Dog Adoption Application - The Sanctuary at Haafsville (new)

In an effort to assure a more satisfactory guardianship we ask your cooperation in the completion of this application. Just as there are guidelines for the adoption of a child, so are there guidelines for the placement of animals. Although The Sanctuary at Haafsville eagerly seeks the prompt placement of its animal residents, experience has shown that some situations are not consistent with the welfare of the animal. An unsatisfactory placement can result in an unpleasant experience for your family and many times can traumatize the pet. We reserve the right to refuse any placement we consider unsatisfactory. This is not a reflection on you personally, but simply that a particular pet may not do well in your situation. We feel our experience in this area must be our guide to a successful placement.

In order to be considered as a guardian, you must first:

Be at least 18 years old
Have a valid Photo I.D. showing your current address
Have notarized consent from your Landlord/Homeowner if you rent

Please understand that The Sanctuary at Haafsville has the right to verify all information on this application, including a home visit, personal reference, and vet check.

First and Last Name

Driver's License Number

Address

Street Address Line 2

CityState

Zip Code

Cell Phone

Format: (000) 000-0000.

Home Phone

Format: (000) 000-0000.

Work Phone

Format: (000) 000-0000.

Email address

example@example.com

Reference Name

Please do not put yourself.

Reference Phone Number

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

Primary Veterinarian

If you have not had a pet in the last 5 years, please put N/A.

Primary Veterinarian Phone Number

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

Secondary Veterinarian

Secondary Veterinarian Phone Number

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

***Please contact your vet(s) and give them permission to speak with a member of our adoption team. ***

I

Other

Landlord's or Parent's Full Name

Landlord's or Parent's Phone Number

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

My home is a(n):

Number of adults in the home (18+ years):

Please list adult ages:

Number of children (under 18 years old) in the home:

Please list children ages:

Why do you want this companion animal?

Do you believe in spaying/neutering pets?

Have you used any of the services of The Sanctuary at Haafsville before?

What services did you utilize?

Please only list SAH services, not other rescues.

Please list all pets you have or have had in the last 5 years: (On a separate line for each pet, please list name, dog/cat/etc., age, sex, spayed/neutered/intact, indoor/outdoor, and alive/deceased/rehomed/etc.)

Example: Max - dog - 2 years - male - neutered - indoor - alive

What traits are you looking for in a dog? (check all that apply)

Who will be the primary caretaker of the dog?

Will your dog routinely be left alone during the day?

How many days of the week will the dog be left alone?

How many hours per day?

How many hours are they left alone on weekends?

Where will your pet be kept?

Where will your dog be while home alone?

Example: in a crate, free roam, gated to a specific area, etc. Please do not write only "indoor"

Do you use a crate?

Where do you plan to keep your dog overnight?

Example: in a crate, free roam, gated to a specific area, in your bed, etc. Please do not write only "indoor"

Do you plan on going on vacation in the next month?

If yes, when?

Where will your dog be while you are on vacation?

How would you describe the activity level of your home?

What type of exercise/playtime do you engage with your dog?

Is your yard fenced?

If yes, fence height is:

Have you ever house broken a dog?

What are your "deal breaker" behaviors that would cause you to return a dog? (frequent accidents, guarding, barking, biting, etc.)

Have you ever relinquished or rehomed a dog before?

If yes, what were the circumstances?

How will you train your dog?

What types of training exercises/strategies/devices will you use?

Please be as specific as possible.

If behavioral issues arise, will you be willing to participate in a structured training program over the course of several weeks, if needed?

Regarding a training program, what is your expected budget for training classes or a program?

Does anyone in your household have animal allergies or asthma?

How often do you anticipate seeing a veterinarian?

How long do you anticipate living in your current home?

What would you do with your dog if you can no longer care for it?

Name of dog(s) you are applying for:

Please do not submit an application until you have a specific one of our dogs you would like to apply for. We do NOT pre-approve applications.

Signature

Date

The Sanctuary at Haafsville Canine Adoption Application