Adoption Form Adoption Form Did you read the Adoption Policies?* YES You must answer YES to complete the application. ** HAVE YOU REVIEWED THE ADOPTION POLICY? (NO APPLICATION WILL BE REVIEWED UNTIL THE ADOPTION POLICY HAS BEEN READ.) IF NOT, GO BACK TO ADOPTION PROCEDURE PAGE TO REVIEW POLICIES. THEN COMPLETE THIS APPLICATION.**Name* Address Street Address Address Line 2 City AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code PhoneEmail* Name of Dog/Puppy You Want Age and genders of all persons in the homeWhose idea was it to get the dog? How does each of the family members feel about getting a new dog/puppy?Who will be primarily responsible for taking care of the dog? Ages and genders of all regular visitors to your home:Does anyone in the home have pet allergies? Yes No Ages and types of all animals in the home:Ages and types of all animals who visit regularly:Describe where the dog will live :What about this dog interests you?:Tell us about all prior animals you have owned. (what kind of animal, when you got them, where you got them, how long you had them, whether they were indoor or outdoor, what happened to them):Describe your dream dog (what it looks like and, especially what it acts like):Describe your family's lifestyle and how a dog will fit into it? (i.e., do you camp, run, bike, watch tv--in which of these activities will the dog participate?):Where do you live?HouseApartmentTrailer HomeDo You Rent or Own? Rent Own If you rent, does your lease allow pets? (we will require a copy of your lease) My lease allows pets My lease does not allow pets Do you have a fenced yard? Yes No If so, what kind, how large and how tall?: How many hours a day will the dog be left alone? How will you housetrain the dog/pup?What do you think about crate training?How will you give the dog exercise and stimulation?How will you discipline the dog for bad behavior? (i.e., chewing, digging, eliminating in the house, barking):How often will you take the dog to the veterinarian? How much do you have in your budget for food, toys, treats, vet services and the unexpected each month? What kind of heartworm prevention will you use? Have you ever had a dog with heartworm disease? Yes No If so, please explain the circumstances:Name and phone number of all veterinarian(s) who can establish a track record of care for your animals. We will call for a reference, and by submitting this application you give permission to all such veterinarians to speak to us and to release any information from your file.I authorize the vet to release information to Houndhaven* Yes No Will you do any kind of training? Yes No If so, what kind and where?Have you taken a dog to any prior training courses? Yes No If so, what kind and where?Have you ever had to give a dog or puppy away? If so, why? When? To whom did you give it?:What will you do with the dog when you go on vacation?: Are you prepared to make a commitment to love and care for this dog for the rest of its life however long that may be and however aggravating the dog may be at times?:* Yes No I have read and agree to the Adoption Policies including the $25 nonrefundable application fee.* I accept Click here to review adoption policiesPost Body**AFTER SUBMITTING THIS FORM, "X" OUT OF THIS PAGE AND PAY THE APPLICATION FEE WHERE INDICATED. NO APPLICATION WILL BE REVIEWED UNTIL THE APPLICATION FEE HAS BEEN PAID. **CAPTCHAEmailThis field is for validation purposes and should be left unchanged.