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Heavenly Dog Paws Sanctuary Adoption Application
Prior to the adoption of a dog, we ask that you complete this application. This information will help HDPS achieve its goal of finding permanent, responsible, loving homes for the animals in our care and allow HDPS to better assist you in finding a pet suited to your needs.
The adoption fee is $200.00. Personal checks or cash will be accepted. Your adoption fee is considered a charitable, tax deductible donation. All adult dogs are fully vetted, spayed/neutered, heartworm negative/treated.
In order to be considered as an adopter you must:
* Be at least 21 years of age.
* Have the knowledge and consent of your landlord, if renting.
* Be able and willing to spend time and money necessary to provide training, medical treatment and proper care for a pet.
Name
*
First
Last
Age
*
Spouse/Partner/Roommate's Name
First
Last
Address
*
Street Address
Address Line 2
City
State / Province / Region
Postal / Zip Code
Antigua and Barbuda
Aruba
Bahamas
Barbados
Belize
Canada
Cayman Islands
Cook Islands
Costa Rica
Cuba
Dominica
Dominican Republic
El Salvador
Grenada
Guatemala
Haiti
Honduras
Jamaica
Mexico
Netherlands Antilles
Nicaragua
Panama
Puerto Rico
Saint Kitts and Nevis
Saint Lucia
Saint Vincent and the Grenadines
Trinidad and Tobago
United States
Argentina
Bolivia
Brazil
Chile
Colombia
Ecuador
Guyana
Paraguay
Peru
Suriname
Uruguay
Venezuela
Albania
Andorra
Armenia
Austria
Azerbaijan
Belarus
Belgium
Bosnia and Herzegovina
Bulgaria
Croatia
Cyprus
Czech Republic
Denmark
Estonia
Faroe Islands
Finland
France
Georgia
Germany
Greece
Hungary
Iceland
Ireland
Italy
Kosovo
Latvia
Liechtenstein
Lithuania
Luxembourg
Macedonia
Malta
Moldova
Monaco
Montenegro
Netherlands
Norway
Poland
Portugal
Romania
San Marino
Serbia
Slovakia
Slovenia
Spain
Sweden
Switzerland
Ukraine
United Kingdom
Vatican City
Afghanistan
Bahrain
Bangladesh
Bhutan
Brunei Darussalam
Myanmar
Cambodia
China
East Timor
Hong Kong
India
Indonesia
Iran
Iraq
Israel
Japan
Jordan
Kazakhstan
North Korea
South Korea
Kuwait
Kyrgyzstan
Laos
Lebanon
Malaysia
Maldives
Mongolia
Nepal
Oman
Pakistan
Palestine
Philippines
Qatar
Russia
Saudi Arabia
Singapore
Sri Lanka
Syria
Taiwan
Tajikistan
Thailand
Turkey
Turkmenistan
United Arab Emirates
Uzbekistan
Vietnam
Yemen
Australia
Fiji
Kiribati
Marshall Islands
Micronesia
Nauru
New Zealand
Palau
Papua New Guinea
Samoa
Solomon Islands
Tonga
Tuvalu
Vanuatu
Algeria
Angola
Benin
Botswana
Burkina Faso
Burundi
Cameroon
Cape Verde
Central African Republic
Chad
Comoros
Democratic Republic of the Congo
Republic of the Congo
Djibouti
Egypt
Equatorial Guinea
Eritrea
Ethiopia
Gabon
Gambia
Ghana
Gibraltar
Guinea
Guinea-Bissau
Cote d'Ivoire
Kenya
Lesotho
Liberia
Libya
Madagascar
Malawi
Mali
Mauritania
Mauritius
Morocco
Mozambique
Namibia
Niger
Nigeria
Rwanda
Sao Tome and Principe
Senegal
Seychelles
Sierra Leone
Somalia
South Africa
Sudan
Swaziland
United Republic of Tanzania
Togo
Tunisia
Uganda
Zambia
Zimbabwe
Country / Region
Email
*
Cell Phone
*
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Alternate Phone
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What dog are you interested in adopting?
*
If needed, are you willing to provide training for your new dog or puppy?
*
Yes
No
How many adults live in the home?
*
Do all adults work outside of the home?
*
Yes
No
What are the occupation(s) of the adult(s) in the home?
*
How many children live in the home?
*
Please the ages and gender of all children living in the home.
What type of residence do you live in?
House, condo, apartment, townhouse, farm, other
*
Do you own or rent?
*
Own
Rent
If you rent, does your landlord allow pets?
Yes
No
If you rent, does your landlord have a size/weight restriction on dogs?
Yes
No
Landlord's Name (Required if you rent/lease)
Landlord's Phone Number (Required if you rent/lease)
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Landlord's Email Address
How long have you lived at your current address?
*
Does anyone in your household have allergies to animals?
Yes
No
If yes, please explain
Please tell us what it means to be a responsible dog owner.
*
Who will be primarily responsible for the care of the adopted dog?
*
Under what conditions would you consider rehoming a pet?
*
Have you ever rehomed or returned an adopted pet to a shelter or rescue?
*
Yes
No
Where will the dog primarily live?
*
Inside
Outside
What is the average number of hours that your dog will be left alone at any given time?
*
Where will you keep your dog while it is home alone?
Run of the house, crated, garage, fenced yard, outdoor kennel
*
Where will your dog sleep at night? Please be specific.
*
Do you have a completely fenced yard?
*
Yes
No
If yard is completely fenced, type of fence material and height
If yard is not completely fenced, how will you take your dog to the bathroom?
Do you currently own any other pets?
*
Yes
No
If yes, please list the type, breed, age, and gender.
If you currently own a pet, are they spayed/neutered?
Yes
No
Up to date on vaccinations?
Yes
No
Are your dogs currently on heartworm preventation?
Yes
No
If you answered No to any of the previous 3 questions, please explain why.
Current veterinarian's name, address, and phone number.
Specify name on the account.
*
All dogs should be given heartworm prevention on a regular basis. Describe heartworm disease and how it is transmitted.
*
Please provide 2 references, including their name and telephone number.
*
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