Adoption Application

Animal you are interested in adopting *
Applicant's First Name *
Applicant's Last Name *
Street Address *
City *
State *
Apartment Number (if applicable)
Zip Code *
Phone Number Please use the following format 248-555-1212
Email Address * Please enter correctly as this is the main way we will contact you
Alternate Phone Number *
Date of Birth *
How did you find out about us? *
Have you applied anywhere else for a dog? *
If yes, where else have you applied for a dog?
Is this dog for you or someone else? *
Do you own other pets at the current time? *
If yes, please list their names, breeds, and ages.
Are all of your pets spayed/neutered/fixed? *
How many pets have you owned in the last 5-10 years? *
What happened to them? *
Are your pets current on their vaccinations? *
Have you ever turned your dog or cat into a shelter? *
If yes, please explain?
Veterinarian's Name - Please call them and okay the release of records to Hudson Paws Dog Rescue * If you have never owned a pet please tell us where you would go.
Veterinarian's Address, City, State, and Zip Code Again if you have never owned a pet please list where you would go
Veterinarian's Phone Number *
Have you ever had a pet euthanized? *
If yes, please explain:
How do you feel about having pets spayed/neutered? *
Transitioning a dog from a kennel to a home environment requires some training on the part of the adopter. How will you handle this transition? *
Were any of your pets obedience trained? *
If you answered "yes" above, please explain here:
Please describe in detail the pet you are looking for.
Do you own or rent your home? *
Please describe your current residence. Home, Apartment, # of rooms, yard size, etc. *
How long have you lived at this address? *
If you rent, does your landlord and lease allow pets? Please provide landlord phone/email or have a copy of lease available to email.
Including yourself, how many people live in your household? *
Please list the ages & relationship of those who live in your home. *
Is everyone in your household aware that you are planning to adopt a dog? *
Does anyone in your household have allergies to dogs/cats? *
Employment Status *
If you chose "other" above, please explain:
What is the main reason you plan to adopt a dog *
If you are employed, what is your current occupation? *
On average, how many hours per day will your dog be left alone? *
How much do you think the annual medical bills will be for your pet? *
What would you do if the bills went over this amount? *
Will this pet be predominantly living inside, outside, or both? *
Please provide a thorough description of the dog's living conditions. *
Do you have a completely fenced-in yard? If so, describe the fence and size of the yard. *
If you do not have a fenced yard, how will you let the animal out? *
Are there times when the animal will be tied/chained up? *
If yes, when will they be tied/chained up and where?
Where will the animal sleep? *
Explain their sleeping area and explain what areas of the home they will have access to. *
Will the animal spend any time in the garage? If, so explain. *
Are you prepared to do training if needed for things like housebreaking, destructive behavior, socialization? How will you handle these? *
Will you keep the animal up-to-date on vaccinations and heartworm preventative? *
If no, please explain:
Are you willing and able to exercise the dog on a regular basis? *
If yes, what is the method of exercise? Explain in detail. *
Have you ever been convicted of abuse or neglect of a child or animal? *
If yes, please explain:
If you drive a pick up truck, would you allow the animal to ride in the back/bed? *
What arrangements will you make for the care of your pets in case of an emergency? *
What will you do with the animal when you go on vacation? Explain in detail. *
For what reason(s) would you consider returning/giving up the animal? *
What would you do with your animal if you had to move? *
Taking care of a dog can be a 15 year commitment. Are you willing to take responsibility for this animal for the duration of their life? *
If no, please explain:
We require a home visit for adopters who are close by. I fully understand and agree to this requirement. *
I have read the foregoing and certify that the answers I have given are complete, true and not misleading in any way. I am authorizing you to contact landlords, associations and veterinarians. You are also aware that we cannot guarantee the health and temperament of the animal. *