Adoption Application Adoption Application We appreciate it when all human and canine members of the family attend the event to meet the dogs. If you have a resident dog or dogs please bring him/her/them with so they can meet their prospective new canine sibling! We understand that this is not always possible and it is not a requirement, but we do give preference to families with all members present. Please understand that we do not adopt on a first come-first served basis. We work very hard to choose the home that is best suited to the dog and family Name* First Last 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 Email* Home Phone*Cell PhoneWork PhoneType of Home*Single Family HomeApartmentCondoTown HouseMobile Home (Trailer)Do you rent or own your home?*RentOwnIf renting, please provide your landlord's name and phone numberSafe Hands verifies with all landlords before adopting a pet to their tenantsIf renting, are pets allowed?YesNoLength 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?*YesNoPlease specify why you no longer own the petPlease be specificAre there any dogs, cats, or other pets living in your home?*YesNoIf 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 vetPlease note that Safe Hands does contact vets for references if applicant is a previous pet ownerAre you aware that the average cost of owning a dog is $750 per year?*YesNoWhat characteristics are you looking for in a new animal companion?*Are you looking for an indoor or outdoor companion?*IndoorOutdoorAre 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?*YesNoOn 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?*LowModerateActiveVery ActiveHow 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?*YesNoWhat 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?*YesNoIf 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. Please print and bring a paper copy of it with you if you attend a Meet & Greet This iframe contains the logic required to handle Ajax powered Gravity Forms.