HBWI Adoption Application

Which dog are you applying to adopt?*
We recommend listing multiple dog choices, as our adoption process prioritizes the best mutual fit rather than a first-come, first-serve basis.
Full Name*

First NameMiddle InitialLast Name
Birthdate*

MonthDayYear
Applicant must be 21 years of age or older.
Email Address*
You will receive a follow up email from homewardboundwi@gmail.com. Please monitor your spam/ junk folders to be sure you receive our emails.
Phone Number*
Current Address*

Street Address

Street Address Line 2

CityState

Zip Code
Do you rent or own your home?*
Please provide a copy of your rental agreement.*

Please Note: Failure to submit your rental agreement may result in an automatic denial.
Cancelof
Do you have a fenced yard?*
Please describe fence height and type:*
Please describe your experience with dogs, if any.*
Have you surrendered a dog in the past?*

HOUSEHOLD INFORMATION
Who will be the dog's primary caregiver?*
Are there additional members of your household over the age of 18?*
Please list all members of your current household. Include each member's full legal name, birthdate, and relationship to you:*
Are there children within your household?*
Please list the age of each child:*
What exposure has the child had to dogs? Please select all that apply:*

Raised with DogsLimited ExposureNo Exposure
Is anyone in your household allergic to dogs?*
Please describe the allergies:*
Has your entire household agreed to adopting a new pet?*
Does your entire household understand the dog may take 2+ weeks to adjust, especially if other pets are involved?*
Should you move, what is your plan for your dog?*

DAILY ROUTINE
How many hours will the dog be alone per day?*
Puppies should not be left alone for more than 3-4 hours at a time.
Please describe a typical day for your new dog. Be sure to include your plans for training, socialization, stimulation and outdoor activities.*
Where will you keep your dog during the day?*
Where will you keep your dog at night?*
How much do you anticipate spending annually on food, vaccinations, licensing, medical care, etc. for your new dog?*
Please Note: You must provide an approximate dollar amount.
Are you willing to pursue professional training and/ or classes, if needed?*
Please explain the circumstances and timing of the surrender:*

VET INFORMATION
As a first-time pet owner, no veterinary information is required. Please proceed to the next page of the application.
Clinic Name*
Clinic Address*

Street Address

Street Address

CityState

Zip Code
Clinic Phone Number*
Are veterinary records listed under the applicant's name?*
Please list the name on the records:*
Have you worked with another clinic in the past?*
Clinic Name*
Clinic Address*

Street Address

Street Address

CityState

Zip Code
Clinic Phone Number*

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If you haven't already, please take a look at our adoption policies on our website: HBWI.org/adoption-policies. Prior to submitting your adoption application, please also review the information below. We appreciate your interest in adoption and look forward to helping you find your perfect match!
How did you hear about us?*

Internet search (Google, Bing, etc.)Social media (Facebook, Instagram, etc.)Word of mouthReferral from a friend/ family member
Is there anything else you would like to share with us? Feel free to include any additional notes or information in this section.
Please review the Terms and Conditions above before submitting your adoption application. Please ensure that you have read through all the text before checking the acknowledgement box.
Signature*

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