Approximately 5 million to 7 million companion animals enter animal shelters nationwide every year, and approximately 3 million to 4 million are euthanized (60 percent of dogs and 70 percent of cats). This information VIA the ASPCA.

SACRED HEARTS ANIMAL SANCTUARY ADOPTION APPLICATION

IF YOU DO NOT FILL OUT THIS APPLICATION COMPLETELY WE WILL NOT CONTACT YOU, NOR WILL WE APPROVE YOUR APPLICATION...... WE DO CHECK YOUR REFERENCES, WE LOVE THE RESCUES HERE AND ONLY PLACE THEM IN APPROVED HOMES.

Please understand that this application is not a guarantee of adoption approval and we reserve the right to reject any application for any reason. Thank you for taking the time to inquire and apply for one of our adoptable dogs!

Dog (s) you are interested in adopting (name of dog(s): *

Due to rising medical costs and rising cost of overall care, we have recently had to increase our adoption fees. Please understand we are a non-profit, privately funded (no government help) shelter. Our entire funding comes from private donations as well as adoption donations. We house near 60 dogs, many sanctuary and special needs, keeping them from being euthanized and your adoption fee also helps contribute to their care, as well as the vetting invested in the rescue you are adopting. Adoption fees as of 9/18/18 ~ Cats & Kittens $50-$100 Puppies $250~$325 Young adult dogs $175 ~ $250 Senior/Special needs will vary with a normal minimum fee of $125 up to $150 ~ on occasion we may have a dog or puppy with a slightly higher or lower fee, we reserve the right to do this as we see fit, as a general rule the fee will fall into the ranges above. Is the adoption fee acceptable to you? If not please continue no further with your application and accept my apologies. *

Yes

Full name of person wishing to adopt: *

Street Address: *

City and State: *

Zip Code: *

County of residence: *

How long have you lived at this residence? *

If less than 5 years, please provide previous addresses. If more than 5 years please type N/A. *

Telephone numbers where you can be reached, please provide home number and cell number: *

Best times of day to call (please give more than 1): *

Email Address of individual wishing to adopt: *

Do you own or rent your home? *

Please provide name of homeowner or landlord ~ if you rent you must provide a telephone number also. If you do not provide contact information for your landlord we will NOT process your application. *

Do you have a fenced yard? if so please desribe fencing in detail. If NO FENCE, please explain how your are going to keep your new companion safe during potty breaks and excercise: *

Are you willing to let a representative of Sacred Hearts Animal Sanctuary do a home visit before adoption? *

Yes

Full names of all other ADULTS living within the home: *

Name and Age of individual filling out this application: *

Ages of all children living within the home: *

Have you or anyone in your household ever been fined or cited for any animal related indidents? If yes, who and please explain: *

Which household member will be the primary caregiver of your new companion? *

Please explain in detail the living arrangements you will provide for your new companion: *

Will your new companion be allowed on furniture, beds, etc.? *

How many hours will your new companion spend alone during the day? Where will he/she spend these hours? *

If your work/school schedule should change, forcing you to be gone excessive hours, please explain what steps would be taken to insure the happiness and wellbeing of your pet? *

Where will your new companion sleep at night? *

What would you consider the activity level of your family? *

minimal activity (most time spent within the home)

moderately active

highly active(a lot of time spent out doing)

Please explain how your dog(s) are (or will be) included in the daily activities of your family: *

What method of housebreaking are you planning on using? *

How long do you forsee it taking for your new adopted pet to adjust to your home? *

Are you planning on, or willing to, take your new companion to formal training if needed? *

Already planning on taking.

Will take if needed.

Unsure at this point.

Will not take for any reason ever.

Please explain the methods of training that you will be using to deter chewing, jumping or other bad habits that your new pet may develop: *

Please explain to me, worst case scenerio, reasons that you would possibly have to surrender your adoptive pet back to a shelter: *

If you were to have to move, please explain what steps would be taken to secure a safe place for your pet(s): *

Please list all pets currently in the household, including name, breed, sex and age: *

What are the living arrangements of your current pets: *

Please explain how you plan on introducing your new adopted rescue to your current pets: *

Are all canine/feline pets on your property spayed/neutered and up to date on vaccines and heartworm prevention? If NO, please explain: *

PLEASE PROVIDE THE NAME(S) AND PHONE NUMBERS OF ALL VETERINARIANS YOU HAVE USED IN THE LAST 5 YEARS: ~ *

Do you agree to call your primary veterinarian and release your veterinary information to Sacred Hearts Animal Sanctuary? If you do not call and enable us to check your veterinary reference we will not approve your application, no exceptions. *

If you currently own a pet, what brand(s)/type(s) of food(s) do you provide: *

If you have shared your home with one or more pets in the past please list their names, age at passing, and what happened to them. (old age, euthanasia (why), accident (how), illness (what type): *

If you have shared your home with one or more canines/felines in the past, were they all spayed/neutered and on heartworm prevention? If no, please explain: *

Please give a dollar $ estimate of what you believe you will spend yearly on your adopted pet: *

Please explain to us why you chose this pet and what you know of this specific breed or breed mix: *

What are your size expectations for the puppy/dog you are applying for and what is your size expectations for the dog/puppy you are applying for today: *

Have you ever turned a pet into a shelter? If so please explain in detail: *

Have you recently, or do you plan on, applying to another rescue organization for a pet? *

Only applied for this pet

only applied for this pet but plan on applying for others

have applied for this pet and others

If the rescue you have applied for is noted as special needs, please explain how your home and lifestyle will benefit these needs: *

Please list 2 personal references (NON relative) with contact numbers and best times to call them: *

Please give the name/address/phone number of 1 family member that can serve as a permanent contact for you: *

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