Adoption Application

Adoption Application, Contract and Waiver

Perspective Pet Parent *

First Name Last Name

Name of Pet You Wish to Adopt *

Email Address *

Phone Number *

Area Code Phone Number

Address *

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code Country

Do you own any pets? *

Pet Name(s)

Pet Breed(s)

Pet's disposition and behavior towards other dogs?

Please provide your veterinarian's name and phone number:

Do you own or rent your home? *

Own Rent

Do you have a yard? *

Yes No

If "Yes" to the above, is it fenced? please describe

If you rent, please provide your landlord's information here: *

Do you have any experience with the breed you are applying for? *

Do you understand it takes rescue dogs up too 2 months too feel comfortable in their new home? *

Where will this pet sleep? *

Do you agree to keep this dog as an indoor pet? *

Yes No

Are you aware that most rescue pets will need training? Including basic manners and potty training? *

YES NO

How do you plan on exercising this pet? *

Have you ever surrendered a pet you own to any animal shelter including a "low" or "no kill" shelter? *

Yes No

Are there children in the home? (If yes, please list ages) *

If you answered "Yes" to the above question, please provide detail:

How many hours per day would the pet be alone? *

Will you crate your pet? *

If you have to leave town, emergently or planned, where would your pet stay? *

How would you deal with behavioral issues such as barking, chewing, destructive behavior, bathroom accidents indoors, unruly leash behaviors in your pet? *

Please provide the names, emails, and contact numbers for 2 personal references: *

Have you ever been convicted of an animal related crime, such as cruelty to animals, animal theft, or animal abandonment? *

Yes No

Please provide any extra details you would like HMDDR to know about you and your family, and daily activities your future dog would join in: *

By clicking the submit button, I agree to Hand Me Down Dog Rescue Inc. adoption process, will undergo a homecheck, and interview at the discretion of Hand Me Down Dog Rescue Inc.
By clicking the submit button, I understand Hand Me Down Dog Rescue Inc. will check my references including veterinary and personal.
By clicking the submit button, I understand there is an adoption donation associated with adoption of a pet from Hand Me Down Dog Rescue and that it is tax deductible according to IRS 501(c)3 guidelines. I understand this donation will ensure the organization is equipped to rescue another homeless pet.
By clicking the submit button, I understand there is no "cooling off" period, and that if I no longer want or can no longer care for my adopted pet, I agree to notify Hand Me Down Dog Rescue BY EMAIL and provide a 14 day period to allowHand Me Down Dog Rescue Inc. to make arrangents for my pet to be taken back into rescue.
By clicking the submit button, I agree to indemnify and hold harmless Hand Me Down Dog Rescue against any losses, lawsuits, claims, injury, damages incurred by me or to any persons or property by my adopted pet, once adoption has been completed.
By clicking the submit button, I understand that Hand Me Down Dog Rescue will disclose any of the pet's health or behavior issues known by the above named rescue group before adoption is completed.
By clicking the submit button, I understand that if I no longer want my pet, or am no longer able to care for my adopted pet, I will be directed to surrender my pet to Hand Me Down Dog Rescue and provide transport to where Hand Me Down Dog Rescue deems appropriate.
By clicking the submit button, I verify all of the above information is true and accurate.

Signature of Potential Pet Parent *

After you click submit we will receive your application, but this does not guarantee adoption approval and may take 4-5 days too get a response from us.