• Holly's Garden Rescue Adoption Application

  • This questionnaire has been designed to aid us in determining if potential adoption homes are prepared to assume the type of responsible pet ownership we endeavor to assure for our rescued animals. Our goal is to be thorough, not invasive. Please answer all questions honestly and feel free to add your own comments. Please keep in mind that providing false information will result in the nullification of this application.

  • IF A QUESTION DOES NOT APPLY, PLEASE WRITE N/A. ALL FIELDS MUST BE FILLED.

  • Today's Date:
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  • ABOUT YOU
    (Person applying must be 21 years of age and the primary individual responsible for this animal)

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  • Marital Status

  • List all other people in home

  • Do you have children?
  • If yes, do they live with you?
  • Have they been around a dog?
  • Would you consider a dog with special needs (check all that apply)?
  • I consent to a home check in the event my application is accepted.
  • Rent or Own
  • Are pets allowed?
  • Do you have a landlord? HOA?
  • If yes, may we contact them?
  • If the dog(s) stay inside, does he/she have access to the outside?
  • Is there a grassy area? Is it fenced?
  • Do you have a pool?
  • Will the dog(s) be tied up?

  • PAST/PRESENT PET HISTORY

  • Have you had a dog in the past 10 years?
  • Do you own a dog now?

  • History of dog guardianship/ownership 

  • Have your dog(s) been vaccinated?
  • Can you provide vaccination records?
  • Will you provide the necessary medical care?
  • May Holly's Garden contact your veterinarian?
  • Do you have a friend or relative who could care for the dog(s) if you become incapable of caring for him for any extended period of time?

  • Holly's Garden reserves the right to approve individuals, with no bias, for the protection of the dog(s).

  • Will your dog(s) be allowed on the furniture?
  • Will you become frustrated if your dog(s) are not housebroken?

  • Please understand that even dogs that are housebroken will go through an adjustment period.

  • If your dog(s) needed acute medical attention for an illness or emergency care, are you prepared to handle the expenses?
  • Have you ever given away/sold or released an animal to a shelter or rescue group?
  • Have you ever been denied adoption by a shelter or other rescue group?
  • Do you travel a lot?

  • Adopters over the age of 70 years are required to have a co adopter in case of accident or death. If this applies to you, who will be your co adopter?

  • Adoptions require home check and/or delivery of the dog. This does not include any special transport or shipping where applicable. PLEASE MAKE SURE YOU HAVE ANSWERED ALL THE QUESTIONS TO THE BEST OF YOUR ABILITY AS THIS WILL ONLY HELP US IN DETERMINING THE RIGHT FIT FOR YOU.

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