Our adoption process requires each interested  person(s) to fill out an adoption application and send it back (either via email/ fax/ mail). Once the application is approved ; i.e., vet / home check, then we can schedule a meet and greet and interview. We also do offer our applicants, once approved and once they have met the dog of their choice, to take the dog for a sleepover. They do have that choice to then bring the dog back or make it official.

All of our dogs are spayed/neutered; UTD on shots; HW neg and on prevention; and are microchipped upon adoption.

Adoption fees starting January 1st, 2015 will range between $200-$300.

How To Save A Life Rescue

ADOPTION APPLICATION

Name:_______________________________________________________

Address:_____________________________________________________

City:_______________________    State:____________     Zip:________

Home Phone:_______________________ Cell Phone:___________________

Email Address:___________________________________________________

Are you looking for an adult or puppy?________________________________

Size:_____________________________

Breed:____________________________

Do you want this dog for : COMPANION             PROTECTION            OTHER

This dog will be without human companionship for about___________ hours, per day and ____________ days per week.

Where will your pet be kept during the day? (CIRCLE ALL THAT APPLY)

INDOORS               OUTDOORS                DOG PEN                CRATE 

Other: (please specify)________________________________________________

What pets have you owned in the last 10 years? How many have you owned? What happened to them?

__________________________________________________________________________________________________________________________________________________________________________________________________________________________________________

Who is (was) your veterinarian for the above animals? And who is your veterinarian now?

Name:___________________________________________

Phone:___________________________________________


Where do you live?    HOUSE         APARTMENT        CONDO        OTHER

                                _____I RENT          ____ I OWN

Landlord’s name: _____________________________ Phone: _______________________

(If applying for one of our pit bulls, does your HOA allow pit bull ownership? Yes / No)

Any breed restrictions? __________________________________________________

Do you have a fenced in yard? ________Yes        __________No

If fenced, please describe the height and type:_________________________________________

Please provide the following information about your household:

Number of adults:________

Number of children and their ages: _________________________________________________

It may take your new dog two or more weeks to adjust to his/her new home, especially if other pets are involved. Are you prepared to allow this much time?   _________Yes     _______No

By signing below, I certify that the information I have given is true and that I recognize that any misrepresentation of the facts may result in my losing privilege of adopting a dog from ‘How To Save A Life Rescue”.

I authorize investigation of all statements on this application.


Signature:____________________________________ Date:_______________________


Driver’s License _______________________________