Happy Tails Canine Rescue Adoption Application

Name

First NameLast Name

Date of birth

Date

Email

example@example.com

Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

Current employer (Name & phone number)

What is your work schedule like? Include days and hours you work weekly

Driver's license state and number.

Phone Number

Please enter a valid phone number.Format: (000) 000-0000.

Preferred method of contact? Select all that apply.

List 3 personal references (not family members)- Names, phone numbers, and their relationship to you. References allow us to get a better understanding of who you are. Choose references that can speak about your reliability and caretaking skills.

Describe what type of dog you are looking to adopt. Examples: ideal energy level, what would you like to do with the dog, do you want them to be friendly with children, cats, etc.?

Why are you wanting to adopt a dog? Select all that apply.

Other

If you chose "other," please explain your reason why you would like to adopt:

Will this be your first dog?

What is the name(s) of the dog(s) you are interested in adopting?

Describe your living situation

If you chose ''other,'' please specify:

If you live with your parents/guardians, do you have their permission to keep the dog?

If living with parents/guardians, please provide their name(s) and contact information.

If you rent, do you have the landlord's permission to keep the dog?

If you rent, please provide the landlord's name and contact information.

If you rent, is there a breed or size restriction?

Please specify details here:

If you have a roommate(s), please provide their name(s) and contact info.

Do you have a secure fenced in backyard?

If you don't have a fenced in yard, will you keep the dog on a leash at all times when taking the dog outside?

Other

Is someone home during the day to take care of the dog and let it out?

What provisions will be made for the dog if no one is home during the day?

List all people living in the household. Include their name, relationship to you, and age.

Are all members of the household agreeable to caring for a dog?

Does anyone in the household have allergies to animals?

List all pets you currently have living in the house (name, breed, age, and how long you have had them)

Are all current pets up to date on their annual checkups/ vaccinations?

Are all current pets spayed or neutered?

Are all current pets on flea and tick and heartworm prevention?

Do all pets in your household get along with other dogs?

List any pets you have re-homed (name, breed, age, how long you had them, reason for re-homing)

List any pets that are deceased (name, breed, age, how long you had them, reason for death)

Were all previous pets up to date on their annual checkups/ vaccinations?

Were all previous pets spayed or neutered?

Were all previous pets on flea and tick and heartworm prevention?

Use this box to explain any of the above answers, if an explanation is needed:

Have you ever surrendered a pet to a shelter?

If you answered yes, when, where, what shelter, and why?

What is the name, address, and phone number of your veterinarian?

How many hours a day would the dog be left alone?

Where will the dog be kept during the day?

Other

If selected "other," please specify:

Where will the dog sleep at night?

If selected "other," please specify:

What are your plans to exercise the dog?

A home check is a requirement for any adopter. Are you willing to let us visit your home?

Have you adopted or fostered a dog from a shelter or rescue before? Please select all that apply:

List the name of the shelter or rescue you have adopted from or fostered for:

How did you hear about Happy Tails Canine Rescue?

Please use this space to share anything else we need to know about you:

If you move will you take the dog with you?

How much are you willing to spend on yearly medical costs and health of your dog?

What would you do if vet bills exceeded this amount?

Are you willing to pay $500 for an emergency vet visit?

Are you willing to take responsibility for the dog for the next 10-15 years?

Adoption Contract:

I understand a dog is a lifelong commitment and a valued member of the family. I commit to giving the dog the best possible life and embracing him or her as part of my family. The dog will live inside with me and my family and will never be confined, tethered, or tied up in a neglectful or abusive manner. I will give the dog the love, medical attention, and care it needs and deserves. The dog will remain on flea and tick and heartworm prevention monthly and receive its annual vaccinations and heartworm check yearly. I will always keep my dog’s best interest at heart. If I am at any point unable or unwilling to properly care for the needs of the pet I adopted from Happy Tails Canine Rescue, or unable to abide by this contract, I will contact Happy Tails Canine Rescue.

I understand that by submitting this form electronically, I agree to release and covenant to hold harmless Happy Tails Canine Rescue and it's members from any claims, damages, costs, injuries or actions incurred because of the care or actions of the dog I adopted from them. I accept full responsibility for the dog's actions at all times, and release Happy Tails Canine Rescue from any liabilities or damages that may be incurred because of the dog I adopted from them.

It takes a dog three(3) days to decompress, three (3) weeks to learn your routine, and three (3) months for their personality to come out and adjust to their new home. Therefore, we require our adopters to give their new family member AT LEAST 3 weeks before considering returning the dog to Happy Tails Canine Rescue.

Note: If you complete a surrender form, or contact the rescue needing/wanting to surrender the dog you adopted, it does not guarantee that the Rescue is able to take the dog back at that time. The rescue will do everything it can, with the resources it has at the time of the request.

Note: We do not offer reverse transport. If you have adopted a dog from the rescue and need to surrender the dog back to us, it is your responsilibity to arrange transport of the dog back to the rescue.

Upon adoption, the adoption fee must be paid in full through Venmo, PayPal, Cash App, or Stripe. Happy Tails Canine Rescue does not place dogs on hold. All dogs will remain listed as available until the adoption application has been approved and the adoption fee has been received.

Legal ownership of the dog remains with Happy Tails Canine Rescue until both the adoption fee has been paid in full and the dog has been physically transferred to the adopter.

Adoption fees vary by dog, with the average range being $400-$500. Fees are determined based on factors including the dog's age, medical needs, and the veterinary care received while in rescue.

Happy Tails Canine Rescue is a 501(c)(3) nonprofit organization that is entirely volunteer run. All adoption fees are used to support the rescue's mission and are reinvested directly into the care of current and future rescue dogs, including food, supplies, veterinary care, monthly preventatives, and other necessary expenses.

All adoption fees are non-refundable. Prospective adopters are encouraged to discuss the adoption fee with their rescue representative prior to finalizing the adoption.

Failure to comply with any terms of this adoption agreement may result in the dog being reclaimed by Happy Tails Canine Rescue.

Please acknowledge that you have read and understood the above contract and agree to the terms of this contract:

Adopter's signature

Adopter's full legal name:

Co- adopter's signature (if applicable):

Co- adopter's full legal name (if applicable):

I certify that I am at least 18 years old and understand this is a legally binding contract?

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Happy Tails Canine Rescue Adoption Application

*Answer the following adoption questions:

*Please read & sign the following Happy Tails Canine Rescue adoption contract: