Dog application

HAPPY HOMES ANIMAL RESCUE

DOG ADOPTION APPLICATION

Thank you for your interest in adopting a puppy/dog through Happy Homes Animal Rescue.

To be considered as an adopter, you must: Be 21 years of age or older * Have identification showing your present address * Have the knowledge and consent of your landlord (if applicable) * Be able and willing to spend the time and money necessary to provide medical treatment and proper care of the dog* At any time Happy Homes has the right to void an approved adoption.

www.happyhomesinc.org * 914-393-8292 * elaine@happyhomesinc.org

Dog's Name: *

Adoption Prices: *

Mixed Breed Puppy $500

Mixed Breed Adult $400

Pure Breed $600

Applicant (Full Name, First and Last):

Co-Applicant (Full Name, First and Last) *

Address (include city, state, and zip code): *

Phone: *

E-mail: *

Occupation: *

Age: *

Please list the names and ages of people in the home: *

Does anyone in your household have an allergy to dogs? *

Have you applied to other rescue organizations in the New Jersey area? *

Yes

If yes, which ones? *

In the past year has your application been turned down by another rescue group or organization? *

Do you own or rent a home? *

Own

Rent

If renting, do you have your landlord's permission to have a dog? *

Landlord name & number *

List current pets in house: Age/spay/Neutered *

Have you ever given up a pet: Please explain: *

Is someone home during the day? *

Yes

Part Time Part Time

How many hours a day will the dog be alone? *

Where will the dog sleep at night? *

Are any rooms in your home that will be off limits to the dog? *

How and how often will you exercise your dog? Please list activities you plan on doing with your dog: *

Do you have a fenced in yard? *

Yes

What is the fence type and height? *

Have you recently inspected your fences that they are in good condition, with no holes or loose points? *

Is your yard shared with neighbors? *

Yes

Describe your ideal pet: *

What energy level are you looking for in a dog? *

Low

Medium

High

How would you describe your dog owning experience? *

I have had dogs of my own as an adult.

I grew up with dogs, or have worked with them, but have not had my own as an adult.

I have never had one, or have limited experience with dogs.

Other Other

What type of research have you done on owning a dog? *

If you checked any of the above please explain further: *

What type of training will you provide for your new pet? *

How do you feel the best way to discipline a dog is? *

What method do you intend to use to house train your dog? *

Are you prepared to work through any behavior issues? *

Yes

Unsure

What type of food do you plan to feed? *

What type of veterinary care for your dog do you feel is appropriate? *

Please provide 2 personal references with phone numbers: *

Who is your current veterinarian? What name will your pets be under? *

I understand a home visit is required prior to final placement______________

I understand a home visit does not guarantee placement__________________

I agree to provide me own collar, leash and personal ID tag at the time of completing the adoption contract_______________

Urinating in the house	Chewing on items
No time	Medical condition
Allergy	Moving
Excessive barking	Growling/nipping
Digging	Pets not getting along
Veterinarian bill over $1000	None of the above

Public Park	Hike
Dog Park	Neighborhood Walk
Beach	Front Yard
Back Yard	NA
Other Other