Pet Info Form

Pet Info Form

For first-time rescuers and/or individuals not affiliated with a rescue group.
How did you hear about us (please be specific - e.g., name, website, etc.)?*
NOTE: We will evaluate this form to see how we can help. If you can house this pet for 2+ months, we will courtesy-list on our adoption sites for a $25 donation via PayPal: www.bit.ly/doggiedonate.

IMPORTANT: You must be willing and able to reply to our/applicant emails within 24 hrs. Non-responsiveness affects our reputation and people's willingness to adopt vs. buy. If you cannot commit to this, please look into other ways to help your pet find a home (Facebook Page/Groups, NextDoor.com, SpotSociety.org, BestFriends.org)
Please confirm you will reply to our/applicant emails within 24 hrs?*

Yes, I agree
Where did you get this dog from?*
Why can't you keep this dog?*
Can you keep this dog for 2-3+ months?*

YesNoOther
If no, why not?*
What is the last possible date you can keep this dog?

MonthDayYear
(If indefinite, please leave blank)
Your Name*
E-mail*
Zip Code*
Phone Number*

Area CodePhone Number
Pet's Name*
Breed(s)*
Sex*

MaleFemale
Age (indicate yrs or months)*
Weight (if puppy, give current and estimated adult weight)*
Spay/Neutered*

YesNoOther
Vetting Received in Last Year (Check all that apply)*

RabiesDistemperParvoLeptoBordatellaHeartworm TestHeartworm + Lyme & Erlichia Test (aka IDEXX 4D Snap Test)Fecal TestDewormingMicrochipOther
Heartworm Test Results*

Under 6 MonthsNegativeNegative & On PreventaivePositive & Slow Treatment Underway/PaidPositive & Fast Treatment Underway/PaidOther
Currently on Heartworm preventative?*

YesNoOther
Willing to pay for needed vetting?*

YesNoOther
Training (Check all that apply)*

Crate TrainedHouse TrainedWalks Nicely On a LeashKnows CommandsGood Off-Leash RecallKnows Tricks
Tell us about commands, tricks and special talents
Gets Along With (Check all that apply)*

DogsCatsTeenagersKids 12 & UnderKids Under 5
If dog does not get along with all, please explain
Any Aggression Toward Humans*

YesNo
Any Aggression Toward Animals*

YesNo
If aggression, please provide details and/or incident history
Good-to-Know Quirks/History (Check all that apply)

Still Chews/DestructiveBarks FrequentlyEscape ArtistFence HopperGets Car SickFears Storms/FireworksShows Separation AnxietyMarks IndoorsHas IncontinenceHistory of surgery/specialty careRequires MedicationOther
Additional Info on Quirks/History
Description of Dog's Best Qualities and Ideal Home *
Why would someone want to adopt this pet? What type of home might set pet up for success?
Adoption Requirements (Check all that apply)*

ApplicationReferencesHome VisitOther
Would you like to the adoption fee to come to you?*

YesNo, please keep as donationOther
What is the amount of the fee you expect to collect*
Note: Our standard adoption fee is $300 so please be prepared to explain any difference to adopters..
Willing to Accept Dog Back if Adoption Fails*

YesNo
Want to know about Northeast Rescue Program?

See http://bit.ly/DH-NE.
Open to Out-of-State Adoption/Rescue*

YesNo
If yes to out-of-state (Check all that apply)

Transport is availableLess than 250 miles awayLess than 500 miles awayA rescue group offers fosterA rescue group offers shelterNo additional costs involvedOther
Not sure how to resize or rotate photos?
See: www.picresize.com

Not sure how to get your video on YouTube?
See http://bit.ly/videohow

Need examples of great pictures that get pets adopted
https://www.maddiesfund.org/photos-of-shelter-pets-are-their-voices.htm
Upload Photo 1 (MUST be less than 1GB or 1000MB)*

Upload a File

Cancelof
Upload Photo 2

Upload a File

Cancelof
Upload Photo 3

Upload a File

Cancelof
Upload Photo 4

Upload a File

Cancelof
Facebook Page/Group/Photo Album Link
YouTube Video Link
Not sure how to get your video on YouTube? See http://bit.ly/videohow
Additional Information
You may send updates, more photos, videos, etc. anytime to web@doggieharmony.org.

It is VERY IMPORTANT for us to get 4 great photos of your dog and a video as this maximizes the chances of your dog being chosen from the many available for adoption.

A recent study revealed that these 5 photo tips will make potential forever families fall in love with adoptable dogs:
1. sharpness and overall quality of the image
2. dog is making direct eye contact with the camera
3. dog is standing up
4. dog posing in an outdoor location
5. dog is shown with children or other pets
So help us get your pup adopted with great photos!
By checking 'I Agree,' I certify that the above information is true to the best of my knowledge. I understand my dog is a courtesy-posting and NOT part of the Doggie Harmony program, and I will not misrepresent myself or my dog as such. Doggie Harmony is not responsible or liable for my dog in any way, either before or after adoption. You remain fully liable for this pet until you sign it over to an adopter via a contract to include both of your signatures. *If you need a generic contract - please go to DoggieHarmony.org and click forms.*

I Agree
By checking 'I Agree,' I confirm that I will reply to all email inquiries within 24-28 hrs and include adopt@doggieharmony.org on all communications with applicants. Failure to do so will result in the removal of my courtesy-listings.*

I Agree
Donate to Doggie Harmony as a thank you for their help?

prevnext( X )
USDDescription
Should be Empty: