Notice: JavaScript is required for this content. Dog Application Fields marked with an * are required Must be 21 years of age and older. If you rent, must have proof from landlord of being allowed to have a dog. Tax deductible adoption fee of $250 for adult dogs, $300 for puppies Divider Date Dog of Interest First Name * Last Name * Email * Address City Zip Home Phone Cell Phone * Divider Will this be your first dog? Yes No What other dogs have you owned in the past? Which of these dogs do you still have? Size and weight of this dog Spayed/Neutered? Yes No Are you aware that in most jurisdictions of California you are only allowed to have up to 3 to 4 dogs? Yes No Should you adopt this dog of interest, how many dogs in total will you have? What is the breed of each of your current dogs you still have? What is the disposition of each of your current dogs you still have? Have your current dogs been with other dogs? Yes No How do they behave with other dogs? What other animals will live in the same household with the adopted animal? Are all of these pets current on their vaccinations? Yes No How did you acquire the pets you currently have? What happened to the animals you no longer have? Have you ever had an animal euthanized? Yes No Explain: Do you plan on getting any other animals in the future? Yes No If yes, what types: If another dog, what sized and breed? How many adults are in the home where the adopted dog will live? How many children are in the home where the adopted dog will live? What are the ages of the children who will be in the home: Do any of these people have any allergies to animals? Yes No If so, explain Does anyone living in or coming to the home smoke? Yes No How many hours a day will the dog be without human companionship? Explain Where do you live? House Townhouse Duplex Condo Apt Mobile Senior living residence Group living residence Do you own or rent your residence? Own Rent If you rent, do you have consent of the landlord to adopt one or more pets and can you show proof of this in the lease or rental agreement? Yes No What rooms in the house will be off limits to the pet? Will the pet be allowed on the furniture? Yes No Some If some, explain: How will the adopted dog be cared for when you travel? If the adopted dog is not housebroken, how will you train it? Where will the adopted dog be kept in the day? Where will the adopted dog be kept at night? Will the adopted dog spend time in the garage? Yes No If yes, explain: Does your garage have an entryway to the house that can allow access to the outside? Yes No If you drive a pick up truck, will the dog ride in the back? Yes No Do you have a pool? Yes No If yes, is it fenced? Yes No Are there stairs in your home? Yes No Does your house have a balcony? Yes No Will the dog ever be tied up? Yes No Do you have a yard? Yes No Is your yard fenced or walled in? Yes No Is there a gate at any part of your yard? Yes No How high is your fence/wall? Are there any areas in the fencing or wall that have gaps, holes, cracks, bars that are spaced apart, or any other openings? What arrangements will be made with the gardener or other maintenance workers and personnel who will be entering your home and/or yard in order to keep the adopted dog safe and secure? If you have children, how will they be taught about keeping gates and doors closed and secure? Can you keep exits from the house and yard secure, such as the front door? Yes No Explain: Are you able to have the dog take training or obedience classes? Yes No Are you able to keep a dog groomed and maintain it’s appearance and nails? Yes No Will you be able to keep the dog updated on vaccinations and take it to the vet for its check up at least once a year? Yes No Explain: Will you be able to afford to maintain the care and cleaning of the dog’s teeth at least once annually? Yes No How much are you willing to spend on medical bills for the adopted dog? up to $100 up to $500 up to $1000 up to $5000 Whatever it takes What would you do if the vet bills were over this amount? If you move will you take the dog with you? Yes No Explain: your present relationship or situation were to change or if there was a death in the family, with whom will the pet live? Has this person been agreed upon? Yes No Are you willing to take responsibility for the adopted dog for the next 10 to 15 or more years as it grows into a senior? Yes No Should you no longer be able to take care of or keep the adopted dog, will you be willing to follow the contractual requirements to return the dog to HTFF? Yes No Additional comments: Write the word "pet" in CAPITAL letters * 3 of 3 Character(s) left Divider If you are a human seeing this field, please leave it empty.
