Hedgesville Hounds Application -- Summer 2007

 

Hedgesville Hounds

Adoption Application

For additional information on our adoption process, click here .  STRONGLY ADVISED: READ THIS SECTION BEFORE APPLYING!

To email us, send an email to applications@hedgesvillehounds.com
Last updated: 6/9/07

TIME-SAVING TIP: BEFORE MOVING FORWARD WITH THIS APPLICATION, PLEASE MAKE SURE TO HAVE YOUR VET INFORMATION AVAILABLE, INCLUDING PHONE NUMBER, SINCE THIS INFORMATION IS REQUIRED ON THE APPLICATION.
 PLEASE NOTE THAT IF YOU ARE A FIRST-TIME DOG OWNER, YOU ARE NOT REQUIRED TO PROVIDE A VET REFERENCE.





Unless clearly stated in the animal's description, Hedgesville Hound Adoptions are limited to the Washington DC/Baltimore Metropolitan area, some areas of Pennsylvania as well as the Eastern Panhandle of West Virginia (Morgan, Jefferson and Berkeley Counties).  
Name(s) of Dogs or Cat You Wish To Adopt: Include
/Breed(s)/Age(s):
Applicant's Name:
Applicant's Age
Person Filling Out Application (if not the same as the actual applicant) Please be factual.  

Telephone: Home
Telephone: Work 
Telephone: Cell 
Email Address: 
Home Address: 
City: 
State: 
Zip:
Do you live in a: 
Do you rent or own?
If you do NOT rent your home, are you the owner of the home?  Who owns the home?
Landlord Name: 
Landlord Phone 
Applicant Employer:
Does anyone in your home have allergies to animals? YES  NO  No Response
Does anyone have asthma? Yes  No  No Response
What size is your yard (Sq. Ft)
Is your yard totally fenced in ? Yes  No  No Response
Type of fence:
Height: 
Please describe your fence

Please provide SPECIFIC information for the following questions about where the dog will be kept.  Tell us WHERE -- If outside, where outside? If inside, where inside?  Please describe in as much detail as possible about each area , and provide anything else that will help us understand exactly where the animal will be kept.  Failure to provide this level of detail will result in a delay in the application being processed. 
Where will the pet be kept during the day? Please provide detail -- if in the house, where in the house?  If outside, where outside?
During the night? Please provide detail -- if in the house, where in the house?  If outside, where outside?
During routine absences such as trips to the grocery store? Please provide detail -- if in the house, where in the house?  If outside, where outside?
Do you have (check all those that apply):  Pet Door  Kennel Run  Dog House  Tie-out Stake  Crate
If you  have any of the above,  how are they used, how often are they used and under what circumstances?

How many adults live in your home? 

How many children live in your home?

Ages of children?
If you do not have children yourself, are there children who visit your house regularly  (Defined as once a month)?   Describe the situation in as much detail as possible: Are they relatives?  Are these children supervised?  Please provide details. Failure to respond in detail will delay your application.

I have read the description of the dog carefully and believe that my household is in compliance with the  limitations placed on the dog's placement.  (For example, if the description says "no cats," the household should not have cats.)
Are you, your spouse or partner, housemate or anyone residing with you currently pregnant?  What is their relationship to the applicant and when is the child due?  Will they be living with the applicant following the birth of the child?
Is anyone home during the day? Yes No  No Response
If someone is at home, how long?  Hours
Who will be at home during the day?   Please provide detail.
Can they handle the animal you want to adopt? Yes  No  No Response
All members of the household, including pets, must visit with the animal before the adoption is approved.
How many hours at one stretch will the pet be without humans each day?  Hours
How many hours TOTAL will the pet be without humans each day?  Hours
Who will be the primary care-giver?
What is the primary care-giver's relationship to you?
Who will care for the animal while you are on vacation?
What will you do with the animal if you move? 
Are you willing and able to provide pet care for the next ten (10) or more years, including vet checks, vaccinations, boarding, medical care, food, treats, etc.? Yes  No  No Response
What do you think pet care costs per year, including annual vaccinations, food, toys, minimal boarding, grooming, etc.?                    $
Are you willing and able to support a pet?  Yes  No  No Response
We require all animals adopted from us to be spayed or neutered.  Do you have any questions or reservations about this policy?  Yes  No  No Response
Please list all pets you have owned in the past 10 years.  If none, then include pets owned in your childhood.  PLEASE LIST ANY ANIMALS RESIDING WITH YOU, EVEN IF YOU DO NOT OWN THEM .
Pet 1

Pet's Name 

Breed  Gender Age  Spay/Neut  (Yes/No) 

How Long Owned  Years

What happened to the pet? 

