Adoption Application

Dog you are interested in adopting *

Applicant's First Name *

Applicant's Last Name *

Email Address *

Cell Phone Number *

Street Address *

City *

State *

Apartment Number (if applicable)

Zip Code *

Date of Birth *

How did you find out about us? *

What is the main reason you plan to adopt a dog? Please describe the type of dog you are looking for. *

Is this dog for you or someone else? If someone else, explain. *

Do you have other pets at the current time? *

If yes, please list their names, breeds, and ages. Are they spay/neutered? Are they up to date on vaccinations? *

If you have previously had pets, please list them and let us know what happened to them. *

Name of current or previous Veterinarian Clinic. If you have never owned a pet please tell us where you would go. *

Veterinarian's Phone Number (if applicable) *Please call them and okay the release of records to Hudson Paws Dog Rescue* *

Transitioning a dog from a kennel to a home environment requires work on the part of the adopter. How will you handle this transition? *

Do you own or rent your home? *

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.

Please describe your current residence (home, apartment, # of rooms, etc.). Provide a thorough description of the dog's living conditions and sleeping area. *

Will the dog spend any time in a crate? If so, explain. *

Do you have a completely fenced-in yard? If so, describe the fence and size of the yard. If not, describe how will you let the dog out. *

Describe how you plan on providing the dog with ample exercise. *

Including yourself, how many people live in your household? Please list everyone's age & relationship. *

Is everyone in your household aware that you are planning to adopt a dog? *

If you are employed, what is your current occupation? How do you spend most of your time? *

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 dog? What would you do if the bills went over this amount? *

Will you keep your dog up-to-date on vaccinations and heartworm preventative? Are there other consistent medications you plan on providing? *

Have you ever had to surrender a pet? If yes, please explain. *

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? *

What arrangements will you make for the care of your dog when you go on vacation? *

If you are no longer able to care for the dog due to unforeseen circumstances, what is your plan for them? Please provide the name and relationship of the person who will care for the dog. *

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. *