Hops + Co. Adoption Application

Hops + Co. Adoption Application
Hops + Co. is an all-volunteer animal welfare organization dedicated to the rescue and placement of stray, neglected and unwanted small animals. Hops + Co. is completely funded through fundraising efforts and public donations. All of our pets are cared for by foster homes and receive any necessary medical care prior to their adoption. All rabbits are spayed/neutered before adoption if of age, otherwise a spay/neuter contract is required.
This questionnaire is designed to help Hops + Co. and yourself determine if a specific pet is the right one for you and your household. All adopting parties are required to complete this form prior to adoption. Hops + Co. reserves the right to deny any adoption based on answers to this questionnaire and/or interviews prior to adoptions.
Applicant Information
Which pet(s) are you applying for? List name or type of animal if you are not applying for a specific adoptable pet. *
Your full name:*
Your age:*
Street Address:*
City, State, Zip*
Phone:*

Area CodePhone Number
E-mail:*
Employer:*
Character reference and phone number:*
Household Information
Are all members of your household in agreement with this adoption?*

YesNoDon't Know
Who will be the pet's primary caregiver?*
Do you live in a*

HouseApartmentCondoMobile HomeOther
Do you own or rent?*

OwnRent
If rent, provide name and phone number of landlord:
Does your landlord allow pets?

YesNoI don’t know
How many adults are in your household?*
How many children are in your household?*
If children, what are their ages?
Have your children been around animals before?

YesNo
Does anyone in your home have allergies to any animals?*

YesNo
Current/Previous Pet Information
List any pets you own or have owned in the past five years, and their ages*
How many of these pets are spayed/neutered?*
Where are these animals now?*
Have you adopted from an animal rescue group or humane society before?*

YesNo
If yes, what group?
Have you ever given up a pet?*

YesNo
If yes, what were the circumstances?
Please provide the name and phone number of your current and/or previous veterinarian or clinic:*
New Pet Information
What type of personality do you want your pet to have?*
Do you already have a habitat for this pet? If so, please describe. If not, how do you plan to keep this pet? Please describe size of enclosure, bedding/liner, toys/enrichment, etc.*
What length of time will you allow your new pet to adjust to his new home?*
Are you willing to work through your new pet's issues, if any?*

YesNo
Are you aware that a new environment is stressful for your pet, and they may exhibit uncharacteristic behavior?*

YesNo
Do you plan to take your pet to the vet if medical care is needed?*

YesNoNot sure
What circumstances would lead you to give up your new pet?*
Hops + Co requires adopted pets to be returned to our rescue if ever you decide you are unable or unwilling to care for them. This is to keep our animals out of shelters or improper homes. Please contact Hops + Co before rehoming or surrendering your adopted pet to another home, shelter or rescue. Do you understand this policy? *
How did you find out about Hops + Co.?*

FacebookFriend/Family MemberInternet searchInstagramOther
I agree to contact Hops + Co. first if I decide I need to rehome my pet during its lifetime.
I understand that I assume full responsibility for the welfare of this pet from the date of adoption.
I understand that I assume full responsibility for any medical conditions or veterinary bills for this pet from the date of adoption.
Date*
Signature

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Hops + Co. Adoption Application

Applicant Information

Household Information

Current/Previous Pet Information

New Pet Information