ADOPTION APPLICATION

Thank you for your interest in adopting a homeless pet! It is a very serious commitment to own a dog and we are glad you chose to adopt rather than buy from a breeder. Our adoption fees are not set to make a profit but rather recover the actual costs of vetting and rescuing these dogs from shelters and other unsettling living situations. Puppies often cost more solely because they need more veterinary care and can often come across diseases easier with a lower immune system than adults, so please keep that in mind when choosing a dog to adopt.
Filling out this application does not guarantee adoption of any pets at this rescue. Pets are not adopted on a "first come, first served" basis, but to the best home for the pet. We reserve the right to refuse to adopt to any applicant, for any reason, without explanation! Also, in adopting a dog, you are subject to a home visit to ensure the safety of the dog.
By hitting the submit button, you are stating that you are over 18 years of age, and that you answered the above questions truthfully to the best of your knowledge.

* Required

Full Legal Name *

Physical Address (NO PO Box) *

Phone *

Additional Phone

Email Address *

If you rent, please list name of landlord along with address and phone number for verification of permission to have pets

How long have you lived at this residence? *

Do you live with: *

Spouse/Partner
Roomate(s)
Parents
Alone

Is your home considered: *

Urban
Suburban
Rural

What is your yard size? *

Small
Medium
Large
More than 5 acres

Is the yard fenced in? *

Yes
No
Other:

If yard is fenced, what height, type, and length of it?

How many adults over 21yrs old in the residence? *

How many under 21yrs old in this residence? *

How old are you? *

Occupation *

Ages of those under 21yrs.?

How far would you drive to pick up a dog? *

The Dogs Living Situation (Check all that apply) *

Typically how long will dog be left alone during the day? *

How will you exercise the pup? (check all that apply) *

Where will the dog sleep at night? *

Do you own other dogs? (check all that apply) *

Describe Breeds and age(s) of other dogs

Who will be the main caregiver? *

What other animals do you have? *

Why are you looking to adopt? *

Will the dog ride in the back of a truck tethered or untethered? *

How would you discipline a dog? *

What will you do if the dog gets into trouble by ruining something you value? *

What are your thoughts on Obedience Training? *

Have you ever gone to obedience training before? *

Are you willing to take a dog for obedience class? *

Are you willing to housetrain a dog? *

What method of housebreaking will you use, if applicable?

Do you or does anyone smoke inside the house? *

Are you familiar with heartworm disease and, if so, how would you prevent it? *

List the types of behavior problems you consider NOT acceptable (meaning you would not want to keep the dog because of): *

What would you do if you could not keep the animal? Please be specific: (hint, look at at one of the last terms you agree to on the application) *

What circumstances, in your opinion, justify getting rid of an animal? *

At what point would you consider humane-killing (euthanasia), should your dog become ill? *

Are you looking to adopt a specific dog from us? Of all the breeds available why do you want this breed? *

If the dog you were interested in is already adopted, would you consider being "waitlisted" for another dog of your choice? We like to get your information and what types of dogs you are looking for and that helps us determine what dogs we can rescue from shelters that will already have a home to go to so this is a great tool for us! *

Experience: Please relate any prior experience you have had with this breed or any dogs: *

References: Please supply the name and phone number of your current veterinarian, or the one who saw your previous pet(s), with their title identification. If you don't have a vet, please provide the name of your employer, clergyman, or anyone not related to you who can attest to your character. Vet references are preferred. *

Additional information you would like to provide about yourself and/or the pup you would like to adopt: *

By checking YES you agree that the dog will not be used in any illegal activities nor be found at any time in a municipality where certain breeds presence is illegal. *

Yes
No

By checking YES you agree that the dog is to be kept as a house pet. It shall not be sold for medical or experimental purpose, and it shall not be used for breeding. *

Yes
No

By checking YES you agree that if you are chosen to adopt the pup, you will review and agree to an adoption contract, which is wholly in the dogs best interests. *

Yes
No

By checking YES you agree that if you ever need to relinquish the animal during its life, you will contact Melissa Henchen for its surrender cannot be sold, given away, transferred to another individual or organization, etc. *

Yes
No

By checking YES you agree to abide by all local/state leash laws. You understand that it is your responsibility to research and learn your local and state laws. *

Yes
No

And Lastly, By Checking YES to above agreements, you are entering not only an application but a CONTRACT if approved for adoption and you chose to adopt the pet. *

Yes
No