HFLR Adoption Application

Name of Dog(s) Your Applying For:

Full Name

First NameLast Name

Your Age

Primary Phone Number

Area CodePhone Number

Secondary Phone Number

Area CodePhone Number

E-mail

Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

Type of residence:

How long at present address?

Do you:

If Renting, Provide Lanlord's Full Name & Phone Number & Email Address:

Please list name & age of each person living in household, including yourself:

Are there any Restrictions from your Landlord, if renting, regarding pets?

Is anyone allergic to animals?

Is everyone in the household in agreement to adopting?

Do you have plans to move in the near future?

If you did move, what would you do with animals?

Do you have a fenced yard?

Type of fencing?

How tall is fence?

Do you have a pool?

Please describe the neighborhood you live in. Ex: town or country, quiet or busy, major roads; traffic, are there a lot of children, dogs etc...

Please list all animals you currently own by breed/sex/gender/short description of dogs personality & temperment. Any dislikes your current dog(s) might have, so we can better match your family to the right dog:

Dog #1

Dog #2

Dog #3

Do you have cats

If yes, do they stay

Do you have

Are all your pets spayed & neutured

If no, please explain why

How many pets have you owned in the last ten years?

Where are those pets now?

Have you ever had to give up a pet?

If yes, please explain circumstances

N/A if no

Have you ever adopted a pet before?

If yes, who did you adopt through?

N/A if no

Why do you want to adopt the Dog your applying for?

What is your favorite and least favorite thing about Dogs?

What is your experience with Dogs?

What is Generally your Sex Preference in Dogs?

What has Generally been your Breed Mix & Personality Preference in Dogs?

Who would be responsible for your Adopted Dogs daily care?

How many hours a day would your Adopted Dog be left alone?

Where will the Adopted Dog stay when alone?

Where will the Adopted Dog stay at night?

How active is your family

Will the Adopted Dog be included in family activities?

Does your family participate in water activities?

Where will the Adopted Dog stay during family trips/vacations?

Please provide your current vets information.

Vet's Name

Vet's Phone Number

Are you able to afford unexpected medical bills for a Dog?

What do you believe an average yearly cost for medical care to be?

What do you believe an average monthly cost would be to feed the Dog you've chosen?

What other costs do you believe there will be with a Dog?

What Food will you feed your Adopted Dog?

How will you exercise your Adopted Dog?

Are You Willing to Work on Any Problems that Arise?

What Problems are You NOT Willing to Work with?

I would Never Give Up On or Give My Adopted Dog Away?

Will you allow HFLR to do a home visit prior to and after adoption?

Please provide two personal references.

Reference #1 Name

Reference #1 Phone Number

Reference #2 Name

Reference #2 Phone Number

Any other comments or information you would like us to know in considering your adoption application?

By submitting this form, I hereby certify that all information provided by me is true and complete. I understand that any misrepresentation of information may result in adopted animal being confiscated.

HOPE For Love Rescue