Hoovers Hause All Dog Rescue

RENTERS: must provide Landlord's name/phone:

Comments/Questions:

Have you ever sold, given away, or surrendered a pet to a shelter? If yes, please specify why: *

Complete the answers to the following will help us match your specific needs and expectations: Age Desired (Any, specific age, senior 8 years or older): *

How long daily will the dog be left alone (without humans): *

Are you aware that routine costs average $500/dog/year? *

Typeof Fence (include height, width, and length):

Sex: (male, female,either) *

Phone number of current veterinarian: *

Do you have the permission of your landlord to have a dog? If so, up to what size? *

Name: *

Approximate size of dog's yard area? *

Will the dog be allowed in the house? *

Do they share your interest in adopting a dog? *

Why are you interested in this particular dog? *

Do you understand the state and local ordinances concerning licensing and leashing? *

Cell Phone:

Spayed or neutered?

Please identify any other veterinarians that you have used most recently: Name, Phone, Address

Where will the dog stay when you are away from the house: *

Please tell us a little of your lifestyle, your family including any special activities in which your dog would be included. (If you have any requirements or requests for a dog, please let us know so that we can more carefully match a dog to your lifestyle): *

When you go on vacation who will care for your dog where will it be care for? *

Sex of pet:

Please provide the name of your current veterinarian: (If you don't have one, write that you do not have one) *

What happened to the pet? Please add pet's name (vet check reasons): *

If you do not have a fence, will you install one? *

When you move what will you do with the dog? *

Exercised in a fenced yard? *

City, State, and Zip of current veterinarian: *

Activity Level: High, med, calm *

Address (street, city, state, zip): *

Who will care for, train, and exercise the dog? *

Email Address: *

After completing the application below, please call your veterinarian to give us permission to do a vet reference check.
If an answer doesn't apply to you, type in n/a

How long have you lived at your current address? *

Will the dog be walked daily? *

Brand of heartworm preventive?

Does anyone in your household have allergies? If yes, to what allergies? *

Co-Applicant Signature

Co-Applicant Name:

Who is the dog primarily for? (adult, child, elderly) *

Submission by email will serve as signature agreement: Date *

Date

Is there any specific dog you are interested in? If so, which one? Specify name, color, and gender *

Work Phone:

Please list all the most recent pets you have owned in the past: Species: dog/cat *

I/we attest that the information provided on this application is true and accurate to the best of my/our knowledge. I/we understand that submission of this application does not guarantee adoption of a dog. *

Have you, or any member of your family or household ever been cited for leash law violations or cruelty to animals in the past? If yes, please specify? *

Ever allowed to run free without supervision? *

Do they or other family members live with or visit you often: *

Are you familiar with the use of a dog crate to train the pet during your absence or at night? *

Home Phone: *

Will your dog receive formal obedience training? *

Do you own or rent? *

Mailing Address (if different):

Foster Application

Is your yard fenced? *

Where do you purchase heartworm preventive if not from your veterinarian? *