Thank
you for your interest in adopting a pet from Homeward Bound
Rescue! So that we might ensure that the pet you are interested in
adopting from us is an ideal match for your home and lifestyle,
such that
everyone involved ends up blissfully happy with the arrangement, we
ask that you take the time to fill out our adoption
application. Please answer all of the questions completely and honestly. When
you are finished hit the "Submit Form" button at the end
of the application and give it a minute or two to display a confirmation
page. Please note
that any misleading or false information will force us to disregard your
application, and nobody wants that.
First Name
Last Name
Street Address
Address (cont.)
City
State
Zip/Postal Code
DL#
Work Phone
Home Phone
E-mail
What is
your current living Situation?
Number of years at current address:
Are you
21 years or older?
Do you
live at home with one or both of your parents?
If
you answered "Yes"
to the above question, STOP
RIGHT HERE! You must
have one of your parents fill out and submit an adoption
application, (regardless of your age). Unfortunately we are
unable to consider an application submitted by anyone other than the
decision maker and/or head of the household. You'll
thank us for this.
If
you rent, please provide the following information:
Landlord's Name
Landlord's Phone
Are pets permitted where you rent
and have you discussed your plans to adopt with your landlord?
Please explain:
Please
note: We are obligated as responsible
rescuers to contact your landlord to verify the information provided
above.
Which
of our adoptable pets are you most interested in? Please provide the
pet's name an ID#:
Why would you like to adopt this
pet? Please explain:
Are you interested in adopting a dog
for protection? Do you want a dog that will guard your
house? Please explain:
What are your thoughts regarding
dogs that live outside full time?
What are your thoughts regarding
dogs that are chained?
Please list the number of people who
live in your household, your relationship with them and their ages
if they are children:
How do the other members of your
household feel about bringing a new pet into the home; enthusiastic,
supportive, indifferent, opposed? Please explain:
Are there any household members who
have animal allergies? If so, please explain:
How many hours a day will this pet
be left alone; where will the pet be kept and what provisions will
be made if any?
What member of your household will
be this pet's primary caregiver?
Please list the species, age and
gender of any pets currently in your household:
If you currently have pets in your
household, how well do they get along with other animals?
Please list all of the pets that
have been a part of your household in the past five years; species,
current status:
What happened to the pets that are
no longer with you? Please explain:
What
are your thoughts on spaying and neutering and have you chosen to
have the procedure done on your current and past pets? Please
explain:
Have all household pets, past and
present, been kept current with vaccinations? If not, please
explain:
Do you have a fenced in yard?
If so provide details; size of yard, type & height of fence:
If not, how will you accommodate
this pets bathroom and exercise needs?
Where will this pet spend the
majority of his or her time?
Are you familiar with crate training
as a method of house training?
What personality or behaviors in a
pet are you unwilling to tolerate? Please explain:
How will you handle behavioral
issues should they arise?
Are you familiar and/or experienced
with the characteristics of the breed (or breed mix) you are
interested in adopting?
Are you aware that the law requires
all household pets to be registered (licensed) with your home
township and renewed annually?
Are you aware that that proof of
current vaccinations are required to obtain and/or renew your pet's
license?
What do you anticipate spending per
year for veterinary/medical care for this pet?
Would you be able to provide care
for this pet should your home or family situation change;
relocation, divorce? Please explain:
If needed, would you be willing to
participate in and would you be able to afford obedience training
for this pet?
Your new pet may require two to
three months of adjustment time. Will this pose a problem?
Are you prepared to be this pet's
guardian for the next ten to fifteen years or more?
Veterinarian Reference
Please note:
VERY IMPORTANT! If you have had pets in the last five years,
you must provide a Veterinary reference. Please include the phone
number. Incomplete applications will be discarded and you will have
to re-apply!
Veterinarian's
Name
Street Address
Address (cont.)
City
State
Zip/Postal Code
Phone
Personal
Reference
Please
provide the contact information for a personal reference. This
person must be 21 years or older, cannot be a family member and
cannot be a member of your household. Please provide all of
the requested information. If any of the requested information
is missing, your application will not be considered.
Relationship
to Reference
Reference
Name
Street Address
Address (cont.)
City
State
Zip/Postal Code
Phone
E-mail
This
is an application to adopt a pet, not an adoption contract; it in no
way obligates you to adopt this animal nor does it obligate Homeward
Bound Rescue to adopt this animal to you.
I understand the necessity and importance of providing accurate and truthful information and by initialing this application I'm confirming that I've done
so.
IMPORTANT:Please indicate that you understand the
following: Homeward Bound Rescue of NJ reserves the right to
deny any application for any reason. The choice to deny an
applicant is always the right of Homeward Bound Rescue of NJ.
Thank
you for taking the time to fill out our lengthy application.
Please double check and make sure you've answered all of the
questions completely. If information is missing, we will not
be able to consider your application. Someone will contact you as soon a humanly possible.
This is purely a volunteer effort and we are
always very busy so please be patient!
