Dog Adoption Form

Our adoption forms can be filled out and submitted online, or they can be printed out and either faxed or emailed to us.

Dog Adoption Form

In am interested in:

Dog

Cat

Homeless Pet's name:

What's the reason for adopting this pet?

Is anyone in the household allergic to dogs?

Yes

Is anyone in the household allergic to cats?

Yes

What will be done to accommodate the pet and the household member?

Your first and last name:

Your phone number:

Your email address:

Your home address:

Apt, suite, etc.

Country

City

State

Zip code

Is there a co-applicant?

Yes

What's the co-applicant's relationship to you?

Address of co-applicant:

Apt, suite, etc.

Country

City

State

Zip code

Phone number of co-applicant:

Email of co-applicant:

Please indicate where you live:

House

Townhouse

Apartment

Trailer/Mobile Home

Do you plan on moving anytime soon?

Yes

Where?

Do you currently have other pets?

Yes

How many other pets?

Do you have children?

Yes

Please list how many children and their age(s):

How will you handle interaction between the new pet and your children?

Who will be responsible for daily care and training of your new pet?

Self

Spouse

Children

Roommate

Do the primary caretakers for the household pet(s) travel often?

Yes

When travelling, who will take care of your pet(s)?

Your employeer's name

Either business or person

Your employeer's phone number:

Your employeer's address:

Apt, suite, etc.

Country

City

State

Zip code

Is the co-applicant currently working?

Yes

Co-applicant employeer's name

Co-applicant employeer's phone number:

Co-applicant's employeer's address

Apt, suite, etc.

Country

City

State

Zip code

Would this pet be a surprise for anyone?

Yes

Why would adopting this pet be a surprise?

Is everyone in the household in favor of adopting this pet?

Yes

Why not?

Are you willing to allow a representative from Homeless Pets Foundation to visit your home by appointment?

Yes

Why not?

Do you or any member of your household have a serious or life-threatening illness?

Yes

Would this reduce your ability to take care of your new pet?

Does any member of your household smoke?

Yes

Please list any other pets you have owned as an adult:

Please list type and name of pet, age of pet, whether pet was spayed/neutered, year deceased or last year you had pet, how long you had the pet, and the cause of death or where the pet is now.

Please list all your current pets

Please include type of pet, name of pet, age of pet, whether the pet(s) are spayed/neutered, and current vaccination status

Do you currently have a veterinarian?

Yes

Name of veterinary hospital

Address of veterinary hospital

Apt, suite, etc.

Country

City

State

Zip code

How much do you expect to spend annually for your new pet?

If your pet develops an expensive medical problem, what would you do?

Do your current pets or did your past pets receive monthly heartworm and flea/tick preventative?

Yes

Why not?

What brands do/did you use and how often did you give them?

Are you familiar with heartworm disease?

Yes

What is the maximum number of hours your pet will be left alone in a normal day?

Where will your new dog be kept primarily?

Is your yard fenced in?

Yes

What kind of fence and what's the height?

Do you have a pet door?

Yes

Have you ever had a serious behavior problem with a pet?

If so, please explain

Do you have a training plan for your new pet?

If so, what is it?

What will you do with the pet if one of these should arise? Would you try and fix the problem?

Have you ever given up a pet?

Yes

Why?

Would you ever consider moving somewhere that does not allow pets?

Yes

What do you consider to be an appropriate amount of time for a pet to adjust to a new home?

Reference #1 First and last name

Reference #1 Phone number

Reference #1 Home address

Apt, suite, etc.

Country

City

State

Zip code

Reference #2 First and last name

Reference #2 Phone number

Reference #2 Home address

Apt, suite, etc.

Country

City

State

Zip code

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