HBH Rescue Dog Adoption Application

Helen's Bully Haven
Helen's Bully Haven is an all-volunteer based, non-profit, animal welfare organization. We are dedicated to the rescuing and placement of stray, neglected and abused animals. Helen's Bully Haven is completely funded through events, various fundraising efforts and public donations. All of our pets receive complete medical care including heartworm testing & prevention, flea/tick prevention, de-worming, Rabies, DHPP, Bordetella vaccinations, spaying/neutering and microchipping prior to their adoption.
This questionnaire is designed to help Helen's Bully Haven 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 and complete a contract upon final adoption. Helen's Bully Haven reserves the right to deny any adoption based on answers to this questionnaire and/or interviews prior to finalized adoptions.
Applicant Information
Name of the dog you are interested in:*
Your full name:*
Your age:*
Street Address:*
City, State, Zip*
Home Phone:*

Area CodePhone Number
Work Phone:

Area CodePhone Number
Cell Phone:*

Area CodePhone Number
E-mail:*
Employer:
Character reference and phone number:*
Household Information
Are all members of your household in agreement with this adoption?*

YesNoDon't Know
Who will be the pet's primary caregiver?*
Do you live in a*

HouseApartmentCondoMobile HomeOther
Do you own or rent?*

OwnRent
If rent, provide name and phone number of landlord:
Does your landlord allow dogs?*

YesNoOwn my house
Are there any restrictions from your landlord or subdivision?*

Number of petsSize or weight restrictionsBreed restrictionsNone
Do you have a fully fenced yard?*

YesNo
Height and type of fence
Do you have any of the following?

Underground fenceKennelDog Run
How many adults are in your household?*
How many children are in your household?*
If children, what are their ages?
Have your children been around animals before?

YesNo
Does anyone in your home have allergies to dogs or have asthma?*

YesNo
Current/Previous Pet Information
List any pets you own or have owned in the past five years, and their ages*
Type N/A if this will be the first pet
How many of these pets are spayed/neutered?*
Where are these animals now?*
Have you adopted from an animal welfare group before?

YesNo
If yes, what group?
Have you ever given up a pet?*

YesNo
If yes, what were the circumstances?
Please provide the name and phone number of your current and/or previous veterinarian or clinic:*
Type N/A if this is your first pet, we can provide a list of awesome veterinarians in the tri-state area
New Pet Information
What type of personality do you want your pet to have? (i.e. calm, energetic, protective, couch-potato)*
Are you aware of crate training for a new pet?*

YesNo
Have you ever house-broken a dog or puppy before?*

YesNo
If the dog has an "accident" in your home, what type of correction do you plan to use?*
How many hours each day will your new pet be home alone?*
Where will your new pet sleep at night?*
How will you supervise the dog's outdoor activity?*
Where will your new dog stay when nobody is home?*
What length of time will you allow your new pet to adjust to his new home?*
Are you willing to work through your new pet's issues, if any?*

YesNo
Are you aware that a new environment is stressful for your pet, and they may exhibit uncharacteristic behavior?*

YesNo
Do you understand that a dog can be an 18 year commitment, and can cost $300 - $500 per year to care for?*

YesNo
Do you plan to take an obedience class with your dog?*

YesNoNot sure
If yes, where?
Are you aware that a large breed dog takes about two years to mature? Is this something you're prepared for?*

YesNo
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?*
How did you find out about Helen's Bully Haven?*

Adoptapet.comPetfinder.comPet ValuFacebookFriend/Family MemberOther
I understand that I assume full responsibility for the welfare of this pet from the date of final adoption. I understand that this is not the final process for adopting a pet from Helen's Bully Haven. I am aware that there is an adoption contract that I will have to sign upon finalizing adoption through Helen's Bully Haven.
Name

First NameLast Name
Should be Empty:

Helen's Bully Haven

Applicant Information

Household Information

Current/Previous Pet Information

New Pet Information