Adoption Application

All Humane Animal Rescue

Adoption/Foster Application
Thank you for choosing All Humane Animal Rescue. We try our best to get every application processed in a timely manner. If the animal is already adopted we will not process your application.
Name of pet you are interested in...*
Full Name*

First NameLast Name
Age*
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Phone Number*

Area CodePhone Number
Secondary Phone Number

Area CodePhone Number
E-mail*
Do you rent or own a home?*
If renting please list name and phone for your landlord
Other*
How many people live with you?
Please provide the name, relation, and age of everyone that lives with you.*
Is ANYONE in your household allergic to animals?*

YesNoYes, but not the animal we are applying forOther
Landlord Name*
Landlord Phone*

Area CodePhone Number
Vets Name (Please make sure you call them to have them release information to us)*
Vets Phone*

Area CodePhone Number
Please list all vets that have seen your pet(s) for the last 5 years. If different from applicant, please list name of person that account is under.*

Please give us 4 personal references. We would like at least 1 that is related to you. No one that lives with you. *

Please list all pets you currently have. (name, breed, age, sex, spayed/neutered?)Type "N/A" if none*
What heartworm and flea prevention do you use?*
Do you have a fenced in yard?*

YesNo
Have you ever given up a pet?*

YesNo
If yes, please explain...
Have you ever had a pet die unexpectedly?*

YesNo
If yes, please explain...
Where will your pet stay during the day?*
Where will your pet stay at night?*
Where will your pet stay when you are away/on vacation?*
If you move/have to evacuate, what will you do with your pet?*
Are you familiar with the leash/licensing laws in your community?*

YesNo
Are you aware that vet care includes monthly heartworm and flea prevention, yearly vaccinations, and other vet visits for routine care or injuries?*

YesNo
Why would you surrender your pet back to us?

They bit someoneThey shed too muchCouldn't train themToo hyperDidn't feel a connectionGot a new job and no longer have timeHaving to moveThey are no longer cuteHaving a babyOther
May we perform a home check to verify that your home is safe for one of our animals?*

YesNo
WHY do you think your family is a good fit for this animal? *
Please tell us what a normal day would look like for this animal if you were to adopt them.*
Please type your name acknowledging that your answers here are true to the best of your knowledge and click submit below. Someone will contact you soon about your application. This in no way is a contract for adoption/fostering.*
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All Humane Animal Rescue