|
|
Name of Dog this application is for:
|
|
|
|
|
|
|
|
Applicants Information:
|
|
|
|
Name:
|
|
|
|
|
|
|
|
Street Address:
|
|
|
|
|
|
|
|
City, State, & Zip code:
|
|
|
|
|
|
|
|
Home Phone #:
|
|
|
|
|
|
|
|
Cell Phone#:
|
|
|
|
|
|
|
|
Best time to reach you:
|
|
|
|
|
|
|
|
E-mail Address:
|
|
|
|
|
|
|
|
Do you own your home?:
|
|
|
|
|
|
|
|
If Yes, how long have you lived there?:
|
|
|
|
|
|
|
|
If No, are you allowed pets where you rent?:
|
|
|
|
|
|
|
|
Contact Name & Number for your Landlord?:
|
|
|
|
|
|
|
|
Do you have any plans to move in the near future?:
|
|
|
|
|
|
|
|
Do you have a fenced yard?:
|
|
|
|
|
|
|
|
If yes, what type of fence?(ex. 6ft. wood privacy):
|
|
|
|
|
|
|
|
Number of Adults living at this address?:
|
|
|
|
|
|
|
|
Number of Children living at this address?:
|
|
|
|
|
|
|
|
List the ages of all Children living at this address:
|
|
|
|
|
|
|
|
Do ALL members of your household want this dog?:
|
|
|
|
|
|
|
Who will be reponsible for the care of this dog?:
|
|
|
|
|
|
|
|
Who will feed & water this dog?:
|
|
|
|
|
|
|
|
Who will clean-up the yard?:
|
|
|
|
|
|
|
|
Does anyone in the household have allergies to dogs?:
|
|
|
|
|
|
|
How would you handle the situation if someone in your
home became allergic?:
|
|
|
|
|
|
|
|
Please tell us about your family, including any special
activities in which your dog would be included?:
|
|
|
|
|
|
|
|
Do you understand that when adopting a dog for a companion to a
child, you are still responsible for the day to day care for the dog?:
|
|
|
|
|
|
|
How long have you been looking for a new dog?:
|
|
|
|
|
|
|
|
If your application is approved, but a different home has been
chosen for the particular dog you are interested in, would you be
interested in the possibility of a different dog? and if so what is
that dogs name?:
|
|
|
|
|
|
Present and Past Pet Information:
|
|
|
Do you have any pets currently?:
|
|
|
|
|
|
|
|
If yes, please list them and give complete requested
information:
Type of Pet , Name, Sex, Spayed/Neutered, Up to date on
vaccines, How long have they been with you, How did they
come to you? (ex. purchased, adopted, stray)?:
|
|
|
|
|
|
Current Veterinarian (name of clinic and
phone number)?:
|
|
|
|
|
|
|
|
Are your current pets micro chipped?:
|
|
|
|
|
|
|
|
What type of Flea and Tick prevention do you use?:
|
|
|
|
|
|
|
|
What type of Heartworm preventative do you use?:
|
|
|
|
|
|
|
|
Have any of your pets ever been treated for heart worms?:
|
|
|
|
|
|
|
Have you ever sold, given away, or surrender a dog to a
shelter? If yes, please describe the circumstances?:
|
|
|
|
|
|
|
|
If you have ever lost a pet because of age, illness, accident, or
euthanasia, please explain what happened:
|
|
|
|
|
|
|
Have you ever had a pet run away? If so, were you able to
locate them?:
|
|
|
|
|
|
|
|
Do you keep your dog on a leash when outside of your yard?:
|
|
|
|
|
|
|
|
Do you take your dogs to a local dog park for exercise?:
|
|
|
|
|
|
|
Are any of your current dogs obedience trained, CGC certified, therapy dogs?:
|
|
|
|
|
|
|
|
New Companion Info:
|
|
|
Please describe any characteristics that you would like
your dog to have?:
|
|
|
|
|
|
|
Please describe any characteristics which you DO NOT
want your dog to have?:
|
|
|
|
|
|
|
Are you aware that routine costs of a dog can run as high as $800 a year?(This is
including: food, treats, routine vetting, flea & tick prevention, heartworm preventative,
grooming, possible boarding, etc…)
|
|
|
|
|
|
|
|
|
Are you willing to spend the money needed on possible illnesses and/or injuries
that may occur in the lifetime of the dog?:
|
|
|
|
|
|
An average dog’s life span is between 10 to 15 years. Have you given this thought
and willing to make such a commitment?:
|
|
|
|
|
|
|
Are you aware of and willing to provide the regular grooming your dog
will need, such as nail trims, ears cleaned, dental care, baths, and
brushings?:
|
|
|
|
|
|
|
Have you ever crate trained before?Potty trained?:
|
|
|
|
|
|
|
Are you willing to do so if needed?:
|
|
|
|
|
|
|
|
Do you understand that while HBK-9’s will tell you everything we have
learned about the dog, some dogs come from situations for which we know
nothing about, and issues may arise later?Are you willing to work with your
new dog if any issues should arise?
|
|
|
|
|
|
|
|
|
|
What types of problems are you willing to work with, please explain?:
|
|
|
|
|
|
|
What types of problems are you Unwilling to work with, please explain?:
|
|
|
|
|
|
|
|
Will you work with a trainer if a problem arises that you are unsure
how to handle? If yes, explain what you foresee possibly needing a
trainer to help with?:
|
|
|
|
|
|
|
|
Do you plan to take your dog through obedience classes?:
|
|
|
|
|
|
|
|
What will you do with your dog when you go out of town, or
on vacation? Please explain:
|
|
|
|
|
|
|
|
Are you aware that most dogs can shed ALL year round?:
|
|
|
|
|
|
|
Will the dog live primarily inside or outside?
please explain::
|
|
|
|
|
|
|
|
How many hours a day will the dog be alone?
|
|
|
|
|
|
|
Where will the dog be kept during this time?:
|
|
|
|
|
|
|
Is there a situation that you would find it necessary or
acceptable to no longer keep your dog? Please explain:
|
|
|
|
|
|
|
|
All information provided on this application is correct. I understand falsifying answers on
this application or at any other time during the application process will disqualify me from
adopting from Homeward Bound K-9’s. I also understand that filling out the application, does
not guarantee that I will receive approval to adopt .
|
|
|
|
Initial:
|
|
|
|
Date:
|
|
|
|
|
|
|
|
|
|
|
