Home At Last Adoption Application
|
|
IN ORDER TO BE CONSIDERED AS AN ADOPTER TODAY, YOU MUST:
* Be 18 years of age or older.
* Have identification showing your present address.
* Have the consent of your landlord (Landlord will be contacted by a HAL representative prior to any adoptions)
|
|
|
|
The purpose of this application is to learn a little about your family and home so that our organization can make the best possible match for both you and our rescue animal. Our main concern is placing our animals in a compatible home with a family that will give them a LIFETIME commitment of love and proper care. This consultation process is designed to help us determine if the adoption is in the best interest of both the animal and the adopter. Please be aware that while completing this application does not bind you to adopt one of our animals, neither does it guarantee that we will place one of our animals in your home at this time. If you are interested in learning more about one of our rescue animals, please answer the questions honestly and thoroughly.
Some animals may need some extra time and patience to adjust to yet another new home. Some may need housetraining or other types of training, and some may just need a little extra love and patience. All animals, regardless of their background and history, go through an adjustment period when they go to a new environment. There will be a period of a few days, weeks or in some cases months during which your new pet’s personality is emerging and growing while you get to know one another. In order to help you and your pet get through this transition period as smoothly as possible, we will help you in any way possible. Please remember that this is a stressful time for an animal and hopefully we will be able to work together to make this a lifetime relationship for you and your rescue pet. You can call on us at any time to help you in any way. With this in mind, please answer the questions on the application to the best of your ability.
We reserve the right to refuse adoption to anyone for any reason. A representative of our group may conduct home visits prior to or following an adoption, and our group has the right to reclaim an animal following an adoption if unsuitable home conditions, evidence of neglect, abuse or other mistreatment of the animal are found on said visit.
|
|
|
|
Dog's Name that you would like to adopt:
|
|
|
|
Cat's Name that you would like to adopt:
|
|
|
|
About you...
|
|
Name:
|
|
|
|
Address/City/State/Zip:
|
|
|
|
County:
|
|
|
|
Home phone number:
|
|
|
|
Cell phone #:
|
|
|
|
Work phone number:
|
|
|
|
E-mail:
|
|
|
|
Do you own or rent?
|
|
|
|
Do you live in an Apartment, House, Duplex or Mobile Park?
|
|
|
|
Landlord's name:
|
|
|
|
Landlord's phone number:
|
|
|
|
How long at current address?
|
|
|
|
Do you anticipate moving?
|
|
|
|
How long at prior address?
|
|
|
|
Do you have any pets at your residence? (If yes, please list their breed, sex, age and if they have been altered or not.)
|
|
|
|
Who is your Veterinarian?
|
|
|
|
Vet's phone number:
|
|
|
|
Have you had any other pets in the last five year?
|
|
|
|
If yes, what happened to them?
|
|
|
|
Do you have children?
|
|
|
|
If yes, what are their ages?
|
|
|
|
Do any members of your family have allergies to animals?
|
|
|
|
About the dog or cat you want
|
|
Why do you want a dog or cat? (Family companion, hunting, guarding, breeding, other...)
|
|
|
|
What attributes are most important to you in a dog or cat?
|
|
|
|
Size (small, medium, large, x-tra large):
|
|
|
|
Temperament:
|
|
|
|
Breed:
|
|
|
|
Hair Coat:
|
|
|
|
Please tell us the characteristics that you would like in a dog or cat: (Gentle, Friendly, Outgoing, Quiet, Active, Lazy, Athletic, Housebroke, Good with small children, Good with chickens, Good with livestock, Good with other dogs, Cuddly, Independent, Likes water, Good traveler, Protective, Good with cats, Other...)
|
|
|
|
Of these characteristics, please tell us the ones that are CRITICAL for you:
|
|
|
|
What is your lifestyle (quiet-mostly at home, Average - work but home otherwise, Busy-work and activities away from home often):
|
|
|
|
How many hours per day will this dog be without adult care?
|
|
|
|
Do you have a fenced yard?
|
|
|
|
If yes, what type of fencing is it and what is the height?
|
|
|
|
If no, please tell us how you intend to exercise and potty the dog?
|
|
|
|
Where will this pet sleep?
|
|
|
|
How much time will this dog spend outdoors?
|
|
|
|
How much time will this dog spend indoors?
|
|
|
|
If this dog will be outdoors, is there a shelter or dog house available?
|
|
|
|
Having a dog or cat in your family is for a lifetime. Are you prepared to make this commitment?
|
|
|
|
Best way/time to contact you:
|
|
|
|
Thank you for taking the time to answer our questions. We hope that by going through this process, we will reduce the chance of an inappropriate match both for you and for our animals. If you have any comments regarding this adoption application or our adoption process, please feel free to let us know as we are always looking for ways to improve! Again, thank you for considering a rescue pet and saving a life.
|
|
|
|
How did you hear about us?
|
|
|
|
By typing "Yes", you are submitting your application to be considered for adopting one of our wonderful animals, and to prevent spam in our inbox!
|
|
|
|
|
|
