Adoption Application

Contact information

First Name

Last Name

Address

City

State/Province

Zip/Postal Code

Home Phone

Cell Phone

Legal Name (for background check):

Date of Birth

Employer, Position, and Years with Company

Which animal

Which animal are you interested in adopting? (If you have not chosen a specific animal, please select DOG or CAT, based on which species you want to adopt.)

If your first choice of animal is not available or is not a good fit, do you have a second choice animal in mind? If so, choose that animal's name here.

If you are not interested in one of our current available animals and have chosen the entry DOG or CAT, please enter any specific preferences you have here.

Why are you interested in adopting this particular animal?

Care and daily life

Who will be responsible for feeding the animal?

Where will your animal be kept when it is home alone?

Where will the animal sleep at night?

How will your cat/dog be taken care of when you are traveling?

How many hours per day will the animal be left alone?

Will your animal live inside your home and only be allowed outside with proper supervision and containment?

How do you plan to exercise and entertain your animal?

Animals need time to adjust to new environments and need a family who will have the patience and understanding to let them do so at their own pace. Are you willing to commit the time it may take for this adjustment?

Some of our animals may be housebroken/litter-trained while they are in foster homes. However, animals sometimes will have accidents when they change environments. Are you willing to spend the time housebreaking your animal, even if you believe them to already be housebroken at adoption?

If you are applying for a cat, how do you plan to deal with the possibility of destructive scratching?

What behavior would you consider unacceptable and cause you to return your adopted animal?

Your home

What is your housing type (house, apartment, etc.) and do you own or rent?

How long have you lived at your current address?

Have you confirmed that your city, property management, HOA, etc. have no breed or size restrictions for pets?

If you rent, please provide the name and number of your landlord or management company.

If you are applying for a dog, do you have a fenced-in yard? If yes, please list the type and height of the fence.

Please list the LEGAL name and date of birth of all adults in the home. If you have children in the home (full time or part time), please list only their ages.

References and agreement

Please list the name and phone number for three references we can contact about your application. References must be at least 21 years of age. You may only list one immediate family member. We ask that you please inform your references that we will be calling them. If we are unable to get in contact with your references, it could delay the approval of your application.

MY SIGNATURE BELOW AUTHORIZES THE REPRESENTATIVES OF HERO'S HAVEN TO CONTACT MY VETERINARIAN, LANDLORD, PROPERTY MANAGER, HOMEOWNER'S ASSOCIATION, AND/OR REFERENCES, IF APPLICABLE. I CERTIFY THAT ALL THE INFORMATION CONTAINED IN THIS APPLICATION IS TRUTHFUL. I UNDERSTAND THAT ANY MISREPRESENTATION COULD LEAD TO AUTOMATIC DENIAL OF MY APPLICATION OR THE REMOVAL OF ANY ANIMAL ADOPTED TO ME BY HERO'S HAVEN IF FALSE INFORMATION IS DISCOVERED FOLLOWING THE SIGNING OF THE ADOPTION CONTRACT. I ALSO CERTIFY THAT I HAVE NEVER BEEN CONVICTED OF ANY KIND OF ANIMAL-RELATED OFFENSE. I UNDERSTAND THAT HERO'S HAVEN MAY REQUEST A HOME VISIT BEFORE AN ANIMAL IS ADOPTED TO ME. Please type legal name and date in the box provided.

Note: the first application sent through this form requires a one-time email confirmation by the rescue (a FormSubmit activation step). After that, applications arrive automatically.