Please copy/paste this to your e-mail and send it to us at: Hurd52@yahoo.com with APPLICATION in the subject line! We will contact you 3-5 days of recieving your application if you have been approved. Thank you for choosing to adopt a pet!
If this pet is not yet fixed, we do require you to sign a contract stating that you will get them fixed within 30 days after adoption.
A New Hope Rescue
Application to Adopt
Animal of Interest Name:_______________
Please Note: You must be 21 or older to adopt from our rescue.
Please fill out this form completely. After your application has been submitted,
we will review your application and contact you only upon approval.
Today’s date:______________________
Name:___________________________________________________ Age:_________________
Address:___________________________________________________________________________
Daytime Phone:__________________________ Evening Phone:__________________________
Do you own or rent? ___________ (If you rent, please provide a copy of your lease agreement noting any limitations there may be on pets. Please also include the name and phone number of your landlord.)
How many adults over the age of 18 live in your home? _____________________________
How many children under the age of 18 live in your home? ________________________
Do you currently have any pets living in your home? If so, what kind? ___________________
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Are your current pets spayed/neutered?______________________________________
Are your current pets up to date on vaccinations?___________________________________
If your pets are not fixed or up to date on vaccinations, we offer transport of your animal to low cost spay/neuter clinics. We also offer low cost vaccinations as well. If we can help with this, please let us know.
Name of your current veterinarian: _________________________________________________
City vet works out of: ____________________________Phone:___________________________
Please contact your vet to authorize them to speak with us regarding your vet history.
Have you ever bred any animal that belonged to you? ___________________________
Have you ever applied to another rescue or Humane Society?_____________________
How will you provide for your pet when you go out of town or on vacations? ___________
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Who will be the primary caregiver of this pet? _______________________________________
How many hours a day will this pet be alone? ______________________________________
Changing this animal’s environment may result in certain behavior problems such as accidents. These behaviors may take some time to resolve. How much time do you feel is appropriate to give this animal to adjust to it’s new home with you? ___________________________________________________________
What behavior issues would cause you to resort to returning this animal to our rescue? ______________________________________________________________________________________
We ask that if you feel this animal does not work in your home, or if you have to find a new home for this pet down the road, that you please return it to our rescue. We are always open to taking any animal back into our rescue.
We cannot fully gaurentee the health and well being of pets adopted through our rescue. We do give them immediate medical attention as needed, but cannot have a 100% health check on each and every animal.
Please feel free to tell us any more information that might help us place you with an animal that will fit your lifestyle. Animals have their own personalities. They need homes that understand their quirks and are able to work with that. Some may need a single person home; some may be great with kids, others not so much. Please provide any MUST details for your new pet.__________________________________
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Our rescue has the right to do a home visit prior to, and after adoption. Please initial that you understand and accept this. __________
I agree to obey all local and state laws regarding the ownership of this pet. I agree to provide my animal with humane treatment. I agree to take responsibility for my pet, icluding training, and proper care. I hereby agree that I have read the application over efficiently and that the information on this application is true. I understand that the rescue reserves all rights to deny this application, and reserves all rights to annul the adoption of this animal and reclaim it.
I give the rescue full permission to investigate the information provided, as well as contact with my veterinarians, and/or people in my veterinary office. I understand that adoption of this animal depends on many factors and that it is the rescue’s responsibility to place this animal in the best home possible.
I understand it is their prerogative to decide which home is most appropriate and that their decision is legally binding and final.
________________________________________ _________________
Adopters Signature Date
________________________________________
Adopter’s Name Printed
Thank you so much for choosing to adopt a homeless pet from our rescue.
A New Hope Pet rescue and Wildlife Rehabilitation
Sarah Hurd
E-Mail: hurd52@yahoo.com
Website: www.sarahsbabyrescue.webs.com
Phone: 616-638-6498