First Name*
Last Name*
Address*
City*
State/Province*
Zip/Postal Code* -
Email*
Home Phone
Cell Phone*
This application is not binding, and it does not obligate you to adopt an animal. It simply lets our rescue know your household has discussed adoption and would like to move forward to meet one of our animals. Are all family members in agreement on adopting a pet and aware you are completing this application?* Choose one: Yes No
I am 18+ years old and will be the PRIMARY caregiver (financially and behaviorally) for the animal I am applying for. * Choose one: Yes No
Hoof Woof and Meow Rescue is 100% foster and volunteer based. Our goal is to place animals in an appropriately matched forever home as soon as possible. As such, Hoof Woof and Meow Rescue cannot hold available animals for applicants who are not currently ready to adopt. Please indicate that you have read and understand and are ready to move forward with the adoption process.* Choose one: Yes! I am ready to adopt. Please process my application. I am not ready to adopt now, I just want my application on file at this time.
Including yourself, please list all household members (name and age):*
Do you or any member of your household have any physical or medical conditions (including allergies) that should be taken into consideration relative to identifying an appropriate adoptive animal for your home? If yes, please explain.
Animal you are interested in meeting Choose an animal: Bogart Bugs Bunny Connor Daffy Duck Harissa LouLou Merlin Petunia Pig Porky Pig Ranger REBA Roo Speedy Gonzales Sylvester Talisker Tweety
Please list the name of any other animals you are interested in meeting.
I would consider adopting the following:
Animals have different needs in a forever home in order for the adoption to be successful. Have you read the animal's bio on our website and do you believe your family is a good match? http://www.hoofwoofmeow.org/adoption/available/* Choose one: Yes No The animal I am applying for is not yet on the website
What are personality traits are you looking for in a new furry family member?*
Please describe your family life (activities, hobbies, schedules) and how a new dog/cat would fit in.*
Please choose any changes you anticipate in your household in the next 5 years.
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)*
Do you currently own or rent the property you are residing at?* Choose one: I own the property My parents own the property I am leasing the property
If YOU do not own the property, please provide the owner/landlord's name, phone number and email address. If you do not own the property you reside at and leave this box blank we cannot move forward with your application.
Please list any pets that currently live with you (name, species/breed,gender, age).*
Please list any other animals not residing with you that the adoptive animal would come in contact with.
In keeping with our mission to reduce the number of unwanted homeless animals, we do not adopt to families whose current pets are unaltered. Exceptions will be made for a medical condition supported in writing by your licensed veterinarian. Are your household animals altered?* Choose one: Yes No, due to a medically diagnosed condition No, I have chosen not to alter my dog/cat I do not own a cat or dog at this time
Per Illinois state law, all cats and dogs must be current on their rabies vaccination. Exceptions will be made for a medical condition supported in writing by your licensed veterinarian. Are your household animals current on their rabies vaccination?* Choose one: I don't currently own a cat or dog Yes No, but I have an appointment scheduled within the next 3 days No, due to a medical condition No
Veterinarian name, phone and address (either current or who you plan to use should you adopt)*
Puppies/kittens under the age of 6 months may require additional/booster vaccinations or vet care that is NOT covered by the rescue. Do you agree to take financial responsibility and provide regular health care by a licensed veterinarian? * Choose one: Yes No
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. If deceased, please list age and cause of death. *
Our animals are adopted out as an indoor family pet. If adopting a dog, do you agree to supervise the dog outdoors at all times? If adopting a cat do you agree the cat will be an indoor only cat?* Choose one: Yes No
Do you have a fenced yard?* Choose one: n/a - I'm adopting a cat My yard is fully enclosed with a fence (dogs can see/make contact with neighbor yards/animals) My yard is fully enclosed with a privacy fence (dogs cannot make contact with neighbors/animals) My yard is NOT fully fenced I do not have a yard - I will walk the dog on leash I have a fenced community area (ie: condo association dog run/park)
Please select how you will contain your dog outside. Choose one: Fully fenced yard with no holes or gaps Tie Out Walk on a leash Electric fence
What is your employment status?* Choose one: Full-Time Part-Time Student Unemployed Disabled
How many hours per day will your pet be left alone (on average)?* Choose one: 0-2 3-5 6-9 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.
Where will the pet be kept during the day?*
Where will the pet be kept at night?*
What type(s) of collars do you plan to use (buckle, harness, martingale, prong, choke, shock)?
How often do you plan on walking the dog?* Choose one: n/a I'm adopting a cat Multiple times a day Once a day A couple times a week Rarely
What experience do you have with dogs/cats (please apply for the species you are applying for)? Ex: you've owned dogs/cats your whole life, you dog sit, family pets growing up, no experience*
No matter the age of the animal you are adopting, you will need to continue with training after adoption. What is your training plan?* Choose one: n/a - I'm applying for a cat I will train at home (self-train) Group Classes Private Trainer I'm new to this - I need advice!
Have you ever house-trained a dog?* Choose one: n/a adopting a cat Yes No
What experience do you have obedience training a dog? (Put n/a if adopting a cat)*
Who will take care of your pet during vacations or overnight trips? *
Rescued pets may have an initial adjustment period after adoption that may include shyness, potty training issues, pacing, panting, etc. Are you willing to be patient and work through any of these issues?* Choose one: Yes No
If you are no longer able to physically care for the animal for its entire lifetime, what is your plan?* Choose one: I would relinquish back to the rescue A family member has agreed to take over care I have not thought about it yet (but probably should)
Under what circumstances would you return your animal to the rescue?
How did you learn about the animal you are applying for? Choose one: HWMAR Facebook Page Petfinder Friend/Family Referral HWMAR Volunteer Other
Please list a personal reference other than an immediate family member. Include Name, Phone number, Email and Relationship to you.*