Adoption Application, Contract and Waiver
Perspective Pet Parent
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First Name
Last Name
Name of Pet You Wish to Adopt
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Email Address
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Phone Number
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-
Area Code
Phone Number
Address
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Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Do you own any pets?
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Pet Name(s)
Pet Breed(s)
Pet's disposition and behavior towards other dogs?
Is your pet(s) on heartworm prevention?
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Yes
No
Please provide your veterinarian's name and phone number:
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Do you own or rent your home?
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Own
Rent
Do you have a yard?
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Yes
No
If "Yes" to the above, is it fenced? please describe
If you have a pool, is it fenced separately from the yard?
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Yes
No
What is your landlord's pet policy?
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If you rent, please provide your landlord's information here:
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Have you ever surrendered a pet you own to any animal shelter including a "low" or "no kill" shelter?
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Yes
No
Are there children in the home? (If yes, please list ages)
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If you answered "Yes" to the above question, please provide detail:
How many hours per day would the pet be alone?
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Will you crate your pet?
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If you have to leave town, emergency or planned, where would your pet stay?
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How would you deal with behavioral issues such as barking, chewing, destructive behavior, bathroom accidents indoors, unruly leash behaviors in your pet?
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Please provide the names, emails, and contact numbers for 3 personal references:
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Have you ever been convicted of an animal related crime, such as cruelty to animals, animal theft, or animal abandonment?
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Yes
No
If you answered "Yes" please provide a detailed description:
Remember, pets are an investment of your time and money. Can you afford to provide medical care, grooming, proper diet, proper shelter, training, and exercise for your new pet?
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Yes
No
Are you able to make a long term commitment to care for your pet for its entire lifespan, which could be as much as 10-20 years?
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Yes
No
By clicking the submit button, I agree to Hopeful Paws adoption process, will undergo a homecheck, and interview at the discretion of Hopeful Paws. By clicking the submit button, I understand Hopeful Paws will check my references including veterinary and personal. By clicking the submit button, I understand there is a non-refundable adoption fee associated with adoption of a pet from Hopeful Paws. 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 Hopeful Laws BY EMAIL and provide a 14 day period to allow Hopeful Paws to make arrangents for my pet to be taken back into rescue. By clicking the submit button, I agree to indemnify and hold harmless Hopeful Paws 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 Hopeful Paws 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 Hopeful Paws and provide transport to where Hopeful Paws deems appropriate. By clicking the submit button, I verify all of the above information is true and accurate.
Signature of Potential Pet Parent
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Submit
Should be Empty: