Angels of Hope Animal Rescue Adoption Application
ANIMAL INFORMATION
Name of animal you wish to adopt:
*
Type of animal:
*
Dog
Cat
Sex
*
Male
Female
PERSONAL INFORMATION
Name of 1st Applicant
*
First Name
Last Name
Phone Number
*
-
Area Code
Phone Number
E-mail
*
Occupation
*
Hours
*
Full Time
Part Time
Casual
Shift Work
Name of 2nd Applicant
*
First Name
Last Name
Phone Number
*
-
Area Code
Phone Number
E-mail
*
Occupation
*
Hours
*
Full Time
Part Time
Casual
Shift Work
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Please Select
Afghanistan
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antigua and Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
The Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bosnia and Herzegovina
Botswana
Brazil
Brunei
Bulgaria
Burkina Faso
Burundi
Cambodia
Cameroon
Canada
Cape Verde
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Cocos (Keeling) Islands
Colombia
Comoros
Congo
Cook Islands
Costa Rica
Cote d'Ivoire
Croatia
Cuba
Curaçao
Cyprus
Czech Republic
Democratic Republic of the Congo
Denmark
Djibouti
Dominica
Dominican Republic
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Ethiopia
Falkland Islands
Faroe Islands
Fiji
Finland
France
French Polynesia
Gabon
The Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guernsey
Guinea
Guinea-Bissau
Guyana
Haiti
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Israel
Italy
Jamaica
Japan
Jersey
Jordan
Kazakhstan
Kenya
Kiribati
North Korea
South Korea
Kosovo
Kuwait
Kyrgyzstan
Laos
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macau
Macedonia
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Myanmar
Nagorno-Karabakh
Namibia
Nauru
Nepal
Netherlands
Netherlands Antilles
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
Turkish Republic of Northern Cyprus
Northern Mariana
Norway
Oman
Pakistan
Palau
Palestine
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn Islands
Poland
Portugal
Puerto Rico
Qatar
Republic of the Congo
Romania
Russia
Rwanda
Saint Barthelemy
Saint Helena
Saint Kitts and Nevis
Saint Lucia
Saint Martin
Saint Pierre and Miquelon
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Slovakia
Slovenia
Solomon Islands
Somalia
Somaliland
South Africa
South Ossetia
South Sudan
Spain
Sri Lanka
Sudan
Suriname
Svalbard
eSwatini
Sweden
Switzerland
Syria
Taiwan
Tajikistan
Tanzania
Thailand
Timor-Leste
Togo
Tokelau
Tonga
Transnistria Pridnestrovie
Trinidad and Tobago
Tristan da Cunha
Tunisia
Turkey
Turkmenistan
Turks and Caicos Islands
Tuvalu
Uganda
Ukraine
United Arab Emirates
United Kingdom
United States
Uruguay
Uzbekistan
Vanuatu
Vatican City
Venezuela
Vietnam
British Virgin Islands
Isle of Man
US Virgin Islands
Wallis and Futuna
Western Sahara
Yemen
Zambia
Zimbabwe
Other
Country
Number of children in the house:
*
Number of non-family member in the house:
*
Your current residence:
*
Rental
Owned
Type of residence:
*
House
Apartment
Duplex
Mobile Home
Condo
If you currently rent your home - you must provide the name and contact of your Landlord:
First Name
Last Name
Landlord Phone Number
-
Area Code
Phone Number
Is your yard fenced:
*
Yes
No
If you do not have a fenced yard - please explain how you plan to house train and exercise animal:
How busy is your family:
*
Very
Some
Little
How regular is your family's schedule:
*
Very
Some
Little
How active is your family:
*
Very
Some
Little
Does anyone if your family have allergies?
*
Yes
No
If you are planning to have children in the future, will this animal remain in your care?
*
Yes
No
What is your reason for adopting this animal?
*
Companionship
Child's Pet
Gift
Guard
Companion for Pet
Are you willing to let a representative from Angels of Hope Animal Rescue visit your home by appointment?
*
Yes
No
Have you ever previously surrendered a pet?
*
No
Yes - please explain below
Double-click to edit this text...
Have you previously applied to adopt an animal?
*
Yes
No
CURRENT PETS
Type of pet:
*
Breed:
Age:
Spayed/Neutered:
Yes
No
Up To Date on Vaccinations:
Yes
No
Type of Pet:
Breed:
Age:
Spayed?Neutered:
Yes
No
Up To Date on Vaccinations:
Yes
No
Type of Pet:
Breed:
Age:
Spayed/Neutered:
Yes
No
Up To Date on Vaccinations:
Yes
No
Please list any other pets:
Where will the animal spend most of the day?
*
Where will the animal be when you are home?
*
Where will the animal be when you are away?
*
Where will the animal spend the night?
