First Name*
Last Name*
Address*
City*
State/Province*
Zip/Postal Code* -
Email*
Home Phone
Cell Phone*
Applicant Age*
Applicant's Occupation:*
Do you own or lease your current residence?* Choose one: I own the property My family member owns the property My significant other owns the property I lease/rent the property
If you do not own the property, please provide the owners or landlord's name, phone number and email address. We will need approval before we can proceed with your application.
Please list the name and age of all household members*
Outside of household members, are there any children that visit regularly? If so, please list the age and frequency of any children who visit (Example, grandchildren, niece/nephew, a kid you may babysit, etc):*
Have you discussed adopting a dog with all household members?* Choose one: Yes, we are ready to adopt! No, I have not discussed with all household members
After what date are you available to take home a dog? (Please keep in mind age appropriate dogs will go home from their meet and greet)*
Animal you are interested in meeting Choose an animal: Aubrie FLIDDISH Korg Roxie SERI
Please list any other dog(s) you are interested in meeting:
Please list the name/age/species of all household animals*
Please list your vet's name, phone number and address *
Are all household cats/dogs altered (spay/neuter)?* Choose one: Yes No There are no cats/dogs living with me
Are all of your dogs/cats up to date on their rabies vaccine? * Choose one: I currently do not own any dogs/cats Yes, all of my cats and dogs are up to date in accordance with state law No, at least one of my animal is due for rabies and I understand HWMAR cannot approve my application until this is complete
If your household cats/dogs are not current on their rabies vaccines, or are not spayed/neutered, please provide an explanation.
Have you owned any pets in the last 5 years who do not currently reside with you? If yes, please explain why they are no longer living with you.
Please describe your family life (activities, hobbies, schedules) and how a new dog would fit in.*
How many hours a day, on average, will your dog be left home alone* Choose one: 0-4 5-7 8-10 10+
Please describe any special accommodations you will make for an adopted puppy or dog while you are at work/away from home. IE dog walker, friend to help during housebreaking stages, doggy daycare, family member, etc. If you do not need to, or do not plan to make any please note that below. *
How will the dog be contained in your yard?* Choose one: fully enclosed fence electrical fence tie out Walk on a leash Free Roam
If you have an electrical fence, what is your plan to integrate/train a newly adopted dog to your yard?
How do you plan on exercising the dog? (how, how often)*
Do you plan to crate train this dog? If yes, please elaborate.*
No matter the age of the dog you are adopting, you will need to continue with training after adoption. What is your training plan?*
Who will take care of your pet during vacations or overnight trips? *
What experience do you have with dogs?*
If you are no longer able to physically care for the animal for its entire lifetime, what is your plan?* Choose one: We have spoken with a family member who have agreed to take over care We have not yet devised a plan, but are aware we need to prior to adoption We do not have a family member willing to take over care, so we would need to relinquish back to the rescue
Have you adopted from a rescue before?* Choose one: Yes, I have adopted from HWMAR Yes, I have adopted from another rescue No, this is my first rescued dog!
How did you hear about Hoof Woof and Meow Animal Rescue* Choose one: Facebook Page Petfinder Hoof Woof and Meow website Hoof Woof and Meow volunteer Friend/Family referral Hoof Woof and Meow Event
Please list a personal reference other than an immediate family member. Include Name, Phone number, Email and Relationship to you.*