Adoption/Foster Application

HPR Foster/Adoption Application
Husky Pack Rescue is an all-volunteer, non-profit, animal welfare organization dedicated to the rescue and placement of stray, neglected and abused animals. Husky Pack Rescue is completely funded through fundraising efforts and public donations. All of our pets are cared for by foster homes and receive complete medical care, which includes worming, vaccinations, spaying/neutering and microchipping prior to their adoption.
This questionnaire is designed to help Husky Pack Rescue and yourself determine if a specific dog is the right one for you and your household. All adopting parties are required to complete this form prior to adoption. Husky Pack Rescue reserves the right to deny any adoption based on answers to this questionnaire and/or interviews prior to adoptions.
Applicant Information
FosterAdoptBoth
Name of the dog you are interested in:*
Please list any preferences (age, sex, breed, color, personality):
Your full name:*
E-mail:
Your age:*
Street Address:*
City, State, Zip*
Home Phone:

Area CodePhone Number
Work Phone:

Area CodePhone Number
Cell Phone:

Area CodePhone Number
Employer:
Household Information
Spouse/PartnerRoommate(s)ParentsAloneWith Children
How many people live in your home?
How many adults are in your household?*
How many children are in your household?*
If children, what are their ages?
YesNo
If yes, please explain what type.
SelfWhole FamilyOther Family MemberGift
Who will be the main care-giver of the dog?
Why do you want to adopt a dog?
YesNo
YesNo
If Yes, please explain:
YesNo
House/Land Information
Single Family HouseApartmentCondoMobile HomeDuplex HouseOther
UrbanSuburbanRural
SmallMediumLargeAcreage
OwnRent
If rent, provide name and phone number of landlord:
If you rent, you must provide Landlord's contact information or a copy of the section of your lease stating that you are allowed to have this type of animal and showing any limitations.

If you live in a condo or townhome, you must show us written proof that you are allowed to have this type of animal there and show any restrictions.

If you live in a neighborhood with an HOA, you must check your covenants to determine if there are breed restrictions or if the number of pets is limited. Note...this trumphs county law.

**Please also check how many pets your county law permits.**
YesNo
Number of petsSize or weight restrictionsBreed restrictionsNone
YesNo
Height and type of fence
Current/Previous Pet Information
List any previous pets you have owned in the past 10 years.

Please Include: Name, Type, Age, Spayed/Neutered, Primarily Indoor or Outdoor, What year did you get the animal?, How did you acquire the animal?, Year deceased (or last year you had pet), Cause of death, or where pet is now (detail).
Animal 1
Animal 2
Animal 3
Animal 4
YesNo
If Yes, please list below.
Please tell us about your pet’s temperament(s) & personality. How will they take to welcoming a new dog into the home?
YesNo
If yes, what group?
YesNo
If yes, what were the circumstances?
Please provide the name and phone number of your current and/or previous veterinarian or clinic:
New Pet Information
What type of personality do you want your pet to have? (i.e. calm, energetic, protective, couch-potato)*
What do you think are the most important responsibilities in owning a dog?
Please tell us about your breed experience:
YesNoPlease educate me
YesNo
YesNo
If you are applying for a puppy/dog who is not housetrained, how will you housetrain the dog?
How many hours each day will your new pet be home alone?*
Pup will be loose: IndoorsIn a crate : IndoorsIn a Kennel: IndoorsPup pen insidePup will be loose: OutdoorsTied up outside: RunIn a Kennel: OutdoorTied up outside: CableTied up outside: ChainOther
Where will your new pet sleep at night?*
Leash walks every dayWill bring to a dog-park (Public area where pups can run and play together off-leash)Will be free to run in fenced yardWill have supervised access to unfenced yardWill have cable or pup run in the yardWill be free to roam around (Off leash and unsupervised in unfenced area)Other
What length of time will you allow your new pet to adjust to his new home?*
YesNo
YesNo
List the types of behavior problems you consider NOT acceptable:
If a behavioral problem arises, what steps will you take to work on it?
How would you discipline the dog?
What will you do if the dog gets into trouble by ruining something you value?
YesNo
YesNo
YesNo
YesNoNot sure
If yes, where?
YesNo
How will the dog be cared for during overnight absences or while on vacation?
At what point would you consider humane-killing (euthanasia), should your dog become ill?
What circumstances would lead you to give up your new dog?*
If you had to give up your dog, what would you do with him/her?*
YesNo
Name of vet you will use for your new pet:
What kind of veterinary care do you plan to provide?
References
1. Name, Phone, Relationship:
2. Name, Phone, Relationship:
3. Name, Phone, Relationship:
Additional information you would like to provide about yourself and/or the pup you would like to adopt:
Adoptapet.comPetfinder.comFacebookFriend/Family MemberOther WebsitePetSmartOther
THANK YOU for your interest in adopting or fostering a Husky Pack Rescue Inc. dog. If approved, you will hear from us in approximately seven (7) days.
I understand that I assume full responsibility for the welfare of this pet from the date of adoption.
Name

First NameLast Name
Date

MonthDayYear
Date
Should be Empty:

HPR Foster/Adoption Application

Applicant Information

Household Information

House/Land Information

Current/Previous Pet Information

New Pet Information

References