If deceased, how old was the pet when the pet died & explain details of death: 


If deceased, in what year did the pet die? 

Pet 2

Pet's Name 

Breed  Gender Age  Spay/Neut  (Yes/No) 

How Long Owned  Years

What happened to to the pet? 

If deceased, how old was the pet when the pet died & explain details of death: 


If pet is deceased, in what year did the pet die? 

Pet 3

Pet's Name 

Breed  Gender Age  Spay/Neut  (Yes/No) 

How Long Owned  Years

What happened to it? 

If deceased, how old was the pet when the pet died & explain details of death: 


If pet is deceased, in what year did the pet die? 

Pet 4

Pet's Name 

Breed  Gender Age  Spay/Neut  (Yes/No) 

How Long Owned  Years

What happened to the pet? 

If deceased, how old was the pet when the pet died & explain details of death: 


If pet is deceased, in what year did the pet die? 

If you have additional pets, please list their names and ages here, and provide additional information as possible.

If you have ever had a pet lost, disappear or die at an early age, please provide details (dogs dying before 10 or cats before 14 years of age): 
Have you ever sold, given away or surrendered a pet?  Please provide details above.  Have you ever had to re-home a pet?  Yes  No  No Response
How do you plan to exercise your dog? (Provide details.)
Who will supervise outdoor activities?
How will dog be confined outside during exercise?
Have you ever trained a dog?
Have you ever crate trained a dog?
How do you plan to train the dog?
Are you willing to give this dog time to adjust to its new environment and family members?
How much time are you willing to give the dog to adjust to its new environment and family members?
This animal may not be housebroken.  Are you willing to take the time to work with the animal?

Some vets will not release vet records without permission from the applicant.  To speed the process, please contact your vet to let them know that we will be calling. Also, please let us know if the records are under a different last name.  

I will alert my vet that HH will be calling.
YES  NO

Past/current vet PLEASE INCLUDE SEVERAL YEARS' WORTH OF VET INFORMATION, AND THE VET INFORMATION FOR ALL PETS.
Past/current vet's phone number  PLEASE PROVIDE THIS INFORMATION AT THE TIME OF APPLICATION.
Pets treated
Intended vet
Are there any existing circumstances (e.g., health, family, professional, financial) that could result in your being unable to take care of this dog?  What are they?

Why did you choose this dog?

Are you currently working with other rescues to find a dog?  Which groups?  If  so, where are you in the adoption process with these groups?  NOTE: Working with other groups is not a mark against you -- we ask this so we can see if you have already been approved with another group or so we can work with them to let them know that you have been approved with us.



PLEASE TAKE A MOMENT TO LET US KNOW WHERE YOU HEARD ABOUT US BY ANSWERING THE QUESTION IMMEDIATELY BELOW.  THIS HELPS US TO ALLOCATE OUR MARKETING TIME APPROPRIATELY.

How did you hear about us/Who referred you? (Check as many as apply and fill out the blank if you need to add additional info.) Petfinder Friday's Dog Friend/Coworker Other Rescue Crate
Former adopter Other

We require a home visit as part of the application process.  Will you comply?
We require that all family members, including animals, meet the animal prior to placement.  Will you comply?
Has everyone in the family been alerted to the decision to get the pet?  Has every adult been alerted ?


We require a non-tax-deductible adoption fee of $250 at the time of placement.  This money goes to fund medical care, food and shelter for all of our animals, not merely the one you are applying for.  Will you comply?
If you are approved for this dog, how soon would you be able to take him or her?


Is there anything else we should know that would help us to understand your application?

A rescue representative will conduct a formal interview with you and your family prior to adoption.  This interview is to answer any questions about your new pet and to alert you to problems that may arise.  The rep will help you plan how to successfully introduce your new pet to your new home and to explain how to help your new pet become part of the family.

Please make sure that you have answered all questions in this application.  Failure to provide information necessary to complete this application may cause this application to be voided.

I certify that I have answered all questions honestly and to the best of my ability.  I understand that any misrepresentations of fact may result in removal of the adopted pet from my home.

Applicant's Signature:
Date: