the dog you are interested in adopting:
in your home allergic to dogs?
Does anyone in your household fear dogs?
Yes - If so, please explain:
in your household smoke?
Yes - If yes, where in your home do you smoke?
familiar with dog regulations in your area?
If you answered no to the question above, please
contact your town/county/condo assoc and ask them what the regulations are.
If you answered yes, please describe:
own? What do you live in?
Condo/Townhome - Any size limit on dogs there?
If you rent, you must show us a written letter
from your landlord or a copy of your lease stating that you are allowed to
If you live in a condo or townhome, you must show us written proof that you
are allowed to have a dog there.
square footage of your home:
Do you have a yard?
Yard, fenced / Fence height:
Yard, not fenced
Yard, not fenced
Approximately how wide is your yard?
Approximately how deep is your yard?
What are your exercise plans for this dog?
Annual Household Income
(click arrow to view choices):
work outside the home?
Yes, how many hours per week?
How many hours will this dog be left alone
during a typical day? (Explain)
discussed dog adoption with all members of your family?
No - who in your family does not know about this?
Is the dog for which you are applying going
to be a gift?
Yes - for who? (Name/relationship to you):
If this dog will be a gift, does the recipient
know they are getting a dog?
Is everyone in your household in agreement on adopting a dog?
would your dream dog be like?
had dogs in the past?
Do you plan to obedience
train your new dog?
Are you willing to housebreak
do you feel you can reasonably afford and would be willing to spend on your
dog per year (for things like veterinary care, licensing, ID tag, food, toys,
crate, other supplies, training, pet sitting, etc)?
all that apply to your situation. I
want to adopt this dog:
as a family pet
to use for breeding
train/use for hunting
to train/use for agility competitions
train/use as a therapy dog
to train/use as an assistance dog for the disabled
use as a jogging partner
train/use as a search & rescue dog
train/use as a guard dog
to interact with lots of friends/family
to border train it to our yard. Describe the method you plan to use
for border training
dog will (check all that apply):
kept outside: number of hours per day:
kept indoors most of the time
left outside when we are away at work
access to a doggie door leading to a securely fenced area - how big?
kept in the basement
kept on the main floor of our home most of the time
free reign of the house most of the time
crated when we are not home
take frequent car rides with us
frequently be kept outdoors in a kennel run
rarely travel in a vehicle with us
be kept on a lead line/cable in the yard
be frequently interacting with multiple children
be mostly interacting with adults
check any items below that you are NOT
willing to deal with in your adopted dog (Check boxes below to indicate
items you DO NOT want to deal with at the time of adoption or any time during
the life of the dog):
Obedience training (Sit/Down/Stay/Heal/Come)
Fear of men
Fear of women
Fear of children
Fear of other dogs
Fear of loud noises
Counter Surfing (stealing food off counters)
Incontinence (leaking urine, usually due to old age)
cause you to return a dog to Happy Dog Rescue?
assume all financial responsibilities for the dog you adopt including inoculations
as recommended by your vet, regular veterinary care (yearly examination, yearly
heartworm/lymes test, yearly fecal), good quality food, licensing, ID tag,
dog bed, leash, collar, toys, etc.?
how to groom a dog.
describe how to obedience train a dog
plan to take formal obedience classes with your new dog?
No (if no, why not?)
how this dog will be cared for/spend it's time when you are away during the
day, in the evening, and on vacation.
will you keep this dog? (check all that apply)
Crated while I'm at work (indicate # of hours):
Free reign of the house
Main floor of house
Basement of house. Describe
Outdoor kennel run, dimensions:
have you been looking for a dog?
Where have you looked?
don't currently have a vet, list a former vet or the vet you plan to use if
you have any pet(s) currently? List their names, type (dog/cat, etc), breed,
age, sex and approximate weight, and length of time you have had them.
you had dogs in the past?
How many years did you have the dog(s)?
for no longer having the dog(s)?
What were the circumstances of your last dog's
dog of yours ever gotten lost, been poisoned, or been killed by a vehicle?
Would you allow a dog to ride loose in the bed of a truck?
current pet(s) been around dogs in the past?
current pets altered (spayed/neutered)?
No - Explanation:
comments, questions or concerns:
All responses to applications are via email, usually within 24 hours.
Please check your email 12-24 hours after submitting this application.
read before signing!
you have any current pets, please contact your vet and advise them
that Happy Dog Rescue will be calling for a vet reference. We will need to
know if your current pet(s) are altered and up to date on their vaccinations.
We will also need to know how frequently you take your animals in to the vet
for an examination. Veterinarians will not release this information without
your permission. Please email us after you have made this call so that we
know your vet will release the information to us. Your vet may require written
permission from you prior to releasing this information.
I/We have read and understand all of the above. Please read the above, check
this box, sign, and click Submit.
By signing below, you are giving permission for Happy Dog Rescue to use the
information on this application to contact your references and veterinarian
and you give permission for your veterinarian to release your pets' medical
records to our rescue.
By signing below, you certify that you have read, understood, agree with,
and will comply with, the Happy Dog Rescue adoption policies. You further
certify that the information you have provided on this form is true, correct,
and complete. You understand and agree that falsification of any of the above
information or any information disclosed during the review process is grounds
to disqualify your adoption application and nullify all adoption(s) and/or
adoption agreements between you and Happy Dog Rescue. By checking the box
below, you certify that this is your electronic signature guaranteeing that
everything you say on this application is true. You further agree that your
electronic signature is binding on this adoption application. Please check
the box below and fill in your name(s) to indicate that you have read, understand,
and agree to all of the above.
Signature (type your name):
Co-Applicant's Signature (type your name):