Dog Name (Optional)

Type of Dog You Want
Size: ---SmallMediumLargeDoesn't matter
Sex: ---MaleFemaleDoesn't matter
Age: ---2-5 Months6 Months - 1 YearAdult DogSenior Dog
Activity Level: ---Couch PotatoJogging PartnerAverage

Date you will be ready for your new dog (required)
mm/dd/yyyy

First Name (required)

Last Name (required)

Address (required)

City (required)

State (required)

Zip Code (required)

Home Phone (required)

Cell Phone (required)

Email Address (required)

Number of adults in home (required):
Please include ages in parentheses. Ex: "2 (35, 37)"

Employers for all family members (required)

Does Anyone in the home have special needs
---YesNo

Number of children in home:
Please include ages in parentheses. Ex: "2 (10, 12)"

Is everyone in the household in agreement on adopting a new dog? (required)
---YesNo

Type of Household (required)
---Quiet or Low KeyActiveModerate

Housing Status (required)
---RentOwnOther

Type of House (required)
---Single FamilyApartmentCondo or Co/op

How long have you resided at your present address? (required)

Are you planning a move? (required)
---YesNo

If you are planning a move, when?

(Renters) Landlord (or Condo Association) & Phone Number

Please include phone number in parentheses. Ex: "John Smith (201-555-5555)"

(Renters) Are pets permitted?
---YesNo

Do you have a yard or fence? (required)
---YardFenceBothNeither

If you have a fence, what is the height?

Is your fence:
---PartialElectronicCompletely Enclosed

Please Describe (in detail) how long the dog will be alone each day, including commute times to and from work. What time does the last person leave home in the morning and the first arrive in the evening? (required)

Where will your new dog be kept while alone?(required)

How will you exercise your dog?(required)

How long will your dog be exercised daily?(required)

Where will your dog sleep at night (required)

Names of Primary Caretaker (s) of Dog (required)

Will you be crate training your dog? (required)
---YesNo

Have you ever crate trained a dog? (required)
---YesNo

Do you own a crate?(required)
---YesNo

Have you ever taken a dog to obedience training?(required)
---YesNo

Do you understand that your dog may develop issues as it adjusts to your home?(required)
---YesNo

Will you tolerate housebreaking accidents, chewing, or barking/whining? (required)
---YesNo

What steps would you take to resolve any behavioral issues (required)

Additionally, what issues would you NOT tolerate if any (required)

Why do you want a new dog and How long have you been searching?(required)

Is anyone in your house allergic or fearful of dogs? (required)
---AllergicFearfulBothNeither

Do you have a nanny or or caregiver?
---YesNo

Are they aware of this adoption and are they willing to take responsibility for the animal
---YesNo

(OPTIONAL) If your pet will be alone during the day for extended periods, please list a dog walker, nanny or doggie daycare you would use. Please provide their contact information.

(OPTIONAL)Please provide a description of animal allergies, if any:

Do you have animals now? (required)
---YesNo

List NAME, BREED, AGE and SEX. (required)

Are they spayed/neutered?(required)
---YesNo

If no, explain.

Have your animals ever been around other dogs?(required)
---YesNo

List any animals you have had in the past 5 years. Include name, breed, sex, and how long you owned the pets.(required)

Reason for no longer owning the pets?(required)

Have you ever surrendered a pet (required)
---YesNo

If yes why?

Have you ever utilized training pads in the process of housebreaking a dog? If so, please elaborate on that usage.

Veterinarian Information...Contact your vet to alert them that we will be calling them.

Vet Name:(required)

City:(required)

State:(required)

Zip Code:(required)

Phone:(required)

Name of the person who the vet records are listed:(required)

Reference #1 (First of two references...non-family members).

Please list a reference that can attest to how you are with animals.

First Name:(required)

Last Name:(required)

Relationship:(required)

Street Address:(required)

City:(required)

State:(required)

Daytime Phone Number:(required)

Evening/Weekend Phone Number:(required)

Reference #2 (Second of two references...non-family members).

Please list a reference that can attest to how you are with animals.

First Name:(required)

Last Name:(required)

Relationship:(required)

Street Address:(required)

City:(required)

State:(required)

Daytime Phone Number:(required)

Evening/Weekend Phone Number:(required)

Reference #3.

Please list a non-family reference that can attest to how you are with animals.

First Name(required):

Last Name(required):

Relationship(required):

Street Address(required):

City(required):

State(required):

Daytime Phone Number(required):

Evening/Weekend Phone Number(required):

Where did you hear about us?(required)
---Adoption eventFacebookTwitterVetAdopt-A-PetI stopped by HFG FacilityPetfinderStreet Fair/Farmers MarketReferenceI am a previous adopterPatchOther

If "other", please explain:(required)

ADOPTION AGREEMENT: You MUST CHECK ALL the following (required)
a. I understand that adopting a dog is a 10-15 year commitment.
b. I understand that I must take my pet to the vet for annual wellness exams and necessary vaccinations.
c. I understand that Home for Good Dog Rescue has the right to conduct a home visit.
d. I certify that all information in my application is true and there are no misrepresentations.
e. I certify that I have read, understand & agree to abide by the terms of the adoption process (Listed below).

Read Adoption Process Terms