PHCA Rescue Adoption Application
Applicant Full Name
*
First Name
Last Name
Secondary Applicant Name
First Name
Last Name
E-mail
*
example@example.com
Primary Phone Number
*
Format: (000) 000-0000.
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Do you have any other dogs? If yes, please list them below.
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Yes
No
For each dog that you own, list the name, breed, age, gender, and if the dog is spayed/neutered.
*
List all other animals, including exotics, in your household.
Have you owned pets in the past?
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Yes
No
If yes, please describe each pet, how long you owned it and what happened to it.
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If you own dog(s), are they all spayed/neutered?
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Yes
No
If they are not spayed/neutered, why not?
*
Where do you live?
*
Please Select
House
Apartment
Other (please explain)
Other living, please explain
*
Pharaoh Hounds can jump fences lower than 6 feet. Does your home have a yard with a fence?
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Yes
No
If yes, what type of fence (i.e. wood, chain link, etc.) and how high is the fence?
*
If no, how will you exercise your Pharaoh Hound?
*
Do you own your home?
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Yes
No
If not, do you have permission from your landlord to keep a dog?
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Yes
No
Do you have a crate to keep the dog in?
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Yes
No
How many hours will the dog be alone during the day?
*
Where will you keep the dog while you are at work or out on errands?
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Where will you keep the dog while you are on vacation?
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How many adults are presently living in the house? Women
*
How many adults are presently living in the house? Men
*
Are there children presently living in the house?
*
Yes
No
If yes, what are their ages?
*
Does any family member have known allergies to dogs?
*
Yes
No
Do you have a gender preference?
*
Male
Female
Age preference?
*
Please Select
Under 1 year
Young Adult (1-5 years)
Adult (5+ years)
Are you interested in adopting or fostering?
*
Foster only
Adopt
Foster - with potential to adopt
Why are you interested in adopting or fostering a Pharaoh Hound?
*
Are you willing to enroll the dog in obedience classes, if necessary?
*
Yes
No
Do you understand a Pharaoh Hound should never be allowed off leash in open places?
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Yes
No
Have you researched the characteristics of the Pharaoh Hound breed?
*
Yes
No
Do you understand Pharaoh Hounds can be barkers?
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Yes
No
Veterinary reference: please provide us with a veterinary name and location
*
Veterinary Reference: Phone Number
*
Format: (000) 000-0000.
Personal Reference 1: Provide a reference that is not family member
*
First Name
Last Name
Personal Reference 1: Phone Number
*
Format: (000) 000-0000.
Personal Reference 2: Provide a reference that is not family member
*
First Name
Last Name
Personal Reference 2: Phone Number
*
Format: (000) 000-0000.
May we visit your home before adoption?
*
Yes
No
I/we agree with the following statements
if we adopt a dog, we will provide professional vet care, a nutritious diet, and a loving home for its entire life.
We also agree that we will return the dog if we can no longer keep it. We will contact PHCA rescue at PHCArescue@gmail.com to return the dog.
No member of our household has ever been convicted of cruelty to animals.
Although the dog has been seen by a veterinarian, we do not and cannot make any guarantees regarding the health or physical condition of the dog. All expenses occurring after the adoption of the Pharaoh Hound, including veterinary expenses, are the responsibility of the adoptive home.
*
Secondary applicant signature (if applicable)
Please verify that you are human
*
Submit
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