*
Approximately how many hours will the animal be left alone during the day?
*
You are prepared to care for this animal for:
*
0-5 years
0-10 years
0-20 years
FOR DOGS ONLY
What is your level of dog experience?
Beginner
Intermediate
Advanced
Do you have experience in crate training?
Yes
No
Do you have experience in obedience training?
Yes
No
Do you have experience in leash training?
Yes
No
Are you willing to look into appropriate training should the need arise?
Yes
No
How will you handle disciplining?
FOR CATS ONLY
DECLAWING CONTRACT Angels of Hope Animal Rescue does not support Cat Declawing. Declawing can cause serious physical, psychological and behavioral complications. Scratching is normal cat behaviour and you will need to provide scratching pads and keep their nails trimmed.You agree this animal will never be subjected to any form of declawing surgery. You understand that declawing consists of amputating, not just the claws, but the whole phalanx (up to the joint), including bones, ligaments and tendons. Declawing is not a “simple” single surgery, but 10 separate, painful amputations. You understand that declawing a cat is a painful and unnecessary mutilation that can result in chronic paw and back pain, infection, inability to walk properly, inability to protect itself, psychological problems and physical ailments that could result in problem behaviour such as urination outside the box, biting, fearfulness, anti-sociability and aggressiveness. You agree that if you breach the terms of this agreement that ownership of the cat will immediately revert to Angels of Hope Animal Rescue. You agree that the breach of this contract will result in your responsibility to cover all costs associated in caring for the declawed cat, as well as all legal costs associated with enforcing this agreement.
I agree to the above Declawing Contract
Yes
No
SPAY/NEUTER CONTRACT
It is the policy of Angels of Hope Animal Rescue that all animals adopted from our organization will be spayed or neutered. If the animal is too young at the time of adoption they are to be spayed or neutered at the adopter’s expense within the time outlined below. Angels of Hope Animal Rescue has the right to remove the animal from your possession if you have failed to fulfill this contract by the agreed to date.
I agree to the above Spay/Neuter Contract
*
Yes
No
Date agreed upon for spay/neuter - to be filled out after application approval and prior to pick up of animal.
REFERENCES
Personal references are from someone you are NOT related to:
Name
*
First Name
Last Name
Phone Number
*
-
Area Code
Phone Number
Comments:
Veterinary
*
First Name
Last Name
Phone Number
*
-
Area Code
Phone Number
Comments:
CONTRACT TERMS
This animal will remain in your care. The animal must not be surrendered to a pound or SPCA; must not be sold or given away; must not be advertised. No animal adopted from Angels of Hope Animal Rescue may be euthanized or re-homed without our approval and written consent. At no time will a refund be given.IF for any reason you are no longer able to care for this animal, Angels of Hope Animal Rescue must be notified immediately. Angels of Hope Animal Rescue will advertise for a new home and/or find a suitable foster for this animal. Angels of Hope Animal Rescue DOES NOT have a full time facility to take in animals. You will care for the animal until Angels of Hope Animal Rescue has approved of a new home. If an outside family member is interested in readopting this animal they are required to fill out the proper paperwork and have references checks completed before the animal can be moved.YOU will take the necessary means to obtain proper instruction to care for this animal.If issues arise you will look for ways to fix them immediately. Leaving issues to escalate is unacceptable. Angels of Hope Animal Rescue does not have resources or manpower to remove an animal from a home without time to prepare. If behaviour problems start to occur that you cannot handle on your own, you are expected to seek help from an animal trainer or someone who can help you solve these issues.ALL VETERINARY EXPENSES become your responsibility once the adoption of this animal has been finalized.Angels of Hope Animal Rescue reserves the right to repossess any adopted animal at any time in the event that we feel the animal is being mistreated or if information supplied to us in this application is discovered to be untruthful.
You understand and are agreeing to the terms outlined above. If these terms are not met, you will be liable and legal action may be taken.
*
I agree to the Contract Terms
I do not agree to the Contract Terms
VETERINARY INFORMATION RELEASE
I authorize the following veterinary clinic to release to an Angels of Hope representative any and all information and knowledge they have regarding my past and present care of animals, as well as any information concerning animals adopted from Angels of Hope Animal Rescue.Angels of Hope Animal Rescue Inc. in turn agrees to keep all such information obtained confidential and to use the information solely for the purpose of determining suitability of the individual as an adopter of one of our rescue dogs. Any information obtained will not be released to any other parties unless the individual authorizing the release gives us written consent.
Do you give Angels of Hope Animal Rescue permission to view your Veterinary records as stated above?
*
Yes
No
Veterinary Name
*
Veterinary Phone Number
*
-
Area Code
Phone Number
Applicant's Name
*
First Name
Last Name
Date
*
-
Month
-
Day
Year
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