To apply to adopt one of our special furkids, please completely fill out the application below. Incomplete applications will not be considered. Upon receipt, your application will be reviewed, your references checked, and we will contact you within 3 business days to make an appointment for a home check at a time convenient for you and our representative.

Date: Pet interested in:

Home phone #: - - Work phone #: - - Cell phone #: - -

1. #of children living in the household: 1a. Children's ages:

2. What type of area do you live in? City Suburb Rural

3. What type of housing do you live in? House Apartment Condo Duplex Mobile Home Other Please explain:

4. Do you rent or own your home? Rent Own

4a. If you rent or lease, do you have permssion from your landlord to own a dog under 25 lbs? Yes No

4b. Do you have permission from your landlord to own a dog over 25 lbs? Yes No

5. What other dogs have you previously owned and what happened to them?

6. What dogs live in your home currently? (Please list breed, age, sex, spayed/neutered):

7. What other types of animals do you have?

8. What do you know about the breed in question?

9. Are there any specific habits or problems that you are not willing to deal with?

10. How did you hear about our rescue group and who referred you to us?

11. Do you have any preferences to the sex of the dog? Male Female Don't care

12. Do you have a fenced-in yard? Yes No

12a. If yes, describe your fence & gates (height of fence, type (chainlink, wrought iron, stockade, etc), construction, size of holes in fence, type of gates, etc):

12b. Can the gates on your fence be opened by children? Yes No

13. If you don't have a fence, where and how will the dog be exercised and allowed to eliminate?

14. Do you have a swimming pool? Yes No If yes, is it fenced separately from the rest of the yard? Yes No

15. What member of the family will be taking the MAJOR responsiblilty of caring for this dog?

16. Does anyone in the household have allergies to ANY animals? Yes Please explain: No

17. What are your plans and goals for this dog? (check all that apply):
Watch dog Companian Guard dog Child's pet Therapy pet Agility/Fly ball Competition Hunting dog

18. Have you ever trained a dog in obedience classes? Yes No

19. Will you take your adopted dog to obedience class? Yes No Maybe Please explain:

20. Will the dog live inside the house? Yes No If no, where?

21. What shelter will be provided for the dog outside? Shed Doghouse Garage Covered porch
Other (explain):

22. Where EXACTLY will the dog sleep at night and be kept when there is no one at home?

23. On average, how long will the dog be left alone each day and/or night?

24. Do you use chemicals on your lawn? (i.e. Lawn Doctor, Chemlawn) Yes No

25. What is the activity level in your home?
Busy, visits by friends, meetings, children, parties, etc. Noisy, tv, stereo, machinery, tools, kids playing
Moderate, normal comings and goings Quiet, home bodies, few guests

26. Do you believe in dog crates? Yes Please explain what purposes they would be used for: No Please explain why you are opposed to crating:

27. If you move what will you do with this dog?

28. When you go on vacation, where will your dog stay and who will care for him/her?

29. Who is the veterinarian you currently use or have used? (provide all info; an incomplete application will be discarded):
Name: Address:
City, State, Zip: Phone: - -

30. How will your dog travel to the vet and other places? (in a car, van, back of pick-up truck, etc):

31. May we call your vet and inquire as to your previous pets' healthcare? Yes No/Please explain:

32. Are you willing to allow a Howlin4Spirit representative to periodically visit your home? Yes No/Please explain

33. Please list three (3) personal references not related to you whom you have known for at least three (3) years:
1. Name: Phone: - - Email:
2. Name: Phone: - - Email:
3. Name: Phone: - - Email:

34. Please tell us a little about yourself and why you feel you could provide a good home for a rescued dog:

35. If you have any disabilities, please describe them here so that we can determine what companion animal would be best for you:

36. In the event of an accident or unexpected illness, what plans have you made for the care and well-being of your animals?

By signing this adoption application, I swear that I am 18 years of age or older and all information provided is true:

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