Adoption Application

Please make sure you are ready to adopt before submitting this application. We can not hold dogs. The sooner a dog goes to it's forever home the sooner we can save another dogs life.

Please put as much information as possible for each question. Remember this is our first impression/information about you. This will help us understand you and your family and household. Since we already know the dogs personality, it will be easier to get an idea if the dog will fit into your family.

Name of Dog applying for:*

Describe the kind or type of dog are you looking for?

Name*

First NameLast Name

Co Applicant Name

First NameLast Name

Home Phone

Area CodePhone Number

Cell Phone

Area CodePhone Number

Work Phone

Area CodePhone Number

E-mail*

Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry

What's your living situation?

HouseApartmentCondoMobile Home

Do you rent or own?

RentOwn

If you answered Rent to above question please supply Landlords name and Phone number, as we will contact them.

Do you have a fenced yard?

YesNo

If you answered YES to the above question, please give the height and what type of fencing. If you answered NO - how do you plan to keep the dog safe when it is outside for potty time and play time?*

What are the ages of everyone in the home?

* Please note must be 25 to apply for any dog.

I Understand

What are the maximum hours and frequency the dog will be alone without someone home?

Is everyone in the home agreeable to bringing a new rescue dog into the household & family?

Does anyone have allergies to animals?

What are the work days & hours of adults in the home?

Where will this dog be when no one is home (be specfic)?

Do you have any pets currently?

YesNo

If you answered Yes to the above question, please list their Name, Species, Breed, Gender, Age

What is your Veterinarian's name, address and phone number. We will be calling to verify that your dogs are current with DHPP & Rabies vaccines and that they are Spayed/Neutered. ** If you do NOT have an established Veterinarian please provide the information for the practice you intend to use and let us know you have no history yet.

Have you ever owned a pet in the past that is no longer with you?

YesNo

If you answered Yes to the above question, please provide the Breed, Ending Date, What became of them.

Who will the primary care taker of the dog?

What BRAND of dog food do you feed or plan to feed your dog?

Your new dog may bark, chew or soil in your home as it adjusts to its new surroundings. How will you handle this?

Please describe your training strategies.

What does crate training mean to you?

Are you financially prepared to provide the necessary care for your new dog including proper food, vaccinations, parasite control (fleas, ticks, worming) licensing, veterinary care for yearly checkups or emergency visits?

YesNo

What reasons would you give up your dog?

Anything else we should know about you and your family lifestyle ?

Please list two (2) Personal references - Name and phone number.

Please tell us how you found out about Collar of Hope (example: Facebook, Petfinder, Adopt a Pet, etc....). We would like to know where we are being seen the most.

I understand by submitting this application, I give Collar of Hope permission to contact my landlord if applicable, permission to contact my Veterinary reference and permission to contact my personal references listed.

I understand

All of the information I have given above is true and complete. I understand that any misrepresentation of the above information authorizes Collar of Hope to deny application, and /or reclaim the pet that is in my home. I understand Collar of Hope will furnish all known information about a dog but as dogs in different environments and with different handlers dogs can react or behave differently. I understand completely that it is our responsibility to evaluate the dog for myself before agreeing to adopt it. Collar of Hope is in no way liable or responsible for any damage, accident or injury resulting from the placement of a dog in my household.

I agree

Please remember we are an all volunteer rescue. This means we are all spliting our time between our families, pets, jobs to schedule times to save lives and find them forever homes. While we understand things change please notify us as soon as possible if you can not make a aggreed upon appointment time.

Thank you, Collar of Hope volunteers

Signature