1. Are you at least 21 years of age? Yes No
2. Do you own or rent? Own Rent
3. Please write your association’s name and phone number or resident manager’s name and phone number if you own a condo or townhouse. Please write your landlord’s name and phone number, if you rent.
4. May we contact your association, resident manager or your landlord to confirm their pet policy? Yes No
5. How long do you intend to live in your current housing?
6. Do you have a completely fenced-in yard? Yes No
7. Will your dog spend any time outside when you are not at home? Yes No
8. What is the longest time your dog will be without human companionship?
9. Have you had a dog for which you were responsible? Yes No
10. Have you ever turned a dog into a shelter? Yes No

    If yes, would you explain why?

11. Have you ever had a dog euthanized? Yes No

    If yes, would you explain why?

12. How many people (adults & children) are living in your house?
13. Do you have any pets currently? Yes No

    If yes, what kind, how old and how many?

14. If you have dog(s) currently, is (s)he spayed/neutered? Yes No

    If no, would you explain why?

15. If adopted, are you willing to provide monthly flea/tick and heartworm prevention and keep current on his/her shots? Yes No
16. Will you allow us to do a home inspection? Yes No
17. What is your occupation?
18. What is the name and address of your current employer?

I, , agree to the following:

1. That I will return this dog, , that I adopted from Hope for Dogs Rescue if I am no longer able to care for him/her and will never rehome, surrender him/her to another rescue organization, or to HHS without prior permission of Hope for Dogs Rescue (Return of adoption fee is at the discretion of the adoption coordinator.) I understand that should I surrender back to Hope for Dogs Rescue, I will continue to hold and care for him/her until a new home is found.
2. Return of adoption fee is at the discretion of the adoption coordinator.
3. I will inform HFDR of any change of address or phone number.
4. That the HFDR does not guarantee the breed, age, health or behavior of any dog and will be held harmless in the event of injury or damage to any person or household.
5. That the HFDR may schedule an inspection upon 48-hour notification to the adopter at any time and may upon said inspection, if deemed that the dog’s health and welfare is compromised, seize the dog to be returned to HFDR.