Name*

First Last

Address*

Street Address Address Line 2 City State ZIP Code

Email*

Home Phone*

Cell Phone

Work Phone

Occupation*

Type of Home*

Do you rent or own your home?*

Rent
Own

If renting, please provide your landlord's name and phone number*

Safe Hands verifies with all landlords before adopting a pet to their tenants

If renting, are pets allowed?*

Yes
No

Length of time at current residence?*

Do you plan to move within one year? If so, will you rent or own?

Age and relationship of others living in your home?*

Name of first Safe Hands pet you are interested in*

Name of second Safe Hands pet you are interested in (if applicable)

Name of third Safe Hands pet you are interested in (if applicable)

Why are you looking for a new companion animal?*

Who will be the primary caregiver of this animal?*

Have you previously owned any dogs? If so, what kind?*

Have you ever surrendered a pet?*

Yes
No

Please specify why you no longer own the pet

Please be specific

Are there any dogs, cats, or other pets living in your home?*

Yes
No

If yes, please provide the following: Age, Breed, Gender, spayed or neutered, current on shots, good with other animals?

Please provide the name and phone number of your vet

Please note that Safe Hands does contact vets for references if applicant is a previous pet owner

Are you aware that the average cost of owning a dog is $750 per year?*

Yes
No

What characteristics are you looking for in a new animal companion?*

Are you looking for an indoor or outdoor companion?*

Indoor
Outdoor

Are you committed to providing this pet with the necessary medical care and obedience training to ensure his/her well being in your home for his/her lifetime?*

Yes
No

On average, how many hours will this animal be left alone in your home per day?*

Where will this animal be kept when unsupervised?*

Do you have a yard and if so, is it fenced?*

How will you keep this animal on your property?*

What activity level would you like your animal to have?*

How will this animal get exercise?*

Are you familiar with:

Crate Training
House Training

What types of socialization opportunities will your new dog/puppy have?*

Have you previously trained a dog or puppy?*

Yes
No

What training methods have you used and/or will you use with your new dog or puppy?*

Will you be enrolling your dog/puppy in obedience classes?*

Yes
No

If you will not be enrolling in a training class, why not?

Where will this animal sleep at night?*

Under what circumstances would you return this animal to Safe Hands Animal Rescue?*

How did you hear about Safe Hands Animal Rescue?*

Is there anything else you think we should know about your adoptive home?

An electronic copy of your Adoption Application will be emailed to you after submission of this form.

Dog Adoption Application

Adoption Application

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