Humane Animal Rescue Team

Devoted to the rescue, care and adoption of senior and disabled  dogs

whose  owners have passed away or are too ill to care for them

 

Home           *             Breed Rescue List             *            Links                 *                     *        Happy Endings

 

 

Because we love our dogs, we have a strict adoption policy to protect them and ensure you have adopted the right

dog for your family.  After completing an Adoption Application we perform a Home Check and charge $100. 

If you are interested in a particular dog, please complete the Adoption Application below and submit the form to us. 

Please note, however, that we will not adopt out of California, Nevada or Arizona at this time due to the difficulty

and potential danger inherent in shipping dogs by air during summer months.
We will contact you shortly after receiving your application.

ADOPTION APPLICATION:

Name of Dog

Where did you find out about this dog?

Name   
Address  City    
 State      Zip     Home Phone  f

Email Address 

Occupation Spouse Occupation 

Employer    Spouse Employer

Work Phone   Spouse Phone

  1. Do you live in a house condo aptmobile homeMilitary  
         Other, please specify 

  3. How long have you lived there?

  5. Do you rent? YesNo  
    If Yes, do you have the permission to have a dog there?

  7. May we contact your landlord?   Name
         Phone If you have a contract with your landlord allowing you to have a dog,

  8. you will need to provide us with a copy for our files. 

  9. Do you have a contract?

  10. Do you have a fenced yard? YesNo  
    If Yes, how high is it at the lowest point?


  11. Type of fence

  12. We require home checks prior to adoption.  Would you object to this?
    (These are usually done the same day as adoption)

  13. Do you have a swimming pool/jacuzzi? YesNo  
    How is it fenced or covered?

  15. Name of your veterinarian/hospital
    Phone

  17. Will the dog be kept indoors or outdoors? Both

  19. Where will the dog sleep?  Please be specific:

  21. Have you ever adopted a pet from a rescue? YesNo  
    I    f Yes, which rescue?  


  22. Where is this pet now?

  24. How many hours a day will this pet be left home alone?

  26. Where will the pet stay when it is left home alone?

  28. Who will be the primary caregiver for the pet?

  29. How many adults in your household?    How many children?

  31. Please list the ages of all children living in the home:

  33. If you are the current or past guardian of cats or dogs, please answer the following:

 

 

Pet #1 Type of animal     Spayed/Neutered YesNo

Primary place kept: IndoorsOutdoors How long owned?

 

Temperament 

 

What happened to Pet?

 

Pet #2 Type of animal      Spayed/Neutered YesNo

Primary place kept: IndoorsOutdoors How long owned?

 

Temperament 

 

What happened to Pet?

 

Pet #3 Type of animal      Spayed/Neutered YesNo

Primary place kept: IndoorsOutdoors How long owned?

 

Temperament 

 

What happened to Pet?

 

Pet #4 Type of animal      Spayed/Neutered YesNo

Primary place kept: IndoorsOutdoors How long owned?

 

Temperament 

 

What happened to Pet?

 

 

For which of the following reasons would you return a pet to HART: Moving

divorcenew babynew pet doesn't get along with other pets at home

allergiescost of vet careother

Please be advised that filling out and returning this application does not constitute a guarantee

that you will be allowed to adopt a HART dog. 

HART carefully decides on which applicant is most appropriate for the adoption experience based on the

ultimate well-being and happiness of the dog. 

Thank you.

 

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