HHR Dog Application

Halfway Home Rescue - Dog Application
Applicants:*
Is there a Dog / Puppy you are specifically interested in?
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Employer(s)
E-mail*
Phone Number

Area CodePhone Number
How many children living in the home/What are their Ages:
How many adults living in the home?
If you have room-mates : do they consent to a new pet?
Is anyone in the home allergic to Cats or Dogs?
Describe your current accommodations:*

ApartmentOwn HomeRent HomeLive with parentsLive with roommateOther
Do you have a yard?*

NoYes - not fencedYes - shared yardYes - Partially fencedYes - Fully fenced inOther
If your yard is not fenced, how do you plan to contain your new pup ?*
Is everyone in household in agreement to adopting an animal?*
If you rent, please give us the name and number of your landlord to confirm a new pet is allowed.
If you have animals currently, please list them including breed, age, and sex of the animal. *
If you DON'T have pets now , have you owned them before? What Happened to them?
Have you raised a puppy before?
It's so important to start training with your new puppy early so they can be a well balanced loving adult dog ! :)
Are all your pets currently Spayed / Neutered? If no , why not?
Where will your new Dog / Puppy Stay?*

Indoors OnlyIndoors/OutdoorsOutdoors OnlyOther
How will you handle potty training incidents ?*
Do you plan to crate train etc?
Do you agree not to take your puppy in public / anywhere frequented by other dogs until all booster shots are received to avoid exposure to parvo virus?*
Have you ever had to give up a pet?

YesNoOther
If yes, for what reason?
What would constitute a reason for giving up your pet?
Pups are a 10-20 year commitment. What would happen to your new companion if they were to outlive you ?
Who is your Vet?
Please include phone number .
Additional notes?
Anything else you want us to know !
Adoption applications are not always first come first serve. If we receive multiple approved applications, we have to think about what's best for the animal, and we place them with that in mind. However, if you have an approved application, we will contact you when we have a good match to fit what you're looking for.
I/we attest that the information provided on this application is true, accurate and complete to the best of my/our knowledge. I/we understand that completion and submission of this application does not guarantee adoption of a pet.

** MAKE SURE TO CHECK YOUR SPAM FOLDER**
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Halfway Home Rescue - Dog Application