Adoption application HEROES
Heroes Everywhere Animal Rescue
1771 Cousins RD Ville Platte, LA 70586
https://heroeseverywhereanimalrescue.com/
Each ADOPTION APPLICATION is reviewed for suitability prior to placement. We reserve the right to deny anyone the adoption of a dog. All placements are at the discretion of HEROES EVERYWHERE ANIMAL RESCUE or an approved team member. Applicants must be 18 years of age or older. Any application that is incomplete or contains false information will not be considered. By submitting this application, you give permission for HEROES EVERYWHERE ANIMAL RESCUE and team members to investigate and confirm the information provided. If your application is approved, you must sign a waiver that releases HEROES EVERYWHERE ANIMAL RESCUE and team of all liability.
Name
First Name
Last Name
Email
example@example.com
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Phone Number
Please enter a valid phone number.
How did you hear about us?
Name of dog you are interested in.
Number of adults in household
Number of Children
Ages of Children
How Often do you have other children visit?
List pets in current household: (Add more if needed) Dog/Cat Name Age Altered How long
If any previous pets are deceased, please indicate why and approximate year pet passed away.
Have you ever adopted a dog before?
If so, date of adoption and agency:
Do you live in an apartment, condo, or single-family home?
If you rent, do you have permission from landlord to have pets on property?
If you rent, name of landlord and phone number:
Are there any restrictions as to the number of pets at your residence?
Why do you want to adopt a dog at this time?
What qualities are you looking for in a dog?
Do you have a covered patio and/or shaded area for pets?
Do you have a fenced yard? Type of fence and height? (Chain link, wire, wood, invisible, etc.)
Do you have a doggie door to a fenced area?
What is the activity level in your home?
Busy - visits from friends, meetings, children, parties at home
Noisy – television, stereo, machinery, tools, kids playing.
Moderate – normal comings and goings
Quiet – homebodies, few guests, no children
Who will be the primary caretaker of the dog?
Please describe your work schedule:
Will there be someone home during the day?
Where will the dog stay during the day?
How many hours per day will the dog be alone?
If you currently have another dog, will you separate them when you are not home?
If so, how will you do this?
Where will the dog stay during the night?
What facilities and opportunities do you have for exercising a playful, active dog?
Would you be willing to take this dog to obedience classes?
Under what circumstances might you decide NOT to keep a pet?
Baby
Marriage/Divorce
Moving
Illness
Allergies
Problem with pets health
Problem with pets behavior
Have you ever been in a situation where you were not able to keep a pet?
If so, please explain. What did you do with the pet?
What do you estimate the yearly cost to care for a dog? (Food, grooming, vet care, toys, day care/boarding)
Are you able to assume financial commitment that a dog requires, including unexpected illness and medical emergencies?
Are you aware that a rescue dog may not be fully housetrained at the time of placement?
Are you willing and able to housetrain a dog or puppy?
What methods will you use to housetrain this dog?
How long do you feel it will take for the dog to adapt to its new home?
May we do a virtual visit of your home prior to application approval?
Is there anything else you would like to mention?
Please give the name and phone number of your veterinarian. If you have more than one vet, please specify the names of the animals that go to each. If you have switched vets recently, please list both and indicate how long you have used your current vet. NAME AND NUMBER OF VET
Please list (3) personal references (no family members please) NAME PHONE NUMBER
Printed name Date
Submit
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