!
Home
About Us
Mission Statement
Meet the Humans
Partners and Sponsors
Donate
support
Sponsor an Animal
Adopt
Volunteer
Donate Items
Apparel
Contact Us
Blog
We've mooved!
ADOPTION APPLICATION
Adoption Application
Name of Dog
*
Applicant Information
*
Indicates required field
Name
*
First
Last
Address
*
Line 1
Line 2
City
State
Zip Code
Country
Email
*
Phone Number
*
Drivers License #
*
Residence Information
Do you live in a(n)
*
House
Townhouse
Apartment/Condo
Other
If Other, please explain
*
If renting, do you have your Landlord’s permission to have a dog?
*
Yes
No
I do not rent
Landlords name and phone #
*
# of persons in home
*
If Children, what are the ages?
*
Type of fence securing your property
*
Chain Link
Wood
Block
Wrought Iron
Other
If Other, please explain
*
Height of fence (Highest point)
*
Height of fence (Lowest point)
*
Type of gate
*
Latch
Padlock
Keyed Lock
Other
If Other, please explain
*
Do you have a pool?
*
Yes
No
If yes, Is the pool surrounded by a gate?
*
Yes
No
Areas Available to the Dog
When will the dog be inside?
*
When will the dog be outside?
*
Where will your dog be kept when you are not home?
*
How many hours a day will the dog be alone?
*
Where would the dog sleep at night?
*
Additional Information
How will you exercise your dog?
*
How often?
*
What types of discipline will you use if your dog misbehaves?
*
If you currently have animals in your household, please indicate type, male or female, spayed or neutered and age.
*
Which of the following reasons would prompt you to give up your dog?
*
Excessive Barking
Biting
Destructive Chewing
Divorce
Poor Watch Dog
Shedding
Allergies
Moving
Accidents Indoors
Digging
Excessive Vet Bills
Financial Problems
House Training Issues
Aggression
Jumping on People
Not trainable
Pets not getting along
New Spouse/Partner doesn’t like dogs
None of the Above
Who is your Veterinarian (name and phone)?
*
Additional Comments about why you would like to adopt this particular dog
*
Please read and check each statement below
Please check all boxes
*
I understand that a home visit is required prior to final placement
I understand that a home visit does not guarantee placement
I understand that Hooves & Paws Animal Rescue cannot guarantee the dog’s temperment, behavior, and/or health.
I understand that Hooves & Paws does not operate on a first come, first served basis but rather on finding the best home fit for the dog.
I agree to receiving marketing and promotional materials
Submit
